Clipping of news on Brazilian Culture, Law and Citizenship
04/25/2012
This article was translated by an automatic translation system, and was therefore not reviewed by people.
SAO PAULO - Doctors who meet the health plan decided to make public acts, and some states will even stop the service, as a protest against the operators. Demonstrations take place on Wednesday (25).
The suspension of elective medical care by health plans is confirmed in at least 12 states: Acre, Bahia, Espirito Santo, Maranhão, Minas Gerais, Para, Paraiba, Pernambuco, Piauí, Rio Grande do Norte, Santa Catarina and Sergipe. At most, the strike will last 24 hours.
Urgency and emergency
Despite the shutdown, the urgent and emergency cases are usually treated as scores CFM (Federal Council of Medicine). Have consultations and procedures that are canceled will be scheduled in due course. "The category is not intended to harm the patient, but with their mobilization, contribute to the improvement of health care by providers," says CFM.
According to counsel, the decision is because the doctors want to publicly express their dissatisfaction with the behavior of companies operating in the sector. "There are a significant number of plans that refuse to negotiate with doctors replacement of losses accumulated in the fees paid and the end of their interference in the relationship between practitioner and patient, which has resulted in disallowances and not prescribed and authorization procedures / or requested, "says CFM.
Besides the discontent with the way some companies behave during the negotiations, the national medical organizations, through the Health Insurance Commission, also charge for the establishment of clear rules for the establishment of contracts between operators, an action that depends directly on interference of ANS (National Supplementary Health Agency) as a regulatory body.
It is worth to point out that the committee is composed of the CFM, the AMB (Brazilian Medical Association) and FENAM (National Federation of Physicians).
What doctors call
The establishment of a national data-annual basis for adjusting or fixing additives contract with a redefinition of the values of the contracted services, according to the criteria established in the annual collective bargaining between the operator and the representation of providers;
The definition of CBHPM (Hierarchical Brazilian Classification of Medical Procedures) as a parameter pay the fees;
The setting of standards expressed for dates and payment deadlines and late fees on transfers;
Creating rules for accreditation and accreditation of doctors;
The end of the glosses of medical procedures that are performed in the role of ANS or operator or have been subject to prior authorization.
São Paulo
In Sao Paulo there is no stoppage, however, is planned for march on Avenida Paulista. The doctors will focus on the front seat of AMB - next to the stations of the subway Trianon and Brig. From there, walk to follow at the corner of Avenida Paulista and Rua Augusta.
Source: Journal of Health
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This article was translated by an automatic translation system, and was therefore not reviewed by people.