From health plan companies to international insurance companies: changes in the accumulation regime and repercussions on the healthcare system in Brazil

Detalhes bibliográficos
Autor(a) principal: Ligia Bahia
Data de Publicação: 2016
Outros Autores: Mario Scheffer, Leandro Reis Tavares, Iale Falleiros Braga
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6223
Resumo: The concentration and internationalization of health plan companies in Brazil gave them a clearly financial face. Based on the need to understand the health care industry's capital accumulation patterns, the current study examines health plan companies' expansion strategies through the classification of their supply and demand characteristics by recent historical periods and an analysis of recent shareholding trends in one of the leading corporations in the Brazilian health care industry. The 1960s to 2000s witnessed changes in the scale of demands for health plans and adherence by companies to long-term accumulation strategies. Beginning in the early 21st century, changes in the shareholding structures of the largest Brazilian company, consistent with the financialization of its accumulation regime, resulted in the rapid multiplication of its capital. Deepening segmentation of the health care system in a context marked by the downturn in the national economy challenges the preservation of public subsidies for private health plans.
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spelling From health plan companies to international insurance companies: changes in the accumulation regime and repercussions on the healthcare system in BrazilDas empresas médicas às seguradoras internacionais: mudanças no regime de acumulação e repercussões sobre o sistema de saúde no BrasilPrepaid Health PlansHealth SystemsTechnological DevelopmentInnovationPlanos de Pré-Pagamento em SaúdeSistemas de SaúdeDesenvolvimento TecnológicoInovaçãoThe concentration and internationalization of health plan companies in Brazil gave them a clearly financial face. Based on the need to understand the health care industry's capital accumulation patterns, the current study examines health plan companies' expansion strategies through the classification of their supply and demand characteristics by recent historical periods and an analysis of recent shareholding trends in one of the leading corporations in the Brazilian health care industry. The 1960s to 2000s witnessed changes in the scale of demands for health plans and adherence by companies to long-term accumulation strategies. Beginning in the early 21st century, changes in the shareholding structures of the largest Brazilian company, consistent with the financialization of its accumulation regime, resulted in the rapid multiplication of its capital. Deepening segmentation of the health care system in a context marked by the downturn in the national economy challenges the preservation of public subsidies for private health plans.La concentración e internacionalización de empresas de planes de salud en Brasil les han conferido un carácter financiero. Considerando la necesidad de comprender los padrones de acumulación de ese sector, el trabajo examina estrategias de expansión de las empresas de planes de salud, mediante la periodización de atributos de oferta y demanda y el examen de la trayectoria patrimonial reciente de uno de los grandes grupos del sector. Entre los años 1960 y 2000, se produjeron alteraciones en la escala de las demandas por parte de planes de salud y una adhesión de las empresas a estrategias de acumulación a largo plazo. A partir del siglo XXI, las alteraciones en las estructuras societarias de la mayor empresa brasileña, compatibles con el régimen de acumulación de carácter financiero, resultaron en la multiplicación de su capital en un corto intervalo de tiempo. La profundización de la segmentación del sistema de salud, en un contexto marcado por la desaceleración de la economía, cuestiona la preservación de los subsidios públicos para los planes privados.A concentração e internacionalização de empresas de planos de saúde no Brasil conferiram-lhes feição financeira. Considerando a necessidade de compreender os padrões de acumulação desse setor, o trabalho examina estratégias de expansão das empresas de planos de saúde por meio da periodização de atributos da oferta e demanda e exame da trajetória patrimonial recente de um dos grandes grupos do setor. Entre os anos 1960 e 2000, ocorreram alterações na escala das demandas por planos de saúde e adesão das empresas a estratégias de acumulação de longo prazo. A partir do século XXI, as alterações nas estruturas societárias da maior empresa brasileira, compatíveis com o regime de acumulação financeirizada, resultaram na multiplicação de seu capital em um curto intervalo de tempo. O aprofundamento da segmentação do sistema de saúde, em um contexto marcado pela desaceleração da economia, questiona a preservação dos subsídios públicos para os planos privados.Reports in Public HealthCadernos de Saúde Pública2016-11-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmltext/htmlapplication/pdfapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6223Reports in Public Health; Vol. 32 No. 14 (2016): Supplement 2Cadernos de Saúde Pública; v. 32 n. 14 (2016): Suplemento 21678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZengporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6223/13198https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6223/13199https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6223/13200https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6223/13201Ligia BahiaMario SchefferLeandro Reis TavaresIale Falleiros Bragainfo:eu-repo/semantics/openAccess2024-03-06T15:29:12Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/6223Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:07:06.736682Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv From health plan companies to international insurance companies: changes in the accumulation regime and repercussions on the healthcare system in Brazil
Das empresas médicas às seguradoras internacionais: mudanças no regime de acumulação e repercussões sobre o sistema de saúde no Brasil
title From health plan companies to international insurance companies: changes in the accumulation regime and repercussions on the healthcare system in Brazil
spellingShingle From health plan companies to international insurance companies: changes in the accumulation regime and repercussions on the healthcare system in Brazil
Ligia Bahia
Prepaid Health Plans
Health Systems
Technological Development
Innovation
Planos de Pré-Pagamento em Saúde
Sistemas de Saúde
Desenvolvimento Tecnológico
Inovação
title_short From health plan companies to international insurance companies: changes in the accumulation regime and repercussions on the healthcare system in Brazil
title_full From health plan companies to international insurance companies: changes in the accumulation regime and repercussions on the healthcare system in Brazil
title_fullStr From health plan companies to international insurance companies: changes in the accumulation regime and repercussions on the healthcare system in Brazil
title_full_unstemmed From health plan companies to international insurance companies: changes in the accumulation regime and repercussions on the healthcare system in Brazil
title_sort From health plan companies to international insurance companies: changes in the accumulation regime and repercussions on the healthcare system in Brazil
author Ligia Bahia
author_facet Ligia Bahia
Mario Scheffer
Leandro Reis Tavares
Iale Falleiros Braga
author_role author
author2 Mario Scheffer
Leandro Reis Tavares
Iale Falleiros Braga
author2_role author
author
author
dc.contributor.author.fl_str_mv Ligia Bahia
Mario Scheffer
Leandro Reis Tavares
Iale Falleiros Braga
dc.subject.por.fl_str_mv Prepaid Health Plans
Health Systems
Technological Development
Innovation
Planos de Pré-Pagamento em Saúde
Sistemas de Saúde
Desenvolvimento Tecnológico
Inovação
topic Prepaid Health Plans
Health Systems
Technological Development
Innovation
Planos de Pré-Pagamento em Saúde
Sistemas de Saúde
Desenvolvimento Tecnológico
Inovação
description The concentration and internationalization of health plan companies in Brazil gave them a clearly financial face. Based on the need to understand the health care industry's capital accumulation patterns, the current study examines health plan companies' expansion strategies through the classification of their supply and demand characteristics by recent historical periods and an analysis of recent shareholding trends in one of the leading corporations in the Brazilian health care industry. The 1960s to 2000s witnessed changes in the scale of demands for health plans and adherence by companies to long-term accumulation strategies. Beginning in the early 21st century, changes in the shareholding structures of the largest Brazilian company, consistent with the financialization of its accumulation regime, resulted in the rapid multiplication of its capital. Deepening segmentation of the health care system in a context marked by the downturn in the national economy challenges the preservation of public subsidies for private health plans.
publishDate 2016
dc.date.none.fl_str_mv 2016-11-03
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6223
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6223
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6223/13198
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6223/13199
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6223/13200
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6223/13201
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
text/html
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 32 No. 14 (2016): Supplement 2
Cadernos de Saúde Pública; v. 32 n. 14 (2016): Suplemento 2
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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