Health plans had an operating loss of R$ 5.5 billion in the 3rd quarter

Posted on 12/08/2022 5:42 PM / Updated on 12/08/2022 5:42 PM


(Credit: Julio Lepages/CB/DA Press)

The National Supplementary Health Agency (ANS) launched this Thursday (8/12), sector knowledge for the 3rd quarter of this yr. According to the company, in the interval from January to September, the sector recorded a damaging internet consequence of R$ 2.5 billion, primarily on account of giant healthcare operators.

Between July and September, medical and hospital schemes had an operating loss of R$ 5.5 billion. This is the sector’s sixth consecutive semester with damaging outcomes, reaching a loss ratio of 90.3%. “These numbers point out that virtually 90% of the funds collected with the plans are spent on well being care”, explains Jorge Aquino, Director of Standards and Qualifications of Operators at ANS.

Discounting IPCA inflation, the ANS reveals a 3% decline in income from well being plans and a 2% decline in healthcare spending. Despite the improve in the quantity of beneficiaries, which reached 50.1 million with medical-hospital plans and 30.5 million solely with dental plans.

fear about

The company additionally factors out that since late final yr, it has been seeing monetary reimbursement difficulties for well being plans. By comparability, in 2018 and 2019, earlier than the begin of the Covid-19 pandemic, the cumulative internet consequence for the third quarter of every year was, on common, R$ 8 billion and, in 2020, the revenue reached 8 billion. A most stage of R$ 15.9 billion. From 2021, nevertheless, the outlook is barely draw back.

Regarding this state of affairs, the National Supplementary Health Federation (FenaSaúde) is worried about the actuality of this subject. “The third-quarter outcomes reinforce what operators have been warning for a while: since the pandemic, complementary well being has been pressured by a major improve in care prices”, commented Vera Valente, government director of Fanesaud.

According to the federation, the fundamental converging components explaining this decline are the elevated demand for medical procedures which have stopped in the pandemic, the rising value of medical provides and the obligatory protection of more and more costly and sophisticated remedies and applied sciences.

“Resources are restricted and, more and more, rigor is required in the alternative of what the system ought to provide or not, underneath the penalty of its operation and serving 50 million Brazilians unattainable”, explains Vera.

* Intern underneath the supervision of Andrea Castro

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