July 2, 2022
Procon-SP asks ANS to oversee health plans through its own network of hospitals |  Brazil and politics

Procon-SP asks ANS to oversee health plans through its own network of hospitals | Brazil and politics

formally, Procon-SP Asked National Agency for Complementary Health (ANS) who – which Vertical Form Health Plans Screening. In this form, which according to the agency has been growing in recent years, Operators have their own service network, such as hospitals, clinics, home care and rehabilitation centers, among others.

According to a note, Procon-SP states that The role of the regulatory agency is to act in the inspection of this network, including hospitals. β€œIt is necessary to check whether the form does not resulting in harm to the consumer, where The less the hospital spendssacrificing quality of care, Better for the operator, which reduces their costs“He says Fernando KeepsCEO of Procon-SP.

According to the agency, with vertical health plans Inventory of medical services in the clinical picture of the companyAnd Limiting contracted services by the consumer, and may compromise the technical independence of the health professional. Procon-SP confirms that Federal Court of Accounts (TCU), in their audits, already He pointed out the lack of transparency By operators, in this sense.

There may be a file conflict of interest In operators with hospitals, that’s why we want to provoke regulation by the ANS in relation to the generalization of the sector,” says Keppes, adding that for the agency, the model is also Affects competitivenessAnd Cause market concentration NS lowers the quality of services available.

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