scholarly journals Brazilian private health system: history, scenarios, and trends

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
June Alisson Westarb Cruz ◽  
Maria Alexandra Viegas Cortez da Cunha ◽  
Thyago Proença de Moraes ◽  
Sandro Marques ◽  
Felipe Francisco Tuon ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Mergers And Acquisitions ◽  
Health System ◽  
United States Of America ◽  
Secondary Data ◽  
The United States ◽  
Exploratory Research ◽  
Health Coverage ◽  
Health Institutions

Abstract Background Health care is a complex economic and social system, which combines market elements and public and social interest. This combination in Brazil, like systems in China and United States of America, is operationalized through the public and private system. The sector represents approximately 9% of the country’s GDP, of which 56% is privately sourced and 44% is of public origin. In the private sector includes a structure with 711 private health institutions, 47 million beneficiaries and revenues of US$30 billion a year. Methods Therefore, this research describes and analyzes the complementarity of Private Health before the Brazilian Unified Health System, highlighting its main characteristics, scenarios, and trends in the face of the health system and the Brazilian market. This descriptive and exploratory research uses secondary data from various sources, submitted to quantitative data analysis methods. The object of the research is the history of private health in Brazil and its main actors. Results The data are organized into three groups, each with its approach of collection and analysis. Thus, it is perceived as the notorious growth of large operators, to the detriment of operators with a lower concentration of beneficiaries; the increasing concentration of the market through mergers and acquisitions promoted by large publicly traded corporations, especially in regions with a lower rate of private health coverage; and the growth of the sector through business plans, whose central characteristic is the dependence on the country’s employability rate. Conclusions It is possible to perceive an intense trend of concentration of Brazilian private health in large institutions that have capitalized and have a great appetite for growth through mergers and acquisitions, whether from smaller operators or health institutions that integrate their health networks, following complementary health models already consolidated in countries such as China, and the United States of America, among others. This concentration projects a market with fewer options and competitiveness, reduction in transaction costs and increase the operational effectiveness of health care.

Brazilian Private Health System: History, Scenarios, and Trends

2021 ◽  
Author(s):  
June Alisson Westarb Cruz ◽  
Maria Alexandra Viegas Cortez da Cunha ◽  
Thyago Proença Moraes ◽  
Felipe Francisco Tuon ◽  
Gisele de Paula Linhares ◽  
...  
Keyword(s):  
Mergers And Acquisitions ◽  
Health System ◽  
Secondary Data ◽  
Exploratory Research ◽  
Health Coverage ◽  
Operational Effectiveness ◽  
Public And Private ◽  
Health Networks ◽  
Business Plans ◽  
Unified Health System

Abstract Background: Health care is a complex economic and social system, which combines market elements and public and social interest. This combination in Brazil, like systems in China and America, is operationalized through the public and private system. The sector represents approximately 9% of the country's GDP, of which 56% is privately sourced and 44% is of public origin. In the private sector, supplementary health includes a structure with 711 hospital medical health plan operators, 47 million beneficiaries and revenues of US$30 billion a year. Methods: Therefore, this research describes and analyzes the complementarity of Supplementary Health before the Brazilian Unified Health System, highlighting its main characteristics, scenarios, and trends in the face of the health system and the Brazilian market. This descriptive and exploratory research uses secondary data from various sources, submitted to quantitative data analysis methods. The object of the research is the history of supplementary health in Brazil and its main actors. Results: The data are organized into three groups, each with its approach of collection and analysis. Thus, it is perceived as the notorious growth of large operators, to the detriment of operators with a lower concentration of beneficiaries; the increasing concentration of the market through mergers and acquisitions promoted by large publicly traded corporations, especially in regions with a lower rate of supplementary health coverage; and the growth of the sector through business plans, whose central characteristic is the dependence on the country's employability rate.Conclusions: It is possible to perceive an intense trend of concentration of Brazilian supplementary health in large institutions that have capitalized and have a great appetite for growth through mergers and acquisitions, whether from smaller operators or health institutions that integrate their health networks, following complementary health models already consolidated in countries such as China, and the United, among others. This concentration projects a market with fewer options and competitiveness, reduction in transaction costs and operational effectiveness of care.

scholarly journals Psycho-economics: managed care in mental health in the new millennium

2002 ◽  
Vol 25 (2) ◽  
pp. 199
Keyword(s):  
Mental Health ◽  
United States ◽  
Health Care ◽  
Managed Care ◽  
United States Of America ◽  
Private Practice ◽  
The United States ◽  
New Millennium

Book Review - Psycho-economics: managed care in mental health in the new millennium Edited by Robert D WeitzThis book comprises ten separately authored chapters on the general theme of managed care, and the way that it has affected mental health care in the United States of America. The main focus is on the role of the psychologist in private practice.

Health Care

2010 ◽  
Author(s):  
Peter Baldwin
Keyword(s):  
United States ◽  
Health Care ◽  
Health Insurance ◽  
Social Policy ◽  
Health System ◽  
The United States ◽  
Working People ◽  
Free Health Care ◽  
European Standards ◽  
Political Philosopher

The U.S. Economy does Differ from Europe’s: a less regulated labor market, but also an economy that is more hemmed in than might be expected. By European standards, America has hardish-working people, a state that collects fewer tax dollars, and workers who are paid well even if their holidays are short. In social policy, the contrasts are more moderate. Europeans commonly believe that the United States simply has no social policy—no social security, no unemployment benefits, no state pensions, and no assistance for the poor. As Jean-François Revel, the political philosopher and académicien, summed up French criticism, the United States shows “not the slightest bit of social solidarity.” Will Hutton similarly assures us that “The structures that support ordinary peoples’ lives—free health care, quality education, guarantees of reasonable living standards in old age, sickness or unemployment, housing for the disadvantaged— that Europeans take for granted are conspicuous by their absence.” And, in fact, the United States is the only developed nation, unless one counts South Africa, without some form of national health insurance, which is to say a system of requiring all its citizens to be insured in one way or another. This lack of universal health insurance is the one fact that every would-be comparativist working across the Atlantic knows, and the first one to be hoisted as the battle is engaged. One of the first attempts to quantify and rank health care performance, by the World Health Organization in 2000, gave the American system its due. Overall, it came in below any of our comparison countries, three notches under Denmark. In various specific aspects of health policy, it did better. For disability adjusted life expectancy, it came in above Ireland, Denmark, and Portugal; on the responsiveness of the health system, it ranked first; on a composite measure of various indicators summed up as “overall health system attainment,” it ranked above seven Western European countries. Even on the measure of “fairness of financial contribution to health systems,” where we might have expected an abysmal rating, the United States squeaked in above Portugal. That is, of course, damning with faint praise, especially given that in this particular aspect of the ranking—a well-meaning but other-worldly attempt by international bureaucrats to rake the entire globe over the teeth of one comb—Colombia came in first, outpacing its close rivals, Luxembourg and Belgium, while Libya beat out Sweden.

Health

Getting By ◽  
2019 ◽  
pp. 329-428
Author(s):  
Helen Hershkoff ◽  
Stephen Loffredo
Keyword(s):  
United States ◽  
Health Care ◽  
Health Insurance ◽  
Low Income ◽  
The United States ◽  
Health Coverage ◽  
Eligibility Criteria ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Child Health Insurance

This chapter addresses the issue of health care for low-income people. The United States, virtually alone among developed nations, does not offer universal access to health care, leaving many millions of individuals without health insurance or other means of obtaining necessary medical services. In 2010, Congress enacted the landmark Patient Protection and Affordable Care Act (ACA)—popularly known as “Obamacare”—marking an important but incomplete response to the nation’s health care crisis. This chapter examines the ACA in detail, including its impact on Medicaid and Medicare, the major government health programs in the United States, its creation of Health Insurance Exchanges and tax credits to help low-income households obtain private health coverage, and the reform of private health insurance markets through a patient’s bill of rights, which, among other measures, prohibits insurance companies from refusing coverage for preexisting medical conditions. Perhaps the most critical aspect of the ACA was its expansion of Medicaid to cover virtually all low-income citizens (and certain immigrants) who do not qualify for other health coverage. Although several states opted out of the ACA’s Medicaid expansion, the Medicaid program nevertheless remains the largest single provider of health coverage in the United States. This chapter also provides a detailed description of Medicaid, its eligibility criteria and scope of coverage; the Child Health Insurance Program (CHIP), a government-funded health insurance program for children in households with too much income to qualify for Medicaid; and Medicare, the federal health insurance program for aged, blind, and disabled individuals.

scholarly journals The right to medical care and its economic consequences: an American dilemma

1972 ◽  
Vol 6 (4) ◽  
pp. 317-327
Author(s):  
José Duarte de Araújo
Keyword(s):  
United States ◽  
Health Care ◽  
United States Of America ◽  
The United States ◽  
Right To Health ◽  
Economic Consequences ◽  
Right To Health Care ◽  
Modern Times ◽  
The Right

The concepts of "rights" and of "right to health care" including its evolution in modern times are discussed. The consequences of implementing this right are discussed in economic terms, regarding the situation in the United States of America. A discussion is also included on the limitations of the role of Health Insurance as a measure to solve the problem of providing health care for all individuals.

scholarly journals First Neonatal Demise with Travel-Associated Zika Virus Infection in the United States of America

2017 ◽  
Vol 07 (02) ◽  
pp. e68-e73 ◽  
Author(s):  
Nikolaos Zacharias ◽  
Janice Whitty ◽  
Sarah Noblin ◽  
Sophia Tsakiri ◽  
Jose Garcia ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Virus Infection ◽  
Health Care System ◽  
United States Of America ◽  
Zika Virus ◽  
The United States ◽  
Zika Virus Infection ◽  
First Case ◽  
Care System

AbstractZika virus is increasingly recognized as a fetal pathogen worldwide. We describe the first case of neonatal demise with travel-associated Zika virus infection in the United States of America, including a novel prenatal ultrasound finding. A young Latina presented to our health care system in Southeast Texas for prenatal care at 23 weeks of gestation. Fetal Dandy–Walker malformation, asymmetric cerebral ventriculomegaly, single umbilical artery, hypoechoic fetal knee, dorsal foot edema, and mild polyhydramnios were noted upon initial screening prenatal sonography at 26 weeks. A growth-restricted, microcephalic, and arthrogrypotic infant was delivered alive at 36 weeks but died within an hour despite resuscitation. The neonatal karyotype was normal. Flavivirus IgM antibodies were identified in the serum of the puerpera, once she disclosed that she had traveled from El Salvador to Texas in the early second trimester. Zika virus was identified in the umbilical cord and neonatal brain. Fetal arthritis may precede congenital arthrogryposis in cases of Zika virus infection and may be detectable by prenatal sonography. Physician and health care system vigilance is required to optimally address the significant and enduring Zika virus global health threat.

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