{"id":5527,"date":"2019-03-28T10:06:24","date_gmt":"2019-03-28T13:06:24","guid":{"rendered":"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/?p=5527"},"modified":"2019-03-28T10:13:54","modified_gmt":"2019-03-28T13:13:54","slug":"ans-sugere-novos-modelos-para-remuneracao-na-saude","status":"publish","type":"post","link":"https:\/\/segurosinteligentes.com.br\/oldrh\/ans-sugere-novos-modelos-para-remuneracao-na-saude\/","title":{"rendered":"ANS sugere novos modelos para remunera\u00e7\u00e3o na sa\u00fade"},"content":{"rendered":"

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RUMOS DO SETOR | 28.MAR\u00c7O.2019<\/p>\n

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ANS sugere novos modelos para remunera\u00e7\u00e3o na sa\u00fade<\/p>\n

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J\u00e1 explicamos aqui no Portal RH: uma das raz\u00f5es para a alta dos custos na sa\u00fade suplementar tem a ver com o modelo de remunera\u00e7\u00e3o de servi\u00e7os que praticamos aqui no pa\u00eds. O chamado Fee For Service, ou Pagamento Por Procedimento, acaba absorvendo todos os custos, inclusive desperd\u00edcios e falhas assistenciais.<\/p>\n

Ciente deste cen\u00e1rio, a ANS (Ag\u00eancia Nacional de Sa\u00fade Suplementar) decidiu lan\u00e7ar um guia para a implementa\u00e7\u00e3o de modelos de remunera\u00e7\u00e3o baseados em valor<\/a>. No documento constam novas propostas que as operadoras dos planos de sa\u00fade podem adotar para remunerar profissionais, cl\u00ednicas e hospitais.<\/p>\n

\u00c0 Ag\u00eancia Brasil, o diretor de Desenvolvimento Setorial da ANS, Rodrigo Aguiar, explica porque o modelo de pagamento por procedimento precisa ser revisto. \u201cO Brasil \u00e9, por exemplo, o campe\u00e3o mundial em realiza\u00e7\u00e3o de resson\u00e2ncia magn\u00e9tica. Isso ocorre porque h\u00e1 um est\u00edmulo \u00e0 produ\u00e7\u00e3o. Os profissionais ganham quanto mais eles produzirem\u201d, diz.<\/p>\n

“Temos um setor que vem observando uma escalada de custos nos \u00faltimos anos impressionante. O crescimento n\u00e3o \u00e9 nem aritm\u00e9tico, \u00e9 exponencial. E no final das contas, acaba comprometendo a capacidade de pagamento da popula\u00e7\u00e3o, que n\u00e3o consegue se manter nos planos, cada vez mais caros”, completa Aguiar.<\/p>\n

Presidente da It\u2019sSeg Company, Thomaz Menezes tamb\u00e9m acredita que a hora \u00e9 de rever o atual modelo de pagamento por procedimento. \u201cOs custos com a sa\u00fade est\u00e3o cada vez mais dif\u00edceis de serem gerenciados, e parte disso se deve ao modelo Fee For Service. As operadoras precisam analisar as sugest\u00f5es da ANS com aten\u00e7\u00e3o e, no fim, adotar as melhores pr\u00e1ticas para o bem de todos os envolvidos nesta cadeia\u201d, avalia.<\/p>\n

Lembrando que as operadoras n\u00e3o s\u00e3o obrigadas a adotar as novas formas de remunera\u00e7\u00e3o propostas pela ANS. O guia, no caso, apenas sugere os modelos considerados adequados pela ag\u00eancia. <\/p>\n

Quer ler mais not\u00edcias como essa? Clique aqui<\/a> e navegue pelo Portal RH It\u2019sSeg. Siga-nos tamb\u00e9m no Facebook<\/a> e no Linkedin<\/a>.<\/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. Confira aqui<\/a> nossa pol\u00edtica de privacidade.<\/p>\n

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