{"id":2059,"date":"2017-08-08T08:00:07","date_gmt":"2017-08-08T11:00:07","guid":{"rendered":"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/?p=2059"},"modified":"2017-08-08T09:23:21","modified_gmt":"2017-08-08T12:23:21","slug":"operadoras-de-saude-recebem-menos-reclamacoes","status":"publish","type":"post","link":"https:\/\/segurosinteligentes.com.br\/oldrh\/operadoras-de-saude-recebem-menos-reclamacoes\/","title":{"rendered":"Operadoras de sa\u00fade recebem menos reclama\u00e7\u00f5es"},"content":{"rendered":"

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MELHORA NO ATENDIMENTO | 08.AGOSTO.2017<\/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

Operadoras de sa\u00fade recebem menos reclama\u00e7\u00f5es<\/p>\n

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A ANS acaba de divulgar o Relat\u00f3rio Estat\u00edstico e Anal\u00edtico 2017 sobre o atendimento das ouvidorias dos planos de sa\u00fade. A publica\u00e7\u00e3o traz os dados enviados pelas operadoras e apresenta as principais demandas dos benefici\u00e1rios e os prazos de resposta.<\/p>\n

Das 1.216 ouvidorias cadastradas, 1.001 enviaram relat\u00f3rios, em cumprimento \u00e0 RN 323\/13, que determina que as operadoras devem tanto ter estruturas de ouvidoria, como o enviar o REA.<\/p>\n

Foram registradas 523.001 manifesta\u00e7\u00f5es nas operadoras avaliadas, que juntas totalizam 65.3 milh\u00f5es de benefici\u00e1rios. Uma taxa geral igual a 8,0 \u2013 oito demandas para cada grupo de 1.000 benefici\u00e1rios. Somente 30% das ouvidorias receberam pedidos de rean\u00e1lise, servi\u00e7o disponibilizado aos benefici\u00e1rios em 2016 para recorrer das decis\u00f5es das operadoras.<\/p>\n

Apesar das reclama\u00e7\u00f5es ainda liderarem as demandas (41,6%), esse \u00edndice reduziu 17% quando comparado a 2015. Essa informa\u00e7\u00e3o comprova os resultados positivos da recente pesquisa do IESS<\/a>, em parceria com o Ibope: os benefici\u00e1rios est\u00e3o mais satisfeitos com seus planos.
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 <\/p>\n

Prazo de resposta<\/p>\n

As operadoras t\u00eam sete dias \u00fateis para responder a solicita\u00e7\u00e3o do benefici\u00e1rio. O prazo foi determinado pela RN 323\/13, n\u00e3o podendo passar de 30 dias \u00fateis mesmo em caso de acordo. Caso contr\u00e1rio, as operadoras s\u00e3o multadas. No \u00faltimo ano, 92% das demandas foram conclu\u00eddas dentro do prazo.<\/p>\n

O REA 2017<\/a> completo est\u00e1 dispon\u00edvel no site da ANS.<\/p>\n

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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

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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

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Relat\u00f3rio da ANS mostra que o n\u00famero de reclama\u00e7\u00f5es diminuiu 17% em 2016.<\/p>\n","protected":false},"author":1,"featured_media":2071,"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":[3],"tags":[192],"_links":{"self":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/2059"}],"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=2059"}],"version-history":[{"count":8,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/2059\/revisions"}],"predecessor-version":[{"id":10399,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/2059\/revisions\/10399"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/media\/2071"}],"wp:attachment":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/media?parent=2059"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/categories?post=2059"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/tags?post=2059"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}