The number of actions taken against health plans in the region is increasing and Justice creates a platform to accelerate agreements | Campinas and the region

Number of lawsuits Against private health plans It originated in Campinas, Sumaré and Indayatuba, three larger cities in the region, and to speed up operations, it launched the Court of Justice of São Paulo (TJ-SP). Software to simplify agreements between customers and operators.

According to research conducted by TJ-SP in partnership with the Public Ministry, in 90% of cases that reach court Health plans are losing business. The problem is delay Until a final decision is issued by the court, according to experts.

“The delay is long. On average we have sanitary measures that last between five and ten years,” explained lawyer Fernanda Cristina Parisi Seida Padilha, head of the health committee of OAB Campinas.

Now, through A Digital court platformconsumers will have the possibility to request a session for Try to reach an agreement quickly With health plans, in cases involving, for example, coverage, modifications and exclusions of doctors, hospitals and clinics. It is the “Reconciliation with Health” programme.

“This conciliation session, in addition to the communication between the parties, aims to reach a consensus: a value proposition, a consensual proposal, a proposal on the time needed to implement the procedure and, therefore, there will be the possibility of a conversation about it,” explained Judge Maria Lucia Pizzuti, coordinator of the Conciliation Centre. At TJ-SP: “There is nothing in the traditional process.”

How to try to reconcile

Attempts at agreement can come from both healthcare companies and consumers, either at the pre-action stage or in situations where the process is already underway. The applicant will complete The electronic form is available on the TJSP website Enter information such as personal data, postal code, statement of facts and order summary.

The application will be sent to the Cejusc closest to the address provided. A team will schedule a virtual reconciliation session accompanied by a conciliator who specializes in health cases. If there is an agreement between the two parties, it is approved by the unit judge and has the authority to decide.

Increase in the number of shares

According to data from the Court of Justice of São Paulo, the number of actions taken against health plans has increased in Campinas, Sumaré and Indayatuba, the largest cities in the Campinas region. See graphs:

Videos: All about Campinas and the region