{"id":1359,"date":"2016-12-28T17:30:58","date_gmt":"2016-12-28T19:30:58","guid":{"rendered":"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/?p=1359"},"modified":"2016-12-28T17:20:33","modified_gmt":"2016-12-28T19:20:33","slug":"novas-regras-de-monitoramento-de-risco-assistencial","status":"publish","type":"post","link":"https:\/\/segurosinteligentes.com.br\/oldrh\/novas-regras-de-monitoramento-de-risco-assistencial\/","title":{"rendered":"Novas regras de monitoramento de risco assistencial"},"content":{"rendered":"

[et_pb_section admin_label=”section” transparent_background=”on” background_color=”#ffffff” allow_player_pause=”off” inner_shadow=”off” parallax=”off” parallax_method=”off” padding_mobile=”on” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” make_equal=”off” use_custom_gutter=”off” custom_padding=”0px||50px|”][et_pb_row admin_label=”row” make_fullwidth=”off” use_custom_width=”on” width_unit=”off” use_custom_gutter=”off” padding_mobile=”on” allow_player_pause=”off” parallax=”off” parallax_method=”off” make_equal=”off” parallax_1=”off” parallax_method_1=”off” parallax_2=”off” parallax_method_2=”off” column_padding_mobile=”on” custom_padding=”50px|35px|50px|35px” background_color=”#ffffff”][et_pb_column type=”2_3″][et_pb_text admin_label=”tag e data” background_layout=”light” text_orientation=”left” text_font=”|on|||” text_font_size=”16″ text_text_color=”#9ec31e” text_line_height=”1.5em” use_border_color=”off” border_color=”#ffffff” border_style=”solid” custom_margin=”||0px|”]<\/p>\n

NOVIDADE DA ANS | 28.DEZEMBRO.2016<\/p>\n

[\/et_pb_text][et_pb_text admin_label=”t\u00edtulo” background_layout=”light” text_orientation=”left” text_font=”|on|||” text_font_size=”32″ text_text_color=”#495358″ text_line_height=”1em” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]<\/p>\n

Novas regras de monitoramento de risco assistencial<\/p>\n

[\/et_pb_text][et_pb_text admin_label=”conte\u00fado” background_layout=”light” text_orientation=”left” text_font=”Open Sans||||” text_font_size=”16″ text_text_color=”#748690″ text_line_height=”1.5em” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]<\/p>\n

A fim de detectar precocemente situa\u00e7\u00f5es que configurem risco \u00e0 qualidade ou continuidade dos servi\u00e7os de assist\u00eancia sa\u00fade prestados aos benefici\u00e1rios, a Ag\u00eancia Nacional de Sa\u00fade Suplementar (ANS) acaba de padronizar regras de monitoramento do risco assistencial.<\/p>\n

A Resolu\u00e7\u00e3o Normativa (RN) n\u00ba416, publicada no \u00faltimo no dia 23 de dezembro no Di\u00e1rio Oficial da Uni\u00e3o (D.O.U.) junto com a Instru\u00e7\u00e3o Normativa (IN) n\u00ba 49, que detalha o funcionamento das normas, tem como objetivo identificar operadoras de sa\u00fade com ind\u00edcio de risco assistencial, monitorar a qualidade dos servi\u00e7os e subsidiar a\u00e7\u00f5es preventivas e corretivas para os problemas detectados junto \u00e0 Diretoria de Normas e Habilita\u00e7\u00e3o dos Produtos (Dipro).<\/p>\n

 <\/p>\n

Como funciona?<\/p>\n

Trimestralmente, o monitoramento de risco ser\u00e1 processado com base nos indicadores de desempenho definidos pela ANS. A nota de classifica\u00e7\u00e3o varia entre 0 e 1, a partir dela a operadora ser\u00e1 classificada em uma das tr\u00eas faixas (maior ou igual a 0,7; maior ou igual a 0,35 e menor do que 0,7; e menor do que 0,35).<\/p>\n

Os resultados ser\u00e3o, num primeiro momento, disponibilizados no site da Ag\u00eancia apenas \u00e0s operadoras, que t\u00eam o prazo de 15 dias para questionar a avalia\u00e7\u00e3o. Ap\u00f3s a an\u00e1lise dos questionamentos e poss\u00edveis ajustes, o resultado final ser\u00e1 divulgado ao p\u00fablico.<\/p>\n

Com base classifica\u00e7\u00e3o, caso necess\u00e1rio, medidas administrativas, como visitas t\u00e9cnicas, suspens\u00e3o da comercializa\u00e7\u00e3o de produtos ou at\u00e9 mesmo um Planos de Recupera\u00e7\u00e3o Assistencial podem ser aplicados \u00e0s operadoras pela ANS.<\/p>\n

Clique aqui <\/a> e confira a RN n\u00ba416.<\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_3″][et_pb_sidebar admin_label=”Barra Lateral” global_module=”399″ orientation=”left” area=”sidebar-1″ background_layout=”light” remove_border=”on” body_line_height=”1.5em” custom_css_widget=”margin-bottom: 30px !important;” saved_tabs=”all”]<\/p>\n

[\/et_pb_sidebar][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section admin_label=”Se\u00e7\u00e3o” global_module=”93″ fullwidth=”off” specialty=”off” transparent_background=”off” background_color=”#f9f9f9″ allow_player_pause=”off” inner_shadow=”off” parallax=”off” parallax_method=”off” padding_mobile=”on” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” make_equal=”off” use_custom_gutter=”off” custom_padding=”20px||20px|”][et_pb_row global_parent=”93″ admin_label=”Linha” make_fullwidth=”on” use_custom_width=”off” width_unit=”on” use_custom_gutter=”on” gutter_width=”2″ padding_mobile=”off” allow_player_pause=”off” parallax=”off” parallax_method=”off” make_equal=”off” parallax_1=”off” parallax_method_1=”off” parallax_2=”off” parallax_method_2=”off” parallax_3=”off” parallax_method_3=”off” column_padding_mobile=”on” module_class=”footer” module_id_1=”coluna_1″ module_id_2=”coluna_2″ module_id_3=”coluna_3″ module_id=”footer_1″][et_pb_column type=”1_4″][et_pb_text global_parent=”93″ admin_label=”logo it’sseg” background_layout=”light” text_orientation=”left” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]<\/p>\n

\"logo_itsseg_footer\"<\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″][et_pb_text global_parent=”93″ admin_label=”copyright” background_layout=”light” text_orientation=”right” text_line_height=”1.5em” use_border_color=”off” border_color=”#ffffff” border_style=”solid” custom_padding=”|||20%” text_font=”Abel||||”]<\/p>\n

PORTAL RH IT\u2019SSEG \u00e9 uma publica\u00e7\u00e3o da It\u2019sSeg Seguros Inteligentes. N\u00e3o \u00e9 permitida a reprodu\u00e7\u00e3o do conte\u00fado, mesmo que parcial, para uso comercial de qualquer natureza.<\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_4″][et_pb_text global_parent=”93″ admin_label=”logo portal” background_layout=”light” text_orientation=”right” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]<\/p>\n

\"logo_portal_footer\"<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row global_parent=”93″ admin_label=”Linha” make_fullwidth=”on” use_custom_width=”off” width_unit=”on” use_custom_gutter=”on” gutter_width=”2″ padding_mobile=”on” allow_player_pause=”off” parallax=”off” parallax_method=”off” make_equal=”off” parallax_1=”off” parallax_method_1=”off” parallax_2=”off” parallax_method_2=”off” parallax_3=”off” parallax_method_3=”off” column_padding_mobile=”on” module_id_2=”coluna_2″ module_id_3=”coluna_3″ module_id=”footer_2″ custom_padding=”||0px|”][et_pb_column type=”4_4″][et_pb_text global_parent=”93″ admin_label=”copyright” background_layout=”light” text_orientation=”center” text_line_height=”1.5em” use_border_color=”off” border_color=”#ffffff” border_style=”solid” text_font=”Abel||||”]<\/p>\n

PORTAL RH IT\u2019SSEG \u00e9 uma publica\u00e7\u00e3o da It\u2019sSeg Seguros Inteligentes. N\u00e3o \u00e9 permitida a reprodu\u00e7\u00e3o do conte\u00fado, mesmo que parcial, para uso comercial de qualquer natureza.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row global_parent=”93″ admin_label=”Linha” make_fullwidth=”on” use_custom_width=”off” width_unit=”on” use_custom_gutter=”on” gutter_width=”2″ padding_mobile=”off” allow_player_pause=”off” parallax=”off” parallax_method=”off” make_equal=”off” parallax_1=”off” parallax_method_1=”off” parallax_2=”off” parallax_method_2=”off” parallax_3=”off” parallax_method_3=”off” column_padding_mobile=”on” module_id_3=”coluna_3″ module_id=”footer_2_2″ custom_padding=”0px|||”][et_pb_column type=”1_2″][et_pb_text global_parent=”93″ admin_label=”logo it’sseg” background_layout=”light” text_orientation=”left” use_border_color=”off” border_color=”#ffffff” border_style=”solid” module_id=”logo_itsseg_footer_1″]<\/p>\n

\"logo_itsseg_footer\"<\/p>\n

[\/et_pb_text][et_pb_text global_parent=”93″ admin_label=”logo it’sseg” background_layout=”light” text_orientation=”center” use_border_color=”off” border_color=”#ffffff” border_style=”solid” module_id=”logo_itsseg_footer_2″]<\/p>\n

\"logo_footer_2\"<\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″][et_pb_text global_parent=”93″ admin_label=”logo portal” background_layout=”light” text_orientation=”right” use_border_color=”off” border_color=”#ffffff” border_style=”solid” module_id=”logo_portal_itsseg_footer_2″]<\/p>\n

\"logo_portal_footer\"<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

Mudan\u00e7a trar\u00e1 mais qualidade no atendimento aos benefici\u00e1rios.<\/p>\n","protected":false},"author":1,"featured_media":1361,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_links_to":"","_links_to_target":""},"categories":[13],"tags":[8],"_links":{"self":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/1359"}],"collection":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/comments?post=1359"}],"version-history":[{"count":3,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/1359\/revisions"}],"predecessor-version":[{"id":10603,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/1359\/revisions\/10603"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/media\/1361"}],"wp:attachment":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/media?parent=1359"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/categories?post=1359"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/tags?post=1359"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}