An appraisal of Brazilian private health plan operators’ economic-financial conditions: a note on finance and regulation

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Objective: This study aims to evaluate the economic-financial performance of Brazilian private health plan operators and investigate possible sources of relative variations in the studied indicators. The article also discusses the question of regulation based on an economic-financial analysis of the...

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Principais autores: Rocha, Carlos Henrique, Silva, Gladston Luiz da, Britto, Paulo Augusto Pettenuzzo de
Formato: Online
Idioma:eng
Publicado em: Portal de Periódicos Eletrônicos da UFRN
Endereço do item:https://periodicos.ufrn.br/ambiente/article/view/27707
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institution Periódicos UFRN
collection Portal de Pediódicos Eletrônicos da UFRN
language eng
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author Rocha, Carlos Henrique
Silva, Gladston Luiz da
Britto, Paulo Augusto Pettenuzzo de
spellingShingle Rocha, Carlos Henrique
Silva, Gladston Luiz da
Britto, Paulo Augusto Pettenuzzo de
An appraisal of Brazilian private health plan operators’ economic-financial conditions: a note on finance and regulation
author_facet Rocha, Carlos Henrique
Silva, Gladston Luiz da
Britto, Paulo Augusto Pettenuzzo de
author_sort Rocha, Carlos Henrique
title An appraisal of Brazilian private health plan operators’ economic-financial conditions: a note on finance and regulation
title_short An appraisal of Brazilian private health plan operators’ economic-financial conditions: a note on finance and regulation
title_full An appraisal of Brazilian private health plan operators’ economic-financial conditions: a note on finance and regulation
title_fullStr An appraisal of Brazilian private health plan operators’ economic-financial conditions: a note on finance and regulation
title_full_unstemmed An appraisal of Brazilian private health plan operators’ economic-financial conditions: a note on finance and regulation
title_sort appraisal of brazilian private health plan operators’ economic-financial conditions: a note on finance and regulation
description Objective: This study aims to evaluate the economic-financial performance of Brazilian private health plan operators and investigate possible sources of relative variations in the studied indicators. The article also discusses the question of regulation based on an economic-financial analysis of the regulated entities. Methodology: this is an empirical, analytical study with analysis and inference based on secondary data. The methodological base of the article is comprised of standardized economic-financial indicators, indicators adapted to the operational specificities of private healthcare plan operators and multiple range tests. The database in panel form was elaborated using information published by the National Private Healthcare Regulatory Agency and refers to a sample containing the fourteen largest health plan operators in activity in Brazil. Results: It is concluded that the health plan operators are well-situated in economic-financial terms and that the form of corporate organization, the relative size of the market and the operators’ regional markets have a significant influence on their performance. It is considered opportune to discuss whether the current regulatory model for private health provision in Brazil is adequately fulfilling its declared objective of ensuring the continuity of service while charging reasonably modest rates. Study contributions: the study contributes by showing how a relatively simple technique can benefit not only the regulatory process but also the evaluation of the regulation itself.  It further contributes by revealing that the healthcare plan operators in Brazil are in a good situation in economic-financial terms thereby raising the question as to whether the current regulatory model for private health provision in Brazil is adequately fulfilling its declared objective of ensuring the continuity of service while charging reasonably modest rates.
publisher Portal de Periódicos Eletrônicos da UFRN
publishDate 2022
url https://periodicos.ufrn.br/ambiente/article/view/27707
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spelling oai:periodicos.ufrn.br:article-277072023-01-18T22:47:34Z An appraisal of Brazilian private health plan operators’ economic-financial conditions: a note on finance and regulation Una evaluación de la situación económico-financiera de los operadores brasileños de seguros de salud: una nota sobre finanzas y regulación Avaliação da condição econômico-financeira de operadoras brasileiras de planos de saúde: uma nota sobre finanças e regulação Rocha, Carlos Henrique Silva, Gladston Luiz da Britto, Paulo Augusto Pettenuzzo de Private Healthcare; Health Plan Operators; Economic-financial Performance; Multiple Ranges Test; National Private Healthcare Regulatory Agency.. An appraisal of Brazilian private health plan operators’ economic-financial conditions: a note on finance and regulation. Salud suplementaria; Operadores de salud; Desempeño financiero; Prueba de rango múltiple de Duncan; Agencia Nacional de Salud Complementaria.. Una evaluación de la situación económico-financiera de los operadores brasileños de seguros de salud: una nota sobre finanzas y regulación. Saúde Suplementar; Operadoras de Panos de Saúde; Desempenho Econômico-Financeiro; Teste das Amplitudes Múltiplas; Agência Nacional de Saúde Suplementar. Avaliação da condição econômico-financeira de operadoras brasileiras de planos de saúde: uma nota sobre finanças e regulação. Objective: This study aims to evaluate the economic-financial performance of Brazilian private health plan operators and investigate possible sources of relative variations in the studied indicators. The article also discusses the question of regulation based on an economic-financial analysis of the regulated entities. Methodology: this is an empirical, analytical study with analysis and inference based on secondary data. The methodological base of the article is comprised of standardized economic-financial indicators, indicators adapted to the operational specificities of private healthcare plan operators and multiple range tests. The database in panel form was elaborated using information published by the National Private Healthcare Regulatory Agency and refers to a sample containing the fourteen largest health plan operators in activity in Brazil. Results: It is concluded that the health plan operators are well-situated in economic-financial terms and that the form of corporate organization, the relative size of the market and the operators’ regional markets have a significant influence on their performance. It is considered opportune to discuss whether the current regulatory model for private health provision in Brazil is adequately fulfilling its declared objective of ensuring the continuity of service while charging reasonably modest rates. Study contributions: the study contributes by showing how a relatively simple technique can benefit not only the regulatory process but also the evaluation of the regulation itself.  It further contributes by revealing that the healthcare plan operators in Brazil are in a good situation in economic-financial terms thereby raising the question as to whether the current regulatory model for private health provision in Brazil is adequately fulfilling its declared objective of ensuring the continuity of service while charging reasonably modest rates. Objetivo: Este estudio tiene como objetivo evaluar el desempeño económico y financiero de las compañías de seguros de salud brasileñas e investigar posibles fuentes de variaciones relativas en las tasas estudiadas. El artículo también analiza el tema de la regulación con base en el análisis económico y financiero de las entidades reguladas. Metodología: Se trata de un estudio empírico-analítico, con análisis e inferencia estadística de datos secundarios. La base metodológica del artículo comprende indicadores económico-financieros estandarizados, indicadores adaptados a las especificidades operativas de los operadores de planes de salud y pruebas de múltiples amplitudes. La base de datos del panel se elaboró a partir de información publicada por la Agencia Nacional de Salud Complementaria y comprende una muestra que contiene los catorce mayores operadores de planes de salud en funcionamiento en Brasil. Resultados: Se concluyó que los operadores de planes de salud analizados se encuentran bien posicionados en términos económicos y financieros. También se concluyó que la forma de organización empresarial, el tamaño relativo y el mercado regional del operador tienen una influencia significativa en el desempeño de los operadores de planes de salud. En esta ocasión, es posible discutir si el modelo actual de regulación complementaria en salud en Brasil es adecuado para lograr el objetivo de continuar el servicio bajo modalidad tarifaria. Contribuciones del Estudio: Con respecto a las contribuciones, el artículo demuestra que una técnica relativamente simple puede contribuir tanto al proceso regulatorio como a la evaluación de la regulación. En particular, también contribuye al mostrar que los operadores de planes de salud en Brasil están bien posicionados en términos económico-financieros, lo que plantea la discusión del modelo actual de regulación de la salud complementaria en Brasil sobre los objetivos de continuidad del servicio bajo la modalidad tarifaria. Objetivo: Este estudo objetiva avaliar o desempenho econômico-financeiro de operadoras brasileiras de planos de saúde e investigar possíveis fontes de variações relativas dos índices estudados. O artigo discute, ainda, a questão da regulação a partir da análise econômico-financeira dos entes regulados. Metodologia: Trata-se de estudo empírico-analítico, com análise e inferência estatística de dados secundários. A base metodológica do artigo compreende indicadores econômico-financeiros padronizados, indicadores adaptados às especificidades operacionais das operadoras de planos de saúde e teste das amplitudes múltiplas. A base de dados em painel foi elaborada a partir de informações publicadas pela Agência Nacional de Saúde Suplementar e compreende uma amostra contendo as catorze maiores operadoras de planos de saúde em operação no Brasil. Resultados: Concluiu-se que as operadoras de planos de saúde analisadas estão bem posicionadas em termos econômico-financeiros. Conluiu-se, ainda, que a forma de organização empresarial, o tamanho relativo e o mercado regional da operadora têm influência significante sobre o desempenho das operadoras de planos de saúde. Desta feita, é possível se discutir se o modelo atual de regulação da saúde suplementar no Brasil é adequado para se atingir o objetivo de continuidade do serviço sob modicidade tarifária. Contribuições do Estudo: No que tange às contribuições, o artigo demonstra que uma técnica relativamente simples pode contribuir tanto para o processo regulatório como da avaliação da regulação. Em particular, contribui ainda ao evidenciar que as operadoras de planos de saúde no Brasil estão bem posicionadas em termos econômico-financeiros, levantando a discussão do modelo atual de regulação da saúde suplementar no Brasil quanto aos objetivos de continuidade do serviço sob modicidade tarifária.   Portal de Periódicos Eletrônicos da UFRN 2022-01-06 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://periodicos.ufrn.br/ambiente/article/view/27707 REVISTA AMBIENTE CONTÁBIL - Universidade Federal do Rio Grande do Norte; Vol. 14 No. 1 (2022): Jan./Jun. REVISTA AMBIENTE CONTÁBIL - Universidade Federal do Rio Grande do Norte; Vol. 14 Núm. 1 (2022): Jan./Jun. REVISTA AMBIENTE CONTÁBIL - Universidade Federal do Rio Grande do Norte - ISSN 2176-9036; v. 14 n. 1 (2022): Jan./Jun. 2176-9036 10.21680/2176-9036.2022v14n1 eng https://periodicos.ufrn.br/ambiente/article/view/27707/15300 Copyright (c) 2022 REVISTA AMBIENTE CONTÁBIL - Universidade Federal do Rio Grande do Norte - ISSN 2176-9036 http://creativecommons.org/licenses/by-nc-sa/4.0

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