Challenges of the Private Health Plans Regulation in Brazil

Carlos Reis

No 127, Discussion Papers from Instituto de Pesquisa Econômica Aplicada - IPEA

Abstract: The idea of regulating private health plans so as to favor major players and the “managed care” is incompatible with the guidelines of the National Health System [Sistema Único de Saúde (SUS)] and for this reason we defend instead a regulatory action aiming to strengthen the public sphere. In particular, we discuss how this alternative could improve the regulatory capacity of the National Supplementary Health Agency [Agência Nacional de Saúde Suplementar (ANS)] to face the economic crisis in the health plan marketplace, dispelling the mistaken notion that the market, once strengthened, will cooperate with the SUS rather than contaminate it. A idéia que defende uma regulação dos planos de saúde em favor dos grandes players e do “managed care” é incompatível com as diretrizes do Sistema Único de Saúde (SUS), por isso, defendemos a adoção de um tipo de ação regulatória em direção ao fortalecimento da esfera pública. Em particular, apontamos como essa alternativa poderia capacitar a Agência Nacional de Saúde Suplementar (ANS) no enfrentamento da crise econômica do mercado de planos, desfazendo a ficção de que o mercado, uma vez fortalecido, vai cooperar com o SUS, ao invés de contaminá-lo.

Pages: 30 pages
Date: 2015-01
New Economics Papers: this item is included in nep-hea
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