ANS registered 19,200 complaints against health plans in July

The number of complaints from health plan users registered with the National Agency for Complementary Health (ANS) rose 7.2% in July, compared to June, according to a bulletin released today (23) by the regulatory agency. Complaints totaled 19,222, the third highest in the historical series, after only March (19803) and May (19526) in 2022.

Among the complaints, 268 are related to COVID-19 cases, which is a 36.5% decrease compared to the previous month. About half of these complaints (49%) relate to difficulties in conducting examinations and treating the disease.

According to the ANS, 90% of registered complaints can be resolved by mediating a dispute.

The data in the Covid-19 Bulletin – Complementary Health, released today for the last time, according to the ANS, which assesses the scenario is a decrease in cases of disease and a stabilization of the analyzed parameters.

The bulletin shows that in July, 52.1% of combined beds and ICU beds for covid-19 were occupied in a group of 49 health plan operators with their hospital network designated in the survey. In shared beds and intensive care beds for other procedures, the occupancy rate was 80.1%.

Data shows that RT-PCR tests for covid-19 increased by 36.2% in May 2022, the last month for which information is available. Antibody tests also registered a 65% increase compared to April of this year. The growth corresponds to the prevalence of sub-micron variants, which spread in the country between May and June.

Compared to the previous year, looking at the numbers for May, RT-PCR registered a decrease of 69.4%, and antibody tests down 7.94%.

Users

The number of beneficiaries has maintained the growth trend observed since July 2020 and continues to approach 50 million, with 49.8 million, the highest in a historical streak. The type of contract that contributed most to the increase is the group of businesses that since July 2020 have more entrances than exit beneficiaries.

Data from July 2022, compared to the previous month, indicates an increase of 3 percentage points in the delay, which was 10%, which the ANS links to the effect of the due date that coincides with the weekend.