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ANS Pressures Unimed Ferj Over Oncology Lapses, Sets Friday Deadline

Regulators signaled they will reassess the cooperative’s viability once cancer treatments are guaranteed.

Overview

  • The ANS ordered Unimed Ferj and Oncoclínicas to fix gaps in oncology care by Friday and required clear patient notices plus a dedicated oncology channel.
  • Oncoclínicas committed to continue treating Unimed Ferj clients through October, according to accounts of the regulator’s meeting.
  • Unimed-Rio started paying June claims to cooperated doctors with a 10% reduction after the transfer from Ferj came in below expectations.
  • Payments for services rendered in April and May remain unpaid and are under judicial dispute, with physicians reducing availability and some patients paying out of pocket.
  • Unimed-Rio rejected a physicians’ petition signed by 807 cooperators for an extraordinary assembly and an audit, and reporting has cited liabilities approaching R$1 billion.