Dados recentes do IESS<\/a> (Instituto de Estudos da Sa\u00fade Suplementar) apontam que, em 2017, quase R$ 28 bilh\u00f5es dos gastos das operadoras m\u00e9dico-hospitalares do Brasil foram consumidos indevidamente por fraudes e desperd\u00edcios com procedimentos desnecess\u00e1rios. Isso representa 19,1% do total das despesas com contas hospitalares e exames (R$ 145,4 bi).<\/p>\n De acordo com o IESS, em 2017, entre 12% e 18% das contas hospitalares apresentaram itens indevidos e de 25% a 40% dos exames laboratoriais realizados n\u00e3o eram necess\u00e1rios. Sendo assim o \u00f3rg\u00e3o concluiu que houve um gasto na sa\u00fade de aproximadamente R$ 15,7 bi com fraudes em contas hospitalares e mais de R$ 12 bi em pedidos de exames laboratoriais desnecess\u00e1rios.<\/p>\n Em 2016, outros 19% do total dos gastos assistenciais da sa\u00fade suplementar no Brasil tamb\u00e9m foram consumidos por desperd\u00edcios e fraudes. A diferen\u00e7a \u00e9 que, naquele ano, o valor estimado foi de R$ 25,5 bilh\u00f5es.<\/p>\n Relembre alguns exemplos de fraudes envolvendo planos de sa\u00fade:<\/strong><\/p>\n – \u201cDividir\u201d o recibo para obter o reembolso total de uma consulta Quer ler mais not\u00edcias como essa? Clique aqui<\/a> e navegue pelo Portal RH It\u2019sSeg. 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\n– Obter ilegalmente atestados e laudos m\u00e9dicos com o objetivo de aumentar o per\u00edodo de licen\u00e7a remunerada, por exemplo
\n– Concordar com o pagamento por procedimentos n\u00e3o realizados ou indevidos
\n– Oferecer informa\u00e7\u00f5es inver\u00eddicas sobre o hist\u00f3rico de sa\u00fade, por exemplo
\n– Emprestar a carteira pessoal do plano de sa\u00fade para uso de terceiros<\/p>\n![\"logo_itsseg_footer\"](\"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/wp-content\/uploads\/logo_itsseg_footer.png\"){kind=logo}
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