For the lawyer, the decision should make access difficult and can increase the judgment
Brasilia- The health plans sector provides for savings of at least $ 25 billion following the decision of the Supreme Federal Court (STF) established New criteria for covering treatments and procedures outside the list of the National Agency for additional health (ANS).
“The Court has not forbidden access to off -list treatments, but has imposed a series of cumulative requests that can make it difficult to take care of urgent patients. It is a setback from the consumer point of view,” he says.
To the question if the measure will make it difficult to access outside the list, Ribeiro claims that it will give users greater safety admitting more rigorous criteria to consider the validity of these procedures.
“I don’t think it will limit access, I think it will regulate incorporation (of treatments and procedures) For the methods and speeds of incorporation that are consecrated all over the world and was not happening only in Brazil. Let’s go back to a more civilized level. Obviously there will be incorporation (of new treatments) Since the list is evolutionary, medicine is evolutionary, “he says.
Judicialization
For Patullo, unlike expectations, the decision of the Supreme Court should aggravate the problem of judgment in health, since there will be even more questions about the use of new rules by the health plans.
“Since operators should interpret and rigorously apply these criteria, it is possible that more patients must resort to the judiciary to guarantee treatment. The simultaneous fulfillment requirement of the five requirements can delay or make impossible urgent procedures, influencing directly on the right to health,” he says.
Already the president of Abramge minimizes this impact. “It brings much larger security, both for the beneficiary and for the operator,” says Ribeiro.
Source: Terra
Ben Stock is a lifestyle journalist and author at Gossipify. He writes about topics such as health, wellness, travel, food and home decor. He provides practical advice and inspiration to improve well-being, keeps readers up to date with latest lifestyle news and trends, known for his engaging writing style, in-depth analysis and unique perspectives.
