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Bruno Marcelos — Escritório de Advocacia

Pauta Regulatória · Daily brief

No. 36

Automatically translated from the Portuguese edition, which prevails in case of discrepancy. Ler em português

Federal Official Gazette

DECISION OF NOVEMBER 19, 2025. This is the approval of the risk-sharing agreement between Unimed do Brasil and Unimed FERJ, following the rules set out in Normative Resolution (RN) No. 517, of April 29, 2022, and with the following particularities:

1) Unimed do Brasil will assume, as of November 20, 2025, the care of the beneficiaries linked to Unimed FERJ, including all associated costs;

2) Unimed FERJ will receive the billing for the beneficiaries until November 30, 2025; as of December 1, 2025, the amounts will be allocated to Unimed do Brasil, following the 90/10 ratio, where:

2.1) 90% (ninety percent) of the premium will be allocated to Unimed do Brasil for the care coverage of the beneficiaries;

2.2) 10% (ten percent) of the premium will be allocated to Unimed FERJ for corporate maintenance;

3) In the first ten months, on an exceptional basis, the risk-sharing percentage will be 93% (ninety-three percent) of the premium allocated to Unimed do Brasil, for the care coverage of the beneficiaries, and 7% (seven percent) of the premium allocated to Unimed FERJ, for corporate maintenance;

4) The provider network of Unimed FERJ will be maintained for at least 1 (one) year;

5) The risk sharing will not entail corporate succession.

ANS news

No updates.

Open public consultations

  • CP 163. Its purpose is to receive contributions on the proposed updates to the List of Health Procedures and Events (Rol), more specifically on the preliminary recommendation of non-incorporation for the technologies covered by UAT No. 171 – Inclisirana, UAT No. 175 – Lebriquizumabe and UAT No. 176 – Momelotinibe. Deadline: Nov 5, 2025 to Nov 24, 2025

Scheduled public hearings

There is no public hearing scheduled.

Open public calls for input

There is no open public call for input.

Open public calls

No updates.

Other news

Wadih wants to ban the cancellation of health plans for the elderly.

Source: conjur.com.br · read the full article

Sources: Federal Official Gazette (DOU) and the ANS website. Press items link to the original article. This brief is for information only and does not constitute legal advice.