Health plans call for spending explosion and 16% adjustment

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Health plans claim spending ‘explosion’ in 2021, expect 16% readjustment this year

The National Health Agency (ANS) and operators expect a readjustment of around 16% of health plans this year. The predictions were revealed at a public hearing by the House Committee on the Rights of Seniors. The rationale given was that the sector had a negative adjustment of -8% in 2021, and compensation will be needed this year.

The Brazilian Association of Health Plans’ executive supervisor, Marcos Noves, says the Covid-19 pandemic led to reduced spending in 2020, but costs rose significantly again in 2021. is an epidemic cycle. The pandemic has distorted our spending. Spending is going down,” he said. At some point, and at another time, which is last year, they explode.

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The supervisor of studies and projects of the National Complementary Health Federation, Sandro Leal Alves, added that the drop in activities was due to people’s fear of resorting to health services in the worst moments of the pandemic. So, according to him, there has been a decrease in demand, mainly for consultations and examinations, but the search for such services has increased again in proportion to the resumption of normal life. “It’s called the rebound effect: you keep removing all that demand, and when people go back to their normal activities, it’s normal for that effect to happen,” he added.

For the president of the Commission for the Rights of the Elderly, Denis Bezerra (PSB-CE), the readjustment of health plans will penalize the elderly population even more, mainly because Brazil is already going through a period of crisis, with inflation and prices increase.

Riders to health plans are granted annually and serve to maintain the financial balance of the sector.

Historical

For Gerson Sanford Vieira Lima, of the OAB consumer protection committee and representative of additional health care users with the health commission of the state of Ceará, the amendment is unjustified. He says that despite increased spending, carrier revenues have a long history of growth.

“There is no enduring argument to say that health plan operators, in general, are in a difficult situation in terms of economic and financial balance. On the contrary, they are in a very comfortable position. This is objectively demonstrated,” he warned.

Frederico Mosch, a representative of the Department of Consumer Protection and Defense of the Ministry of Justice, noted that the Brazilian consumer also faced difficulties during the outbreak of the epidemic, with job losses or a decrease of income. However, by noting the data for the sector, and the data from the National Agency for Complementary Health, we have not identified any significant fluctuations in payment arrears or in the number of beneficiaries. There has even been an increase in the number of beneficiaries,” he wonders.

Eleanor C. William