{"id":946,"date":"2016-09-27T12:00:16","date_gmt":"2016-09-27T15:00:16","guid":{"rendered":"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/?p=946"},"modified":"2016-09-27T17:15:22","modified_gmt":"2016-09-27T20:15:22","slug":"ans-apresenta-o-projeto-sorrir","status":"publish","type":"post","link":"https:\/\/segurosinteligentes.com.br\/oldrh\/ans-apresenta-o-projeto-sorrir\/","title":{"rendered":"ANS apresenta o Projeto Sorrir"},"content":{"rendered":"

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QUALIDADE E EFICI\u00caNCIA | 27.SETEMBRO.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

ANS apresenta o Projeto Sorrir<\/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

Apesar do constante crescimento do n\u00famero de benefici\u00e1rios nos planos odontol\u00f3gicos, que hoje totalizam 22,3 milh\u00f5es em todo o Pa\u00eds, o cuidado odontol\u00f3gico est\u00e1 centralizado no volume de procedimento, j\u00e1 que a remunera\u00e7\u00e3o \u00e9 quantitativa. Uma pr\u00e1tica que al\u00e9m de n\u00e3o sustent\u00e1vel, falha na aten\u00e7\u00e3o cl\u00ednica ao paciente.<\/p>\n

A fim de aperfei\u00e7oar o atendimento prestado por estes planos, a Ag\u00eancia Nacional de Sa\u00fade Suplementar (ANS) lan\u00e7ou na \u00faltima semana o Projeto Sorrir. A iniciativa visa estimular as operadoras a adotarem um modelo de cuidado mais qualificado, com foco na preven\u00e7\u00e3o, reorganizando a din\u00e2mica atual, privilegiando a qualidade e a inova\u00e7\u00e3o na presta\u00e7\u00e3o de servi\u00e7o.<\/p>\n

Al\u00e9m de vantagens aos benefici\u00e1rios, o Projeto trar\u00e1 \u00e0s operadoras redu\u00e7\u00e3o de custos, protocolos cl\u00ednicos e bonifica\u00e7\u00e3o por indicadores de qualidade. A ades\u00e3o \u00e9 volunt\u00e1ria, as empresas que quiserem participar devem se inscrever no projeto, que ser\u00e1 implementado ao longo de nove meses e monitorado pela ANS. Ao final desse per\u00edodo ser\u00e1 poss\u00edvel comparar os resultados entre os planos que fizeram parte do projeto e os que n\u00e3o aderiram \u00e0 iniciativa.<\/p>\n

 <\/p>\n

Estrutura do Projeto Sorrir<\/p>\n

A iniciativa est\u00e1 baseada nas seguintes premissas: divis\u00e3o do cuidado em quatro m\u00f3dulos que comp\u00f5em a preven\u00e7\u00e3o e o tratamento, com utiliza\u00e7\u00e3o de protocolos cl\u00ednicos; introdu\u00e7\u00e3o de um gestor do cuidado respons\u00e1vel pela coordena\u00e7\u00e3o da aten\u00e7\u00e3o prestada ao benefici\u00e1rio; avalia\u00e7\u00e3o das a\u00e7\u00f5es atrav\u00e9s de indicadores e medidas de qualidade; utiliza\u00e7\u00e3o de uma medida de qualidade na composi\u00e7\u00e3o da remunera\u00e7\u00e3o do prestador de servi\u00e7o; e novas formas de comunicar esse novo modelo e agregar valor para benefici\u00e1rios e prestadores.<\/p>\n

Cerca de 70% do cuidado \u00e9 focado na aten\u00e7\u00e3o b\u00e1sica ao paciente, que estar\u00e1 sob a responsabilidade de um profissional de refer\u00eancia. Dessa forma, o benefici\u00e1rio ter\u00e1 um acompanhamento completo de seu tratamento, mesmo que direcionado a especialistas.<\/p>\n

Diante do crescimento do mercado de planos odontol\u00f3gicos est\u00e1 \u00e9 uma iniciativa importante para mensurar o retorno de programas de preven\u00e7\u00e3o e promo\u00e7\u00e3o da sa\u00fade dentro deste segmento, aumento a satisfa\u00e7\u00e3o dos pacientes e buscando remunerar melhor os profissionais dessa \u00e1rea.<\/p>\n

Clique aqui<\/a> e acesse o Projeto Sorrir.<\/p>\n

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Iniciativa prop\u00f5e melhorias no cuidado odontol\u00f3gico prestado pelas operadoras.<\/p>\n","protected":false},"author":1,"featured_media":947,"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":[84],"_links":{"self":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/946"}],"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=946"}],"version-history":[{"count":3,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/946\/revisions"}],"predecessor-version":[{"id":957,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/946\/revisions\/957"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/media\/947"}],"wp:attachment":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/media?parent=946"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/categories?post=946"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/tags?post=946"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}