Práticas de governança corporativa das operadoras de Planos de Saúde Suplementar do Brasil

Detalhes bibliográficos
Ano de defesa: 2019
Autor(a) principal: Silva, Francisco Juanito Costa da
Orientador(a): Santos, Sandra Maria dos
Banca de defesa: Não Informado pela instituição
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Não Informado pela instituição
Programa de Pós-Graduação: Não Informado pela instituição
Departamento: Não Informado pela instituição
País: Não Informado pela instituição
Palavras-chave em Português:
Link de acesso: http://www.repositorio.ufc.br/handle/riufc/53177
Resumo: The supplementary health market exceeds 47 million beneficiaries, which represents 23% of the Brazilian population. These data show the magnitude of the sector, which in December 2018 had 968 active supplementary health operators (operators with beneficiaries), operating in all regions of the country, with annual revenues of R $ 139 million (ANS, 2019). Health Plan Operators (OPS) are legal entities constituted in the form of a business, association, foundation, cooperative or self-management entities, mandatorily registered with the regulatory agency of the supplementary health market (ANS, 2000). These OSPs must maintain high standards of controls to provide credibility to those involved, therefore using KM practices, which are a set of procedures that seek a competitive advantage to offer investors and potential creditors. Thus, they contribute to guarantee the rights of shareholders, protect minority shareholders and avoid possible abuses by managers (MOKEN et al., 2015). This research aims to analyze the degree of adherence to the corporate governance practices of the supplementary health insurance operators in Brazil. For this purpose, a descriptive and documentary research was used, collecting material on the electronic portals of the health insurance companies studied. It was characterized by the corporate governance practices used by the supplementary healthcare operators and were identified and classified according to their modalities and level of adherence. Four levels of adherence were adopted, but only two were verified: low, adopted in group and philanthropic modalities; and moderate, for medical cooperatives, self-management and insurance. It was also found that the size and scope are positively related to the OSP's corporate governance practices. Thus, it was concluded that the corporate governance practices adopted by supplementary health operators are predominantly restricted to those legally imposed, referring to the standard dictated by the market and the regulatory agency.
id UFC-7_f8f19899fe09f4a2d527a78cb87448ab
oai_identifier_str oai:repositorio.ufc.br:riufc/53177
network_acronym_str UFC-7
network_name_str Repositório Institucional da Universidade Federal do Ceará (UFC)
repository_id_str
spelling Silva, Francisco Juanito Costa daSantos, Sandra Maria dos2020-07-29T10:56:54Z2020-07-29T10:56:54Z2019-05-29SILVA, F. J. C. Práticas de governança corporativa das operadoras de Planos de Saúde Suplementar do Brasil. 2019. 67 f. Dissertação (Mestrado em Administração e Controladoria) - Universidade Federal do Ceará, Faculdade de Economia, Administração, Atuária e Contabilidade, Programa de Pós-Graduação em Administração e Controladoria, Fortaleza-CE, 2019.http://www.repositorio.ufc.br/handle/riufc/53177The supplementary health market exceeds 47 million beneficiaries, which represents 23% of the Brazilian population. These data show the magnitude of the sector, which in December 2018 had 968 active supplementary health operators (operators with beneficiaries), operating in all regions of the country, with annual revenues of R $ 139 million (ANS, 2019). Health Plan Operators (OPS) are legal entities constituted in the form of a business, association, foundation, cooperative or self-management entities, mandatorily registered with the regulatory agency of the supplementary health market (ANS, 2000). These OSPs must maintain high standards of controls to provide credibility to those involved, therefore using KM practices, which are a set of procedures that seek a competitive advantage to offer investors and potential creditors. Thus, they contribute to guarantee the rights of shareholders, protect minority shareholders and avoid possible abuses by managers (MOKEN et al., 2015). This research aims to analyze the degree of adherence to the corporate governance practices of the supplementary health insurance operators in Brazil. For this purpose, a descriptive and documentary research was used, collecting material on the electronic portals of the health insurance companies studied. It was characterized by the corporate governance practices used by the supplementary healthcare operators and were identified and classified according to their modalities and level of adherence. Four levels of adherence were adopted, but only two were verified: low, adopted in group and philanthropic modalities; and moderate, for medical cooperatives, self-management and insurance. It was also found that the size and scope are positively related to the OSP's corporate governance practices. Thus, it was concluded that the corporate governance practices adopted by supplementary health operators are predominantly restricted to those legally imposed, referring to the standard dictated by the market and the regulatory agency.O mercado de saúde suplementar ultrapassa 47 milhões de beneficiários, o que representa 23% da população brasileira. Esses dados mostram a magnitude do setor, que em dezembro de 2018 contava com 968 operadoras ativas de saúde suplementar (operadoras com beneficiários), atuando em todas as regiões do país, com um faturamento anual de 139 milhões de reais (ANS, 2019). As Operadoras de Planos de Saúde (OPS) são pessoas jurídicas constituídas sob a forma empresarial, associação, fundação, cooperativa ou entidades de autogestão, obrigatoriamente registradas no órgão regulador do mercado de saúde suplementar (ANS, 2000). Estas OPS devem manter elevados padrões de controles para proporcionar credibilidade aos envolvidos, utilizando, portanto, práticas de GC, que são um conjunto de procedimentos que buscam uma vantagem competitiva para oferecer aos investidores e possíveis credores. Com isso, contribuem para garantir o direito dos acionistas, proteger os acionistas minoritários e evitar possíveis abusos dos gestores (MOKEN et al., 2015). Esta pesquisa objetiva analisar o grau de adesão às práticas de governança corporativas das operadoras de planos de saúde suplementar brasileiras. Para tanto, utilizou-se de uma pesquisa descritiva e documental, coletando-se material nos portais eletrônicos das operadoras de planos de saúde estudadas. Caracterizou-se às práticas de governança corporativa utilizadas por modalidade das operadoras de saúde suplementar e foram identificadas e classificas de acordo com suas modalidades e nível de adesão. Foram adotados quatro níveis de adesão, mas somente dois foram verificados: baixo, adotado nas modalidades medicina em grupo e filantrópica; e moderado, para cooperativas médicas, autogestão e seguradora. Verificou-se também que o porte e abrangência são positivamente relacionados com as práticas de governança corporativas das OPS. Desta maneira, concluiu-se que às práticas de governança corporativa que as operadoras de saúde suplementar adotam e divulgam restringem-se, predominantemente, àquelas legalmente impostas, remetendo-se ao padrão ditado pelo mercado e pelo órgão regulador.Operadoras de Planos de SaúdeTeoria da AgênciaGovernança CorporativaPráticas de governança corporativa das operadoras de Planos de Saúde Suplementar do Brasilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisporreponame:Repositório Institucional da Universidade Federal do Ceará (UFC)instname:Universidade Federal do Ceará (UFC)instacron:UFCinfo:eu-repo/semantics/openAccessORIGINAL2019_dis_fjcsilva.pdf2019_dis_fjcsilva.pdfapplication/pdf719760http://repositorio.ufc.br/bitstream/riufc/53177/3/2019_dis_fjcsilva.pdf1f2fbc1f828096d1bcae268b2132ed57MD53LICENSElicense.txtlicense.txttext/plain; charset=utf-81978http://repositorio.ufc.br/bitstream/riufc/53177/2/license.txt4247602db8c5bb0eb5b2dc93ccdf9494MD52riufc/531772020-07-29 07:57:55.708oai:repositorio.ufc.br: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Repositório InstitucionalPUBhttp://www.repositorio.ufc.br/ri-oai/requestbu@ufc.br || repositorio@ufc.bropendoar:2020-07-29T10:57:55Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)false
dc.title.pt_BR.fl_str_mv Práticas de governança corporativa das operadoras de Planos de Saúde Suplementar do Brasil
title Práticas de governança corporativa das operadoras de Planos de Saúde Suplementar do Brasil
spellingShingle Práticas de governança corporativa das operadoras de Planos de Saúde Suplementar do Brasil
Silva, Francisco Juanito Costa da
Operadoras de Planos de Saúde
Teoria da Agência
Governança Corporativa
title_short Práticas de governança corporativa das operadoras de Planos de Saúde Suplementar do Brasil
title_full Práticas de governança corporativa das operadoras de Planos de Saúde Suplementar do Brasil
title_fullStr Práticas de governança corporativa das operadoras de Planos de Saúde Suplementar do Brasil
title_full_unstemmed Práticas de governança corporativa das operadoras de Planos de Saúde Suplementar do Brasil
title_sort Práticas de governança corporativa das operadoras de Planos de Saúde Suplementar do Brasil
author Silva, Francisco Juanito Costa da
author_facet Silva, Francisco Juanito Costa da
author_role author
dc.contributor.author.fl_str_mv Silva, Francisco Juanito Costa da
dc.contributor.advisor1.fl_str_mv Santos, Sandra Maria dos
contributor_str_mv Santos, Sandra Maria dos
dc.subject.por.fl_str_mv Operadoras de Planos de Saúde
Teoria da Agência
Governança Corporativa
topic Operadoras de Planos de Saúde
Teoria da Agência
Governança Corporativa
description The supplementary health market exceeds 47 million beneficiaries, which represents 23% of the Brazilian population. These data show the magnitude of the sector, which in December 2018 had 968 active supplementary health operators (operators with beneficiaries), operating in all regions of the country, with annual revenues of R $ 139 million (ANS, 2019). Health Plan Operators (OPS) are legal entities constituted in the form of a business, association, foundation, cooperative or self-management entities, mandatorily registered with the regulatory agency of the supplementary health market (ANS, 2000). These OSPs must maintain high standards of controls to provide credibility to those involved, therefore using KM practices, which are a set of procedures that seek a competitive advantage to offer investors and potential creditors. Thus, they contribute to guarantee the rights of shareholders, protect minority shareholders and avoid possible abuses by managers (MOKEN et al., 2015). This research aims to analyze the degree of adherence to the corporate governance practices of the supplementary health insurance operators in Brazil. For this purpose, a descriptive and documentary research was used, collecting material on the electronic portals of the health insurance companies studied. It was characterized by the corporate governance practices used by the supplementary healthcare operators and were identified and classified according to their modalities and level of adherence. Four levels of adherence were adopted, but only two were verified: low, adopted in group and philanthropic modalities; and moderate, for medical cooperatives, self-management and insurance. It was also found that the size and scope are positively related to the OSP's corporate governance practices. Thus, it was concluded that the corporate governance practices adopted by supplementary health operators are predominantly restricted to those legally imposed, referring to the standard dictated by the market and the regulatory agency.
publishDate 2019
dc.date.issued.fl_str_mv 2019-05-29
dc.date.accessioned.fl_str_mv 2020-07-29T10:56:54Z
dc.date.available.fl_str_mv 2020-07-29T10:56:54Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.citation.fl_str_mv SILVA, F. J. C. Práticas de governança corporativa das operadoras de Planos de Saúde Suplementar do Brasil. 2019. 67 f. Dissertação (Mestrado em Administração e Controladoria) - Universidade Federal do Ceará, Faculdade de Economia, Administração, Atuária e Contabilidade, Programa de Pós-Graduação em Administração e Controladoria, Fortaleza-CE, 2019.
dc.identifier.uri.fl_str_mv http://www.repositorio.ufc.br/handle/riufc/53177
identifier_str_mv SILVA, F. J. C. Práticas de governança corporativa das operadoras de Planos de Saúde Suplementar do Brasil. 2019. 67 f. Dissertação (Mestrado em Administração e Controladoria) - Universidade Federal do Ceará, Faculdade de Economia, Administração, Atuária e Contabilidade, Programa de Pós-Graduação em Administração e Controladoria, Fortaleza-CE, 2019.
url http://www.repositorio.ufc.br/handle/riufc/53177
dc.language.iso.fl_str_mv por
language por
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv reponame:Repositório Institucional da Universidade Federal do Ceará (UFC)
instname:Universidade Federal do Ceará (UFC)
instacron:UFC
instname_str Universidade Federal do Ceará (UFC)
instacron_str UFC
institution UFC
reponame_str Repositório Institucional da Universidade Federal do Ceará (UFC)
collection Repositório Institucional da Universidade Federal do Ceará (UFC)
bitstream.url.fl_str_mv http://repositorio.ufc.br/bitstream/riufc/53177/3/2019_dis_fjcsilva.pdf
http://repositorio.ufc.br/bitstream/riufc/53177/2/license.txt
bitstream.checksum.fl_str_mv 1f2fbc1f828096d1bcae268b2132ed57
4247602db8c5bb0eb5b2dc93ccdf9494
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
repository.name.fl_str_mv Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)
repository.mail.fl_str_mv bu@ufc.br || repositorio@ufc.br
_version_ 1847793368450465792