Health Profession
publicado em 24/04/2013 às 10h33:00
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The respresentantes class in the state believe that just reinforce the movement without harming patients

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In Paraná, the National Day of Warning to Health Plans will have demonstrations or protests. Medical organizations, along with specialty societies, will meet with representatives of the Regional Labor Attorney, at the headquarters of the Medical Association of Paraná, to discuss the medical aspects of contracts with health insurance companies in the state.

This measure was the way chosen by representative bodies of Paraná class to mark the date and demonstrate the need for a permanent solution to the issue. "Thus, professionals still on alert for the valuation of their work, but without compromising patient care," say representatives of the class in the state.

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The movement of health professionals has been growing since 2011, with demands for better class fees, consistent with the role and responsibility of the activities it performs, and against abuse and the interference of the autonomy of professionals, which include restrictions on ancillary diagnostic and therapy. Now the authorities want to focus on the effectiveness of negotiations on contracts with operators of health plans, which may be provided in a clear, rights and obligations of the parties as reflected in the guarantee to users when seeking services. Today, physicians seeing patients by health plans with their contracts are not in accordance with the requirements of the National Health and the Civil Code.

Thus, besides the proper adjustment of the values ​​of consultations and procedures, the medical charges of ANS the effectiveness of regulatory instructions issued, ranging from mandatory to formalize contractual clauses that include frequency and form of update criteria and able to set the agenda professional, such as setting opening hours. In parallel, the medical profession is mobilized in support of the bill 6.964/10, which aims to provide legal support due to contracting in strengthening the administrative rules, which are applied or punishments provided.

The medical profession is also counting down to the observance of the ANS IN 319, which deals with negative coverage by carriers. The requirement of justification has always reached out plans because the beneficiary has the right to know why no authorization procedure requested in a timely manner, so you can take up the slack. From May 7, the validity of the norm, the operator must inform in writing, under penalty of £ 30,000 and can reach $ 100,000 in case of urgency or emergency. In 2012, the NSA received 75,916 complaints from consumers of health plans, while 75.7% of them referring to negative coverage. Also wins in May Normative Instruction 49, the ANS, which regulates the manner and frequency of contractual adjustments.

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