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Challenges of the Private Health Plans Regulation in Brazil

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  • Carlos Octávio Ocké-Reis

Abstract

The idea of regulating private health plans so as to favor major players and the “managed care” is incompatible with the guidelines of the National Health System [Sistema Único de Saúde (SUS)] and for this reason we defend instead a regulatory action aiming to strengthen the public sphere. In particular, we discuss how this alternative could improve the regulatory capacity of the National Supplementary Health Agency [Agência Nacional de Saúde Suplementar (ANS)] to face the economic crisis in the health plan marketplace, dispelling the mistaken notion that the market, once strengthened, will cooperate with the SUS rather than contaminate it. A idéia que defende uma regulação dos planos de saúde em favor dos grandes players e do “managed care” é incompatível com as diretrizes do Sistema Único de Saúde (SUS), por isso, defendemos a adoção de um tipo de ação regulatória em direção ao fortalecimento da esfera pública. Em particular, apontamos como essa alternativa poderia capacitar a Agência Nacional de Saúde Suplementar (ANS) no enfrentamento da crise econômica do mercado de planos, desfazendo a ficção de que o mercado, uma vez fortalecido, vai cooperar com o SUS, ao invés de contaminá-lo.

Suggested Citation

  • Carlos Octávio Ocké-Reis, 2015. "Challenges of the Private Health Plans Regulation in Brazil," Discussion Papers 0127, Instituto de Pesquisa Econômica Aplicada - IPEA.
  • Handle: RePEc:ipe:ipetds:0127
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    References listed on IDEAS

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    1. Greß, Stefan & Okma, Kieke G. H. & Wasem, Jürgen, 2002. "Private health insurance in social health insurance countries: Market outcomes and policy implications," Wirtschaftswissenschaftliche Diskussionspapiere 01/2002, University of Greifswald, Faculty of Law and Economics.
    2. Cutler, David M. & Zeckhauser, Richard J., 2000. "The anatomy of health insurance," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 11, pages 563-643, Elsevier.
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