Clipping of news on Brazilian Culture, Law and Citizenship
6/13/2017
This article was translated by an automatic translation system, and was therefore not reviewed by people.
12 Jun 2017
At a meeting of the Supplementary Health Chamber, the Institute says that the proposal puts at risk the regulation of the market and the protection of the consumer
Last Thursday (08), Idec participated in the 90th Meeting of the Supplementary Health Chamber (Camss). The event aimed to discuss the new rules and proposals of the National Supplementary Health Agency (ANS).
One of the topics that generated heated debate during the meeting was that of affordable (also called popular) health plans. According to the ANS, the proposal, which has been under review since March by the Working Group (WG) created by the agency, will pass to the public discussion phase, which has generated a series of criticisms from the entities.
"The agency started the social participation phase without at least having carried out studies that show the impact of these changes or before defining their position on the proposal. There is a great risk that affordable plans will deregulate the market, leaving the consumer unprotected, "says Ana Carolina Navarrete, an attorney and researcher at Idec.
At the beginning of March, the Institute had already criticized the proposal of the Ministry of Health that provides for the creation of plans with restrictions on coverage or customer service. Among the problems presented are important regulatory setbacks, such as the possibility to readjust individual plans outside the ANS ceiling; Reduction of available supply in the region; Plans with a 50% co-participation; And flexibilization of the maximum terms of service.
During the meeting, a representative of the National Health Council (CNS) read a motion to reject the accessible plans. For the council, the initiative of the federal government to propose actions that favor the market contradict the principles and directives of the Unique System, public, universal and of quality. The body had already repudiated the proposal and asked for the WG to be dissolved.
Readjustment on schedule
The ANS also reported at the meeting that it is studying the possibility of creating a new regulatory agenda that covers issues and proposals that are not yet under discussion.
Idec suggested that the agency include in the debate the theme of health plan readjustments: it proposed the opening of a WG to discuss the methodology for calculating the increases in individual plans - which have been increasing unbalanced in recent years - and the regulation Of collective agreements.
Change of plan
Another issue that came up for discussion was the need for new rules for portability of grace, accreditation and re-accreditation in the health care network, enabling consumers to move through the plan market.
At that point, Idec reinforced its position, already sent to the agency in May, that the imposition of a fine for those who want to leave the health plan is totally illegal and abusive, violating the right of free choice of the consumer provided for in article 6, II Of the Consumer Protection Code.
Source: Idec
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This article was translated by an automatic translation system, and was therefore not reviewed by people.