The importance of compliance in supplementary healthcare

Compliance na saúde

The importance of compliance in supplementary healthcare

Currently, there are so many new developments emerging in different sectors of the market that, often, a large portion of the population is unaware of the innovations. The healthcare sector is an area that has always do you have any news, and a good example is compliance in supplementary healthcare.

The advantage is that knowledge is more accessible. Just access the internet and have up-to-date information.

So, do you want to find out about the latest developments in the current market? Do you really want to know what it is about and what it contributes to health? Continue reading this post and get the best information.

Understand, in fact, what compliance in supplementary health is

Clearly, the expression means acting correctly following established standards, in accordance with the internal and external guidelines of each sector. In other words, basically, it is legally complying with the policies and standards agreed with the companies.

The practice of compliance in supplementary healthcare in Brazil has become increasingly widespread. The subject has great notoriety and has been constantly debated, since its main function is to maintain transparency and ethics in actions.

Find out why you should implement compliance in supplementary healthcare

There are areas that require greater rigor than others, such as the health sector. It is difficult to imagine certain places, such as hospitals, clinics and any health institutions, that do not have transparency and ethics in their services.

Given this perspective, adopting the compliance system means offering the necessary care that the healthcare sector demands. You cannot walk in the dark, and that is what compliance prevents, as it seeks to ensure that commercial transactions are based on ethics and transparency.

Supplementary healthcare took a leap and understood that the various sectors, such as finance, purchasing and selling medicines and all others, cannot be hostage to fraud, corruption, conflicts of interest or any abuse, so there are digital tools and solutions to that this is not a reality.

The challenges faced by supplementary healthcare

According to data from the National Supplementary Health Agency (ANS), in the last 4 years, there has been a reduction in the number of health plan beneficiaries.

In addition to these losses, the World Health Organization (WHO) points out that total healthcare costs in Brazil have increased considerably, making the situation of supplementary healthcare and the entire system even more difficult.

And the challenges don't stop. Fraud is responsible for a large part of the costs of supplementary healthcare in the country. This practice has caused inconvenience and risks for beneficiaries who suffer from the insecurity caused by fraudulent activities.

Discover the pillars of healthcare compliance

According to the OIG, the compliance program in the healthcare sector has seven pillars. See them below:

  • implement policies in accordance with procedures and standards of conduct;
  • promote monitoring and audits throughout the period worked;
  • facilitate communication and enable anonymous reporting;
  • determine a compliance officer and a compliance council, responsible for monitoring;
  • reinforce established standards for employees through disciplinary guidelines;
  • respond immediately to inappropriate situations and develop corrective action plans;
  • promote training on compliance policies, procedures and standards of conduct.

 

Check out good reasons that justify adhering to health compliance

Currently, the market is competitive, and companies that seek growth and prominence in their field of activity need to be prepared and invest in technological innovations.

In the healthcare sector, having this vision is essential. Therefore, taking advantage of digital tools in healthcare environments promotes the restructuring of existing relationships, in other words, it is extra care. With compliance, you can:

  • ensure ethics;
  • increase security;
  • combat fraud;
  • have transparency;
  • prevent data leaks;
  • offer quality services.
  • Throughout the text, we address what compliance is and its pillars, that is, the importance of compliance in supplementary health for the modernization of your company was highlighted.

 

So, did you like the information presented? Did they contribute to your decision making? Want to keep discovering new information? How about reading another text of ours that deals with health plan contracts? Don't miss it!

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