scholarly journals Value creation in private healthcare providers: an analysis considering the regulations of supplementary health agency (ANS)

2021 ◽  
Vol 10 (2) ◽  
pp. 134-156
Author(s):  
Ewerton Alex Avelar ◽  
Antônio Artur de Souza ◽  
Hudson Fernandes Amaral ◽  
Jacqueline Braga Paiva Orefici
Keyword(s):  
Value Creation ◽  
Healthcare Providers ◽  
Health Agency ◽  
Private Healthcare ◽  
De Se

Este artigo apresenta os resultados de um estudo que teve como objetivo analisar as variáveis que influenciaram a criação de valor nas operadoras de planos de saúde (OPS) brasileiras, sob perspectiva da regulação da Agência de Saúde Suplementar (ANS), no período de 2010 a 2016. A amostra empregada foi composta por OPS médico-hospitalares cujos dados estavam disponíveis publicamente no site da ANS. A análise dos dados empregou as seguintes técnicas: análise de conteúdo, estatística descritiva e análise de regressão com dados em painel. Com relação às decisões de investimento, com foco na criação de valor, constatou-se que as OPS usualmente criaram mais valor do que destruíram (exceto no caso das organizações da modalidade Filantropia). Pode-se concluir que as regras da ANS afetaram as diferentes modalidades de operadoras de várias formas, no que diz respeito à criação de valor. Quase todas as variáveis regulatórias foram significantes em diferentes contextos e variaram dependendo da modalidade de OPS. Isso demonstra a relevância de se considerar as especificidades de cada uma delas nas análises. A discussão apresentada pode subsidiar decisões de reguladores e gestores das organizações, devido à constatação de que a regulação da ANS sobre as OPS influencia na criação ou destruição de valor nas mesmas. Pode-se dizer que a regulação pode desenvolver um oligopólio neste setor e/ou criar oportunidades de criação de valor para as organizações.

scholarly journals Endividamento em operadoras de planos de saúde filantrópicas: uma análise dos determinantes na perspectiva da regulação da Agência Nacional de Saúde Suplementar (ANS)

ForScience ◽  
2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Ewerton Alex Avelar ◽  
Terence Machado Boina ◽  
Antônio Artur de Souza ◽  
Hudson Fernandes Amaral
Keyword(s):  
Data Analysis ◽  
Time Lag ◽  
Healthcare Providers ◽  
Health Agency ◽  
Descriptive Statistics ◽  
Panel Regression ◽  
Social Relevance ◽  
Significance Level ◽  
Private Healthcare

Este artigo apresenta os resultados de uma pesquisa descritiva e quantitativa, que visou analisar os determinantes de endividamento em operadoras de planos de saúde (OPS) filantrópicas sob a perspectiva da regulação da Agência Nacional de Saúde Suplementar (ANS). A escolha dessa modalidade de operadora foi devido ao grande número de beneficiários atendidos e sua importância social. A amostra empregada consistiu nas OPS filantrópicas que apresentaram seus dados financeiros e operacionais ao longo do período de estudo (2010 a 2016) publicamente no site da ANS. Foram aplicadas as seguintes técnicas de análise de dados: análise de conteúdo, estatística descritiva e análise de regressão com dados em painel. Ao se analisar endividamento das OPS da modalidade Filantropia, observaram-se que variáveis clássicas empregadas como determinantes desse fenômeno em empresas foram consideradas significantes. Todas as variáveis relacionadas à regulação, que foram testadas, se mostraram significantes em pelo menos um modelo estimado. Diante do exposto, constatou-se que as normas da ANS afetaram de diferentes formas às operadoras no que tange ao seu endividamento. Ademais, é importante destacar que a significância das variáveis (tanto as tradicionais de endividamento quanto as de regulação) dependeu do horizonte temporal abordado (curto ou longo prazo).                                                       Palavras-chave: Determinantes do endividamento. Operadoras de planos de saúde. Agência Nacional de Saúde Suplementar. Operadoras filantrópicas.Indebtedness determinants in philanthropic private healthcare providers: an Analysis Based on the Supplementary Health Agency (ANS) RegulationAbstractThis paper presents the results of a study aimed at analyzing the indebtedness determinants of philanthropic Brazilian private healthcare providers (OPS) under the Supplementary Health Agency (ANS) regulation. This modality of OPS was chosen due to the high number of users and its social relevance. The study was a descriptive, quantitative and explanatory one. The employed sample consisted of healthcare OPS whose 2010-2016 data are publicly available on the ANS website. Data analysis followed these techniques: contend analysis, descriptive statistics and data panel regression. We verified that some traditional variables employed in corporative environment were statistically significant. We also observed the significance of many variables related to regulation. This indicates that such variables influence OPS indebtedness. Moreover, it is important to stress that the variables significance level varies according to the time lag (short or long-term). We can cited important contributions of this study: (a) enhancing the important of regulation on the selected OPS; (b) demonstrating the validity of traditional variables for explaining the indebtedness models in these organizations; and (c) purposing regulatory variables in order to explain the indebtedness in philanthropic OPS.Keywords: Indebtedness determinants. Private healthcare providers (OPS). Supplementary Health Agency (ANS). Philanthropic OPS. 

scholarly journals Public and private sectors collective response to combat COVID-19 in Malaysia

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Ching Siang Tan ◽  
Saim Lokman ◽  
Yao Rao ◽  
Szu Hua Kok ◽  
Long Chiau Ming
Keyword(s):  
Insurance Coverage ◽  
Healthcare Providers ◽  
Screening Tests ◽  
Public Healthcare ◽  
Private Hospitals ◽  
Public And Private ◽  
The Public ◽  
Private Healthcare ◽  
Care Services ◽  
Challenges And Opportunities

AbstractOver the last year, the dangerous severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread rapidly around the world. Malaysia has not been excluded from this COVID-19 pandemic. The resurgence of COVID-19 cases has overwhelmed the public healthcare system and overloaded the healthcare resources. Ministry of Health (MOH) Malaysia has adopted an Emergency Ordinance (EO) to instruct private hospitals to receive both COVID-19 and non-COVID-19 patients to reduce the strain on public facilities. The treatment of COVID-19 patients at private hospitals could help to boost the bed and critical care occupancy. However, with the absence of insurance coverage because COVID-19 is categorised as pandemic-related diseases, there are some challenges and opportunities posed by the treatment fees management. Another major issue in the collaboration between public and private hospitals is the willingness of private medical consultants to participate in the management of COVID-19 patients, because medical consultants in private hospitals in Malaysia are not hospital employees, but what are termed “private contractors” who provide patient care services to the hospitals. Other collaborative measures with private healthcare providers, e.g. tele-conferencing by private medical clinics to monitor COVID-19 patients and the rollout of national vaccination programme. The public and private healthcare partnership must be enhanced, and continue to find effective ways to collaborate further to combat the pandemic. The MOH, private healthcare sectors and insurance providers need to have a synergistic COVID-19 treatment plans to ensure public as well as insurance policy holders have equal opportunities for COVID-19 screening tests, vaccinations and treatment.

Correlates of e-cigarette use among active duty US military personnel: implications for cessation policy

2021 ◽  
pp. e001700
Author(s):  
Sarah Godby ◽  
R Dierst-Davies ◽  
D Kogut ◽  
L Degiorgi Winslow ◽  
M M Truslow ◽  
...  
Keyword(s):  
Military Personnel ◽  
Healthcare Providers ◽  
Secondary Analysis ◽  
Health Agency ◽  
Active Duty ◽  
Tobacco Prevention ◽  
Cigarette Use ◽  
Us Military ◽  
Active Duty Military ◽  
Health Related

BackgroundElectronic cigarette (or e-cigarette) use has grown substantially since its US market introduction in 2007. Although marketed as a safer alternative to traditional cigarettes, studies have shown they can also be a gateway to their use. The purpose of this investigation is to identify factors associated with different patterns of tobacco use among active duty military personnel.MethodsA secondary analysis was conducted using the 2014 Defense Health Agency Health Related Behaviors survey data. Results are based on 45 986 US military respondents, weighted to 1 251 606. Both univariate and regression analyses were conducted to identify correlates.ResultsIn 2014, approximately 7.8% of respondents reported using e-cigarettes at least once in the past year. Among e-cigarette users, 49% reported exclusive e-cigarette use. Prevalence of exclusive use is highest among white people (58%), Navy (33%), men (83%) and persons with income ≤$45 000 (65%). Regression comparing exclusive cigarette with exclusive e-cigarette users revealed higher odds of being Air Force (OR=2.19; CI 1.18 to 4.06) or Navy (OR=2.25; CI 1.14 to 4.41) personnel and being male (OR=1.72; CI 1.12 to 2.64), and more likely to not receive smoking cessation messaging from healthcare providers in the last 12 months (OR=2.88; CI 1.80 to 4.62). When comparing exclusive e-cigarette users with poly-tobacco users, e-cigarette users had higher odds of being Hispanic (OR=2.20; CI 1.02 to 4.78), college educated (OR=4.25; CI 1.22 to 14.84) and not receiving tobacco prevention/cessation messaging (OR=4.80; CI 2.79 to 8.27).ConclusionThe results demonstrate that exclusive e-cigarette users in the military have unique characteristics when compared with groups of other/mixed tobacco users. Findings can inform cessation and prevention efforts to improve both the overall health and combat readiness of active duty military personnel.

scholarly journals Engagement of private healthcare providers for case finding of tuberculosis and diabetes mellitus in Pakistan

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Shifa Salman Habib ◽  
Sana Rafiq ◽  
Wafa Zehra Jamal ◽  
Shaikh Muhammad Ayub ◽  
Rashida Abbas Ferrand ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Healthcare Providers ◽  
Case Finding ◽  
Private Healthcare

scholarly journals Socio-Cultural Sustainability of Private Healthcare Providers in an Indian Slum Setting: A Bottom-of-the-Pyramid Perspective

2018 ◽  
Vol 10 (12) ◽  
pp. 4702 ◽  
Author(s):  
Federica Angeli ◽  
Shila Teresa Ishwardat ◽  
Anand Kumar Jaiswal ◽  
Antonio Capaldo
Keyword(s):  
Decision Making ◽  
Business Models ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Public Hospitals ◽  
Decision Making Process ◽  
Bottom Of The Pyramid ◽  
Social Entrepreneurs ◽  
Private Healthcare ◽  
Significant Difference

Delivery of affordable healthcare services to communities is a necessary precondition to poverty alleviation. Co-creation approaches to the development of business models in the healthcare industry proved particularly suitable for improving the health-seeking behavior of BOP patients. However, scant research was conducted to understand BOP consumers’ decision-making process leading to specific healthcare choices in slum settings, and the relative balance of socio-cultural and socio-economic factors underpinning patients’ preferences. This article adopts a mixed-method approach to investigate the determinants of BOP patients’ choice between private and public hospitals. Quantitative analysis of a database, composed of 436 patients from five hospitals in Ahmedabad, India, indicates that BOP patients visit a public hospital significantly more than top-of-the-pyramid (TOP) patients. However, no significant difference emerges between BOP and TOP patients for inpatient or outpatient treatments. Qualitative findings based on 21 interviews with BOP consumers from selected slum areas led to the development of a grounded theory model, which highlights the role of aspirational demand of BOP patients toward private healthcare providers. Overall, healthcare provider choice emerges as the outcome of a collective socio-cultural decision-making process, which often assigns preference for private healthcare services because of the higher perceived quality of private providers, while downplaying affordability concerns. Implications for healthcare providers, social entrepreneurs, and policy-makers are discussed.

scholarly journals Evaluation of Patient-Oriented Medicines Supply Information on Russian Healthcare Providers’ Websites

2021 ◽  
pp. 202-211
Author(s):  
Nikita V. Polukhin ◽  
Natalia V. Ekkert ◽  
Mikhail V. Vodolagin
Keyword(s):  
Statistical Significance ◽  
Healthcare Providers ◽  
Essential Medicines ◽  
Simple Random Sample ◽  
Legal Requirements ◽  
Public And Private ◽  
Healthcare Facilities ◽  
Private Healthcare ◽  
The Difference ◽  
Supply Information

Aims: To evaluate the Russian Federation healthcare providers’ websites compliance to legal requirements on availability of patient-oriented medicines supply information and compare the evaluation results between public and private healthcare facilities. Study Design: Cross-sectional study. Place and Duration of Study: The evaluation of compliance to legal requirements to medicines supply information on public and private healthcare providers’ websites available on the Internet was conducted in September 2021. Methodology: The study included a simple random sample of 66 websites of Russian healthcare providers containing two groups:  public (n=33) and private (n=33) healthcare facilities’ websites. The compliance evaluation was performed by checking the availability of 4 medicines lists on the websites: (1) essential medicines list; (2) list of medicines for the most expensive chronic diseases to treat; (3) list of medicines that are prescribed only by shared decision of healthcare facility medical commission; (4) list of medicines that are dispensed for certain social groups with no charge or with 50% discount in outpatient care settings. Results: The difference of availability of the first list was 90.9% (95% CI 77.7%–97.4%) vs. 33.3% (95% CI 19.2%–50.3%) on public and private healthcare facilities’ website, respectively, P<.001. The difference of that in the second list was 42.4% (95% CI 26.8%–59.3%) vs. 15.2% (95% CI 6.0%–30.1%), P<.028. For the third no statistical significance was revealed (P>.05). For the fourth list the difference was 66.7% (95% CI 49.7%–80.8%) vs. 21.2% (95% CI 10.0%–37.2%), P<.001. Conclusion: It is required to improve the supervision approaches for both public and private healthcare facilities for better patient-oriented medicines supply information provision. The problem may be solved by the implementation of a centralized government policy repository with regularly updated lists, requirements, and best practices.

South African health plan will prompt more controversy

2019 ◽  
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Health Coverage ◽  
Access To Health Services ◽  
Content Type ◽  
Private Healthcare ◽  
Health Rights

Subject National Health Insurance (NHI). Significance The long-awaited National Health Insurance (NHI) Bill has been released and is poised to begin its passage through parliament. The Bill contains the biggest health reforms in post-apartheid South Africa and is the first piece of enabling legislation for realising the government’s ambitions for achieving universal health coverage, called NHI. The Bill signals a sharply diminished role for medical schemes, which 8.9 million people use to pre-fund access to private healthcare services. Impacts Given the apartheid-era legacy of inequitable access to health services, opposition to NHI will be cast as being anti-black and anti-poor. With little scope to raise revenue with further tax hikes without undermining compliance, NHI funding will be a perennial problem. Anxiety about the rates government will be willing to offer private healthcare providers could trigger an exodus of doctors and nurses. The NHI Bill rolls back current health rights for migrants, raising the prospects of a future legal challenge.

Sign in / Sign up

Export Citation Format

Share Document