Role of Health Procedures and Events of The National Health Agency - ANS: Analysis of the Tax Aspect in Relation to the Cost For Health Plans

Objective: This article aims to analyze the exhaustive aspect of the List of Health Procedures and Events of the National Health Agency - ANS, in relation to the cost to health plans. To this end, the emergence of the right to health as an individual right of the human being and its evolution in Brazilian legislation were discussed. Method: As a method of data collection for analysis, scientific texts that examine the way a health plan works and jurisprudence of Brazilian courts that address the exhaustive nature of the ANS List were considered. Results and Discussion: The hybrid system of health service provision in Brazil was addressed, with emphasis on the commercialization of health plans and the limitation of their care coverage to what is provided for in the ANS List, in order to enable their operation, since the duty to provide unlimited health services is the State's. Conclusion: From then on, it was possible to affirm that the recognition of the exhaustive nature of the List is essential to make the operation of health plans viable, at the risk of the service becoming very expensive and unfeasible to be contracted by the population.

Authors

Publication Details

Journal
Revista de Gestão Social e Ambiental
Published
2025-01-27
DOI
https://doi.org/10.24857/rgsa.v19n1-129
Primary Topic
Healthcare Policy and Management
Type
article
Field-Weighted Citation Impact
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article

Role of Health Procedures and Events of The National Health Agency - ANS: Analysis of the Tax Aspect in Relation to the Cost For Health Plans

N. Cruz, Allysson Pontes Pinheiro, Heluza Monteiro de Oliveira, Adriano Nogueira da Cruz et al.
Revista de Gestão Social e Ambiental
Healthcare Policy and Management
article

Role of Health Procedures and Events of The National Health Agency - ANS: Analysis of the Tax Aspect in Relation to the Cost For Health Plans

N. Cruz, Allysson Pontes Pinheiro, Heluza Monteiro de Oliveira, Adriano Nogueira da Cruz, Caroline Ramos da Cruz Costa, Hélder Silva, Maria da Conceição Cavalcanti de Lira, Ivan Aurélio Fortuna Kalil de Faria, EMANUEL FERNANDES DE SIQUEIRA LIMA, Lucas dos Santos Magalhães, Tayze Aragão Guedes, Cirilo Dantas Rangel
article en

Abstract

Objective: This article aims to analyze the exhaustive aspect of the List of Health Procedures and Events of the National Health Agency - ANS, in relation to the cost to health plans. To this end, the emergence of the right to health as an individual right of the human being and its evolution in Brazilian legislation were discussed. Method: As a method of data collection for analysis, scientific texts that examine the way a health plan works and jurisprudence of Brazilian courts that address the exhaustive nature of the ANS List were considered. Results and Discussion: The hybrid system of health service provision in Brazil was addressed, with emphasis on the commercialization of health plans and the limitation of their care coverage to what is provided for in the ANS List, in order to enable their operation, since the duty to provide unlimited health services is the State's. Conclusion: From then on, it was possible to affirm that the recognition of the exhaustive nature of the List is essential to make the operation of health plans viable, at the risk of the service becoming very expensive and unfeasible to be contracted by the population.

Revista de Gestão Social e AmbientalVol. 19(1)
Openalex Percentile: Top 98%
Healthcare Policy and Management
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Role of Health Procedures and Events of The National Health Agency - ANS: Analysis of the Tax Aspect in Relation to the Cost For Health Plans — N. Cruz, Allysson Pontes Pinheiro, et al. · Revista de Gestão Social e Ambiental (2025) | TGRS Research Map | TGRS