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Iza Bell | izabell

Health & Benefits

Oct 7th 2013 at 12:47 AM

As the new coverage was scheduled to take effect from April 2 and the annual adjustment authorized by the NSA for new individual plans (hired from January 1, 1999) will be released by the end of this semester, the expansion will not be taken into account adjustment in 2008.

One reason for this low ANS impact of costs refers to the fact that some of the new procedures are already used by many operators. In addition, other precautions may include reducing the number of consultations and hospitalizations, generating cost savings in the future.

The video laparoscopy is an example: the cost of this procedure is high, but provides shorter duration of hospitalization and complications, thus reducing the total cost.


For those who believe that the RN will bring more costs to businesses, Sheila Cesar, responsible for operations of Marsh Mercer Health & Benefits in Brazil, says that there is no sufficient statistical data to assess the impact of new roofs due to various factors that are inherent to each company as plan design, geographic, risk profile, age and sex.

"We estimate that only after a 36-month period of validity of the new list of procedures that we can have more reliable, even eliminating specific aspects like a pent-up demand," he says.

The NB 167 has generated much discussion in the industry. In late March, Untimed Brazil and other entities filed an injunction against the resolution to avoid the retroactivity of the new procedures, so that there is no financial imbalance between the services and the amount paid by the consumer. "

We support the expansion of services, but do not accept the unilateral alteration of existing contracts nor result in an imbalance between the obligations of the health plan and the payments made by its users," says Cellos Barros, president of the Brazil Untimed.

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