FINANCIAL-ECONOMIC REGULATION EFFECTS IN FINANCING STRATEGIES OF HEALTH PLAN OPERATORS

• Autor(a) principal: Pinheiro, Isabel Cristina Barbosa
• Data de Publicação: 2015
• Outros Autores: Peleias, Ivam Ricardo, Silva, Aldy Fernandes da, Martins, Eliseu
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Universo Contábil
• Texto Completo: https://ojsrevista.furb.br/ojs/index.php/universocontabil/article/view/4396
• topic: ANS; Regulation; Heath; Accountancy.; ANS; Regulación; Salud; Contabilidad.; ANS; Regulação; Saúde; Contabilidade.

Private health assistance in Brazil had grown in the last years, converting the State from executor to regulator of this sector, especially concerning financial-economic matters. In this context, the aim of this work was to identify the behavior of financing strategies adopted by medical cooperatives and group medicines related to regulatory framework of supplementary health in Brazil.  For this, it was analyzed the documents of financial-economic regulation, followed by the behavior analysis of financial-economic indexes concerning the beginning of the regulation, between 2001 and 2012, for two periods of time: the first of 2001 to 2008; the 2nd of 2004 to 2012, through the application of regression models. It has been stated that, because of Guaranteeing Assets – GA (first period: 2001 to 2008), general and long term indebtedness have significantly enhanced, indicating preference for third party equity instead of stockholders equity. Medical cooperatives showed a raise in general indebtedness, differently from group medicine ones, who searched for money in third party capital. Both types opted for enhancing their long term indebtedness and reducing the short term one. The Health Guaranteeing Fund – HGF (2nd period – 2002 to 2012) reduced liquidity index, indicating that HGF proposal of reducing financial guarantees and enhancing working capital did not occur. General medical cooperative indebtedness reduced, while group medicine had enhanced. In the end, it was stated a balance between indebtedness and liquidity throughout time for cooperatives and group medicines.