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Health plans under review

This article was translated by an automatic translation system, and was therefore not reviewed by people.



Study of ANS gives low grades and medians for most

Rio - The NSA (National Health Insurance) evaluated the performance of 1,480 health providers throughout the country The result showed that 49.7% of companies have a bad quality bad.

"Although they are not adjectives, was established a numerical grading for performances. They range from serious, poor, average and good. Most carriers studied had an average performance in the range from 0.40 to 0.59 and from 0.60 to 0.79. Given this, we can say that most are not so bad, but there is much to improve, "said Afonso Reis, coordinator of the Qualifying Operators of ANS.

All in all, 31% of health providers had regular notes and only 19% rating from good to great. According to Alfonso Reis, the plans that had poor performance will be given a NSA. "There will be tighter control to resolve and overcome failures, and a feasibility study for the company to remain on the market. If found not feasible, there may be intervention by the agency, "he explains.

The president of the Brazilian Medical Group (Abramge), Arlindo de Almeida, questioned the assessment. "We see operations that are known and evaluated with very low notes," responded by noting that Abramge already appealed to court against the index.

The poll, conducted throughout 2008, discussed plans with medical and hospital coverage and dental care. For the first time, consumers will be able to check the performance index of his plan. Among the requirements that are judged, are health care, infrastructure, customer satisfaction and financial situation. Complete listing site www.ans.gov.br.

Comparison is easier

With portability in place for individual plans, the study of ANS (National Health Insurance) becomes the newest addition to the consumer to compare performance and choose the company with the highest quality.

"The research is good, especially for the public. He will know better the company that made the contract, or require improvements to exercise the right of portability, "said Afonso Reis, coordinator of the Qualification Program Operators.

New rules for collective 

Starting next Saturday, they begin to enforce the new rules for collective health plans. For determinations of the NSA, contracts or business done by countries, those made between associations and unions, may only have the fees adjusted once each year. It also prohibited the fit between different users of the same contract.

The legislation also prevents no difference in the amount charged for the old and new users.



Source: The Day

This article was translated by an automatic translation system, and was therefore not reviewed by people.

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