caa a22 4500 397520239 CHVBK 20180308164630.0 cr unu---uuuuu 161202e199512 xx s 000 0 eng 10.1093/heapol/10.4.362 doi (NATIONALLICENCE)oxford-10.1093/heapol/10.4.362 Private payers of health care in Brazil: characteristics, costs and coverage [Elektronische Daten] [MAUREEN A LEWIS, ANDRE CESAR MEDICI] The private sector is the predominant provider of health care in Brazil, particularly for inpatient services, and financing is a mix of public (through a prospective reimbursement system) and private. Roughly a quarter of the population has private insurance coverage, reflecting rapid growth in the past decade fuelled by the crisis in the public reimbursement system and the perceived deterioration of publicly provided care. Four major forms of insurance exist: (1) prepaid group practice; (2) medical cooperatives, physician owned and operated preferred provider organizations; (3) company health plans where employers ensure employee access to services under various types of arrangements from direct provision to purchasing of private services: and (4) health indemnity insurance. Each type of plan includes a wide variety of subplans from basic individual/family coverage to comprehensive executive coverage. The paper discusses the characteristics, costs and utilization patterns of all types of privately financed care, as well as the major problems associated with private financing: the limited package of benefits and low payout ceilings, inadequate consumer information and virtually no regulation. © Oxford University Press Review paper nationallicence LEWIS MAUREEN A. Latin America and Caribbean Region, The World Bank Washington DC aut MEDICI ANDRE CESAR Instituto de Economia do Sector Publico São Paulo, Brazil aut Health Policy and Planning Oxford University Press 10/4(1995-12), 362-375 0268-1080 10:4<362 1995 10 heapol https://doi.org/10.1093/heapol/10.4.362 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/heapol/10.4.362 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- LEWIS MAUREEN A. Latin America and Caribbean Region, The World Bank Washington DC aut NATIONALLICENCE 700 1- MEDICI ANDRE CESAR Instituto de Economia do Sector Publico São Paulo, Brazil aut NATIONALLICENCE 773 0- Health Policy and Planning Oxford University Press 10/4(1995-12), 362-375 0268-1080 10:4<362 1995 10 heapol Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford