The year 2019 was very fruitful for the healthcare operator sector. In summary, we can say that during this period this market was marked by several initiatives with a relevant social impact, which could, in general, improve existing health plans, as well as guarantee a more positive experience for consumers.
In order to ensure you stay informed, we have put together this content to present the three themes that were highlighted in 2019 in the healthcare operator sector. Check out!
Adoption of good corporate governance practices
With the aim of ensuring greater efficiency for the healthcare operator sector, the National Supplementary Health Agency – ANS, encouraged the adoption of good corporate governance practices.
To this end, it launched a manual to guide health plan operators regarding the adaptation of new regulatory requirements (those created in 2019). With this, ANS seeks to create a culture in which operators become more efficient, productive and ethical, in order to improve their relationship with beneficiaries and society in general.
Promotion, prevention and quality in healthcare
A theme that was highlighted last year was the Health Promotion and Disease Risk Prevention Program, which reached the milestone of 1,800 initiatives with the ANS, according to the organization. For him, this is the highest number since 2009,
The Health Promotion and Disease Risk Prevention Program is an initiative of the ANS and was launched as a stimulus strategy for the creation of projects that dialogue with this theme. It was such a success that, of the projects registered with ANS, more than 2 million people benefited.
In general, what we can say is that, in 2019, there was special attention to the creation of promotion and prevention actions with regard to health.
Creation of new rules for portability of needs
According to ANS, another measure that was taken in 2019 was the creation of new rules for portability of needs.
The body argues that this initiative expanded the benefit for collective business contracts. Before the new rules, this was only applied to individual or family and collective contracts through membership, he adds.
There are some rules that must be observed by users who wish to change plans without meeting new requirements to use health services. Are they:
– The current plan must be contracted after January 1, 1999;
– The contract must be active;
– The user must be up to date with the monthly payment for the plan;
– The beneficiary must comply with the plan's minimum period of permanence (2 years in the original plan or 3 years if they have completed Temporary Partial Coverage (CPT) for a Pre-existing Illness or Injury. If they have already transferred to a plan before, the period length of stay required is at least 1 year or 2 years, if you have transferred to the current plan with coverage not provided for in the previous plan, according to the booklet made by ANS.
The themes presented here were just some of the main ones that were highlighted in 2019 in the health plan operator sector. To stay up to date with the rest, follow our blog. We are always sharing content that can make you even better informed.
