ANS opens public consultation on operators' assistance network

 ANS opens public consultation on operators' assistance network

The ANS (National Supplementary Health Agency) launched last Monday (01/25) a public consultation on the proposal for a Normative Resolution that gives for the standards for changes within the hospitalization network. the target is to enhance rules for the replacement of hospital entities and network resizing by reduction, additionally to improving the efficiency of communication to the beneficiary. Society contributions are often sent until 10/03/2021.


The change within the network of hospital providers is provided for in Law No. 9,656 / 1998 and it's up to the entity to determine the principles for the intended changes. The discussion on the topic started in 2016 at the merchandise Structure Regulation Committee. Two years later, the subject was included within the Regulatory Agenda of ANS 2019-2021 and therefore the debate was resumed within the Regulatory Agenda Dialogues, which consisted of a series of meetings with representatives of hospital entities, health plan operators, the general public Ministry and Consumer Protection Centers.


The established dynamic was the holding of meetings and therefore the receipt of contributions, initially during a structured form and later in letters and letters. After each round of meetings and therefore the receipt of contributions, the world was invited to debate the development of Criteria for Changing the Hospital Network, pertaining to the Directorate of Standards and merchandise Qualification (DIPRO).


The network of providers


The hospital network of providers may be a vital factor when hiring a health plan . Currently, consistent with the ANS Plan Guide, it's the second motivation for the beneficiary to portability of needs. In 2020, the Agency received 4,715 requests for network changes, pertaining to 21,944 providers. it's important to clarify that an invitation may contain one or more providers.


According to the Agency's substitute chief military officer, Rogério Scarabel, the regulation of the matter may be a primary demand for the supplementary health sector: “The current rules got to be improved to supply more security and clarity for the world and to permit the understand your rights and know what to charge your health plan operator. the general public consultation is a crucial step within the construction of a norm and a chance for the entire society to participate, giving your suggestions and contributions ”, highlighted Scarabel.


Main points of the draft regulation that's publicly Consultation


1 - Replacement of hospital providers: deals with the standards for the utilization of hospital services and urgent and emergency care, additionally to the criterion associated with the qualification of the provider within the rule for the analysis of equivalence in substitution;

2 - Resizing the hospital network by reduction: addresses the impact of the assisted mass when the resizing involves hospital entities liable for up to 80% of the services;

3 - Portability: addresses the beneficiary's right to portability of needs when a hospital is disqualified within the municipality of his residence;

4 - Communication to beneficiaries: deals with the principles for communicating network changes during a reserved space on the operator's portal and individualized communication within the disqualifications administered within the beneficiary's residence municipality.


The proposed Normative Resolution also as all the documents that support it are available on the regulator's website . More information on the subject and therefore the online form to send criticisms and suggestions are at the link .

plano de saúde unimed fortaleza
hapvida fortaleza
plano de saúde hapvida
plano de saúde amil empresarial
Plano de Saúde Bradesco no Nordeste

Comments

Post a Comment

Popular posts from this blog

Allcare and Unimed Campina Grande close partnership

   Allcare and Unimed Campina Grande close partnership A AllCare e a Unimed Campina Grande firmaram uma parceria para a comercialização de planos de saúde coletivos na região. A Unimed Campina Grande, que completa 50 anos de atuação em 2021, é a primeira parceria da administradora no ano e reforça a atuação da administradora no Nordeste, que passa a estar presente em sete dos nove Estados da região. The partnership expands the alternatives of access to non-public health for the local population, especially professionals, civil servants, traders, companies and administrative bodies. the chief manager of AllCare Special Projects, Suely Macedo Ribeiro, highlights the importance of the town of Campina Grande together of the foremost important economic centers in Paraíba. She explains that “the partnership with Unimed will allow us to satisfy the growing demand of the population and corporations within the city for health plans , especially at a time when health is increasingly pla...
Read more

seoele.xyz

 https://seoros.xyz/diamondfireapparel/ https://seoros.xyz/people-industry-4/ https://seoros.xyz/people-industry-3/ https://seoros.xyz/people-industry-2/ https://seoros.xyz/people-industry-1/ https://seoros.xyz/sumberpendidikan-4/ https://seoros.xyz/sumberpendidikan-5/ https://seoros.xyz/sumberpendidikan-3/ https://seoros.xyz/sumberpendidikan-2/ https://seoros.xyz/1-sumberpendidikan/ https://seogia.xyz/diamondfireapparel/ https://seogia.xyz/people-industry-4/ https://seogia.xyz/people-industry-3/ https://seogia.xyz/people-industry-2/ https://seogia.xyz/people-industry-1/ https://seogia.xyz/sumberpendidikan-4/ https://seogia.xyz/sumberpendidikan-5/ https://seogia.xyz/sumberpendidikan-3/ https://seogia.xyz/sumberpendidikan-2/ https://seogia.xyz/1-sumberpendidikan/ https://seobrown.xyz/diamondfireapparel/ https://seobrown.xyz/people-industry-4/ https://seobrown.xyz/people-industry-3/ https://seobrown.xyz/people-industry-2/ https://seobrown.xyz/people-industry-1/ https://seobrown.xyz/s...
Read more

Even within the crisis, Brazilian doesn't hand over the health plan

 Even within the crisis, Brazilian doesn't hand over the health plan Even within the midst of the severe crisis caused by the pandemic , Brazilian health plans registered a rise of 560 thousand beneficiaries in 2020. this is often a rise of 1.2%, the primary within the sector since 2014, consistent with a previous data released by ANS ( National Supplementary Health Agency) . In December alone, there have been 179 thousand new beneficiaries in supplementary health. There are now 47.6 million people served. According to Vera Valente, executive of FenaSaúde, “the positive result demonstrates that folks increasingly recognize the importance of supplementary health and, even within the midst of a crisis just like the current one, seek access to the standard of care provided by plans and personal insurance ”. The intention of the supplementary health operators is that even more users can calculate a personal health plan . This has been the trouble of the businesses related to FenaSaúde,...
Read more