Uma comparação entre os custos atuais, custos por pacote e reembolso hospitalar para o procedimento de revascularização miocárdica

In Brazil, the supplemental healthcare system is going through a transition period from the traditional Fee-for-service reimbursement system to the Package reimbursement system, similar to the American model known as the Diagnoses Related Groups (DRG) system. Although the Package concept is nothing new to the hospital environment, it is still seldom used since this system calls for a level of control and analytical knowledge of hospital costs that are poorly developed in Brazilian institutions. This study focuses on determining how much the reimbursement for a Myocardial Revascularization Package actually covers of the current costs for patients submitted to this procedure. A prospective analysis method for determining the cost per patient has been developed and 13 patients were individually followed-up during all their hospitalization period. The expenses with intensive care unit and in-patient clinical care, as well as the type of admittance - whether elective or emergency - were determined for each patient. Additionally, all the resources and materials for the surgical procedure were included, comprising specialized personnel, surgical fees, procedures and tests, biomedical equipment, and all the materials and medication used during the hospital stay. Based on this data, the current total costs were calculated and compared to the reimbursement for the Package previously agreed upon by the institution and the healthcare carriers. The study found an average cost of BR$ 8,826 for a Myocardial Revascularization surgical procedure, while the respective reimbursement for the Package is of BR$ 7,476. Therefore, the reimbursement does not cover the current costs of the procedure.

Setor Elétrico: da MP 579 ao Pacote Financeiro

Este artigo fala do setor elétrico que foi alvo de diversas discussões e debates em 2014. Em um sistema majoritariamente hidrelétrico, a falta de chuvas e as altas temperaturas trouxeram à tona importantes aspectos estruturais deste setor.

Setor Elétrico: da MP 579 ao pacote financeiro

O setor elétrico vem sendo alvo de diversas discussões e debates, principalmente nos últimos meses. Em um sistema majoritariamente hidrelétrico, a falta de chuvas e as altas temperaturas trouxeram à tona importantes aspectos estruturais do setor. Os problemas que o setor elétrico vem enfrentando podem ser entendidos como o resultado de diversos fatores e de decisões tomadas nos últimos anos - em particular aquelas relacionadas ao planejamento, como a construção de novas hidrelétricas sem reservatórios e o atraso nas linhas de transmissão. Além dessas, a imposição de novos desafios socioambientais e a falta de sinal de preços adequado para a demanda também contribuíram para o cenário atual.