Mudança de plano de saúde: informação para a regulação da saúde suplementar

Abstract

The society and the various types of organization need to generate, process and apply efficiently knowledge-based information appropriate for achieving productivity and competitiveness. With the understanding that effective regulation of the health insurance market requires information and thorough understanding of its dynamics, the research aimed to survey and analyze the health plan changes made by consumers between 2010 and 2014 based on the information sent by health insurance providers to the National Agency of Supplemental Health (ANS – Agência Nacional de Saúde Suplementar), and discuss how this information can contribute to the Regulation of Health Insurance, proposes the use of ANS information systems for the processing and analysis of data related to plan changes health of beneficiaries among operators to contribute to the knowledge of the private health plans market and assist in setting priorities and formulating guidelines in healthcare. Data collection was performed using SQL queries in the ANS database based on predetermined specifications, i.e. from the previous definition of the criteria, filters and boundaries of fields, tables and time interval for the extraction of data. It was held extraction of data in databases of health plans, providers and products for analysis and discussion of data related to health insurance changes in Brazil. In addition, they raised access statistics to guide the ANS plans and results of searches for selected terms to have relation with the theme health plan change on the web with the help of google trends tool. This survey found the importance of large cadastral base of beneficiaries of health plans, which can be analyzed in various, optical and understanding of the private healthcare market, and with the use of numerous variables and with different focuses. As shown by the results, using this basis for understanding the dynamics of health plan changes and consequently to the increase in supplementary health knowledge is possible, which has important benefits for the establishment of guidelines in health care.