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The healthcare service in Brazil comprises a public and universal system (Sistema Único de Saúde, SUS), but a considerable part of the population (59.7 million) also maintains a private health insurance as a supplementary care.1 The supplementary system is regulated by an autonomous governmental agency, formally Agência Nacional de Saúde Suplementar (ANS), which regulates the relationship between users and health operators and plans, including financial, legal and coverage aspects.
The catalogue of drugs, devices and procedures that should be offered by health plans to their users is updated by ANS every other year for adding, replacing or excluding technologies through a complex process. The process was revisited and has …
Contributors Conception and design was done by RLP and RR. Data collection was done by RLP, AMB, ALCM, FdAR and RdFCM. Manuscript drafting was done by RLP, RR and AMB. RLP, AMB, DVP, ALCM, FdAR, RdFCM and RR were content revisors. All authors provided final approval.
Funding This study was supported by the Brazilian Ministry of Health by the Programa de Apoio ao Desenvolvimento Institucional do Sistema Único de Saúde (PROADI-SUS), led by Hospital Sírio- Libanês, São Paulo, Brazil.
Competing interests All the author acted as coordinator, or professor or tutor of the course described.
Provenance and peer review Not commissioned; internally peer reviewed.