No. 39

ANS news

ANS releases new regulation for self-managed (autogestão) operators

The update modernizes the rules, strengthens governance and reinforces the sustainability of the sector. See the main changes:

Broader eligibility:

· The rule will allow active or retired public servants and family members up to the 4th degree of kinship to be included in the health plans of existing self-managed operators (autogestões).

· It will also be possible to bring together different professional categories and multiple sponsors (legal entities that maintain a relationship with employees and members and contribute financially to fund the plan).

Decoupling of sponsors:

· Correlation between the activities of the sponsors will no longer be required: companies or associations from different sectors of the economy will be able to join together to create or manage self-managed operators.

· A sponsor that decides to stop funding the self-managed operator must give it 90 days’ notice. The self-managed operator, in turn, will have 60 days to notify beneficiaries of the termination of the agreement.

Governance and participation:

· Self-managed operators must have a minimum governance structure, with a board of directors, an executive board and a fiscal council, ensuring the participation of primary beneficiaries and sponsor representatives in deliberative, oversight and advisory bodies.

Sharing of the care network:

· Self-managed operators will be able to share care structures with other operators, promoting greater efficiency and cost rationalization.

Economic and financial improvement:

The regulation consolidates the requirements for technical provisions, guarantee assets and regulatory capital, in addition to new, clearer rules for the financial guarantee agreement signed with maintainers.

Note: attached, we resend RN 649/2025, published in the DOU on Oct 31, 2025

ANS holds webinar on collective plan price adjustment data

The National Supplementary Health Agency (ANS) will hold a webinar next Monday, Dec 1, on the update of the Collective Plan Price Adjustment Panel (Painel de Reajuste de Planos Coletivos, RPC). On the occasion, staff of the Directorate of Standards and Qualification of Products (Diretoria de Normas e Habilitação dos Produtos) will present data on price adjustments applied by health plan operators to collective contracts through August 2025.