Public Health Policies in Brazil : From the problems that exist for Lack of Compensation and SUS SUS

Detalhes bibliográficos
Autor(a) principal: Sousa, Simone Letícia Severo e
Data de Publicação: 2023
Tipo de documento: Artigo
Idioma: por
Título da fonte: Conpedi Law Review
Texto Completo: https://www.indexlaw.org/index.php/conpedireview/article/view/3419
Resumo: Health is a fundamental social right that, to be optimized, needs the positive role of the State in order to ensure the quality of life and respect for human dignity. Will be demonstrated the problems that exist because of the lack of compensation to SUS and from SUS, where specific principles of SUS control will be addressed, the reimbursement procedure, the conflict between the health insurance providers about the compensation and the creation of a proposal of a compensation system as a solution. Thus, it is a matter that needs systematization and deepening, in which the main aim is to demonstrate the issues involving health plans, among them, the need for the regulatory agency to establish a compensation mechanism of credits and debits related to the reimbursement to SUS and from SUS. The theme of the proposed study will be based on the legislation (Law nº 9.656 from 1998, Law nº. 9,661, from January 28, 2000 - which created the National Health Agency and the Normative Resolutions), in Law nº 8.080, from September 19, 1990 (which implemented the SUS) and in cases decided by the Brazilian Courts.
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spelling Public Health Policies in Brazil : From the problems that exist for Lack of Compensation and SUS SUSPolíticas Públicas de Saúde no Brasil: Dos Problemas que Existem pela Falta de Compensação ao SUS e pelo SUSPublic policy; Lack of compensation; Unified health system.Políticas públicas; Falta de compensação; Sistema Único de Saúde.Health is a fundamental social right that, to be optimized, needs the positive role of the State in order to ensure the quality of life and respect for human dignity. Will be demonstrated the problems that exist because of the lack of compensation to SUS and from SUS, where specific principles of SUS control will be addressed, the reimbursement procedure, the conflict between the health insurance providers about the compensation and the creation of a proposal of a compensation system as a solution. Thus, it is a matter that needs systematization and deepening, in which the main aim is to demonstrate the issues involving health plans, among them, the need for the regulatory agency to establish a compensation mechanism of credits and debits related to the reimbursement to SUS and from SUS. The theme of the proposed study will be based on the legislation (Law nº 9.656 from 1998, Law nº. 9,661, from January 28, 2000 - which created the National Health Agency and the Normative Resolutions), in Law nº 8.080, from September 19, 1990 (which implemented the SUS) and in cases decided by the Brazilian Courts.A saúde é um direito fundamental social que, para ser otimizado, precisa da atuação positiva do Estado, a fim de assegurar a qualidade de vida dos cidadãos e respeito à dignidade humana. Demonstrar-se-ão os problemas que existem pela falta de compensação ao SUS e pelo SUS, onde serão abordados os princípios específicos de controle do SUS, o procedimento do ressarcimento, o conflito entre as operadoras de plano de saúde quanto ao ressarcimento e a criação de um sistema de compensação como proposta de solução. Desse modo, trata-se de uma questão carecedora de sistematização e aprofundamento, em que o escopo principal é demonstrar as principais questões envolvendo planos de saúde, dentre elas, a necessidade da agência reguladora estabelecer um mecanismo de compensação dos créditos e débitos relacionados aos ressarcimentos para o SUS e pelo SUS. O estudo do tema ora proposto far-se-á com base na legislação (Lei n. 9.656 de 1998, Lei n. 9.661, de 28 de janeiro de 2000 – que criou a Agência Nacional de Saúde, bem como nas Resoluções Normativas), na Lei 8.080 de 19 de setembro de 1990 (que implantou o SUS) e nos casos decididos pelos Tribunais de Primeira ou Segunda Instâncias.Conselho Nacional de Pesquisa e Pos-Graduacao em Direito - CONPEDISousa, Simone Letícia Severo e2023-12-15info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigo Avaliado pelos Paresapplication/pdfhttps://www.indexlaw.org/index.php/conpedireview/article/view/341910.26668/2448-3931_conpedilawreview/2015.v1i4.3419Conpedi Law Review; v. 1, n. 4 (2015): Direito Constitucional, Direitos Humanos; 107-1332448-39312448-3931reponame:Conpedi Law Reviewinstname:Conselho Nacional de Pesquisa e Pós-graduação em Direito (CONPEDI)instacron:CONPEDIporhttps://www.indexlaw.org/index.php/conpedireview/article/view/3419/2935Direitos autorais 2016 Simone Letícia Severo e Sousahttp://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccess2023-12-15T19:25:12Zoai:ojs.indexlaw.org:article/3419Revistahttps://www.indexlaw.org/index.php/conpedireviewONGhttps://www.indexlaw.org/index.php/conpedireview/oaipublicacao@conpedi.org.br||indexlawjournals@gmail.com2448-39312448-3931opendoar:2023-12-15T19:25:12Conpedi Law Review - Conselho Nacional de Pesquisa e Pós-graduação em Direito (CONPEDI)false
dc.title.none.fl_str_mv Public Health Policies in Brazil : From the problems that exist for Lack of Compensation and SUS SUS
Políticas Públicas de Saúde no Brasil: Dos Problemas que Existem pela Falta de Compensação ao SUS e pelo SUS
title Public Health Policies in Brazil : From the problems that exist for Lack of Compensation and SUS SUS
spellingShingle Public Health Policies in Brazil : From the problems that exist for Lack of Compensation and SUS SUS
Sousa, Simone Letícia Severo e
Public policy; Lack of compensation; Unified health system.
Políticas públicas; Falta de compensação; Sistema Único de Saúde.
title_short Public Health Policies in Brazil : From the problems that exist for Lack of Compensation and SUS SUS
title_full Public Health Policies in Brazil : From the problems that exist for Lack of Compensation and SUS SUS
title_fullStr Public Health Policies in Brazil : From the problems that exist for Lack of Compensation and SUS SUS
title_full_unstemmed Public Health Policies in Brazil : From the problems that exist for Lack of Compensation and SUS SUS
title_sort Public Health Policies in Brazil : From the problems that exist for Lack of Compensation and SUS SUS
author Sousa, Simone Letícia Severo e
author_facet Sousa, Simone Letícia Severo e
author_role author
dc.contributor.none.fl_str_mv

dc.contributor.author.fl_str_mv Sousa, Simone Letícia Severo e
dc.subject.por.fl_str_mv Public policy; Lack of compensation; Unified health system.
Políticas públicas; Falta de compensação; Sistema Único de Saúde.
topic Public policy; Lack of compensation; Unified health system.
Políticas públicas; Falta de compensação; Sistema Único de Saúde.
description Health is a fundamental social right that, to be optimized, needs the positive role of the State in order to ensure the quality of life and respect for human dignity. Will be demonstrated the problems that exist because of the lack of compensation to SUS and from SUS, where specific principles of SUS control will be addressed, the reimbursement procedure, the conflict between the health insurance providers about the compensation and the creation of a proposal of a compensation system as a solution. Thus, it is a matter that needs systematization and deepening, in which the main aim is to demonstrate the issues involving health plans, among them, the need for the regulatory agency to establish a compensation mechanism of credits and debits related to the reimbursement to SUS and from SUS. The theme of the proposed study will be based on the legislation (Law nº 9.656 from 1998, Law nº. 9,661, from January 28, 2000 - which created the National Health Agency and the Normative Resolutions), in Law nº 8.080, from September 19, 1990 (which implemented the SUS) and in cases decided by the Brazilian Courts.
publishDate 2023
dc.date.none.fl_str_mv 2023-12-15
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigo Avaliado pelos Pares
format article
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dc.identifier.uri.fl_str_mv https://www.indexlaw.org/index.php/conpedireview/article/view/3419
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url https://www.indexlaw.org/index.php/conpedireview/article/view/3419
identifier_str_mv 10.26668/2448-3931_conpedilawreview/2015.v1i4.3419
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.indexlaw.org/index.php/conpedireview/article/view/3419/2935
dc.rights.driver.fl_str_mv Direitos autorais 2016 Simone Letícia Severo e Sousa
http://creativecommons.org/licenses/by-nc-nd/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Direitos autorais 2016 Simone Letícia Severo e Sousa
http://creativecommons.org/licenses/by-nc-nd/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Conselho Nacional de Pesquisa e Pos-Graduacao em Direito - CONPEDI
publisher.none.fl_str_mv Conselho Nacional de Pesquisa e Pos-Graduacao em Direito - CONPEDI
dc.source.none.fl_str_mv Conpedi Law Review; v. 1, n. 4 (2015): Direito Constitucional, Direitos Humanos; 107-133
2448-3931
2448-3931
reponame:Conpedi Law Review
instname:Conselho Nacional de Pesquisa e Pós-graduação em Direito (CONPEDI)
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