The Challenges Of Public Regulation In Brazil

International Seminar Regulation of Private Health Insurance in Brazil, 10 years of Law 9.656/98, Rio 2 June 2008 The challenges of public regulation in Brazil the OECD Review on Regulatory Reform Mr. Stéphane Jacobzone Principal Administrator Regulatory Policy Division Directorate for Public Governance and Territorial Development

Why Regulatory Reform ? Quality Regulation to strengthen governance and economic growth ,[object Object],[object Object],[object Object],[object Object],[object Object]

The Brazil Review in the context of the OECD Country Reviews of Regulatory Reform ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Setting up Independent Regulatory Authorities (IRAs) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

A Political Challenge ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Towards the "Regulatory State" ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The international context ,[object Object],[object Object],[object Object]

Independent Regulatory Authorities in the proposed 2005 OECD Recommendations on Regulatory Quality ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PRIVATE HEALTH INSURANCE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Health expenditures by source of funding Source: OECD Health Data, Brazil

Health expenditure in GDP and GDP per capita Source: OECD Health Data, Brazil

PHI’s expenses per capita and GDP per capita Source: OECD Health Data, Brazil

Share of PHI’s expenses in THE and share of population covered by PHI Source: OECD Health Data, Brazil

Collective plans: premium share by operator Source: OECD Health Data, Brazil Individual plans: premium share by operator

Price Index of Health Plans Source: IDEC CREMESP

The regulatory framework ,[object Object],[object Object],[object Object],[object Object],[object Object]

The regulatory framework ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The regulatory framework ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

REGULATORY GOVERNANCE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

A heterogeneous institutional status

Independence the formal dimension ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Independence Independence in practice ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Financial resources and staffing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Functions and powers of regulatory authorities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The rule making power ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The issue of strategic planning and law making ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The power of sanction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Horizontal Design ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Balancing Independence with Accountability ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Ensuring Accountability: How ? without undermining independence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Ensuring Accountability and High quality regulation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Assessing quality Performance evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object]

Performance Assessment of regulators in Brazil ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

General conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Conclusions for Health/PHI ,[object Object],[object Object],[object Object],[object Object],[object Object]

Selected Policy recommendations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Challenges Of Public Regulation In Brazil

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The Challenges Of Public Regulation In Brazil