With experience in the areas of health plans and medical, hospital, and sanitary law, MARCELO TOSTES ADVOGADOS acts proactively by conducting audits of private healthcare plans and operators and recommending internal preventive measures to mitigate possible risks of economic-financial imbalance. In addition, we have worked out administrative and judicial defenses for health plan operators, as well as hospitals and self-employed professionals.
Among the main demands we are required to deal with, the following stand out: administrative defense of health plan operators before Brazil’s National Regulatory Agency for Private Health Insurance and Plans (ANS), including administrative proceedings and preliminary mediation notices, an ongoing concern about the acceptance of our positions in lawsuits vis-à-vis the most recent court decisions, legality of the supplementary health fee, follow-up of measures taken by the Courts’ Executive Health Committees throughout the country, monitoring of judicialization of the relationship between health plan operators and plan holders, issuance of technical opinions, and drafting, analysis, and review of health plan contracts.
