Abstract
Abstract: The concentration and internationalization of health plan companies in Brazil gave them a clearly financial face. Based on the need to understand the health care industry's capital accumulation patterns, the current study examines health plan companies' expansion strategies through the classification of their supply and demand characteristics by recent historical periods and an analysis of recent shareholding trends in one of the leading corporations in the Brazilian health care industry. The 1960s to 2000s witnessed changes in the scale of demands for health plans and adherence by companies to long-term accumulation strategies. Beginning in the early 21st century, changes in the shareholding structures of the largest Brazilian company, consistent with the financialization of its accumulation regime, resulted in the rapid multiplication of its capital. Deepening segmentation of the health care system in a context marked by the downturn in the national economy challenges the preservation of public subsidies for private health plans.
Highlights
In the middle of the first decade of this century, health insurance and health plan companies in Brazil began to acquire a clearly financial appearance, and the presence of their representatives in government decision-making spheres became frequent and visible
Considering the need to analyze the relations between the expansion of the private health plan industry and national health policy, the current study examines the history of health plan companies in Brazil through the classification of their supply and demand characteristics by recent historical periods and an analysis of recent shareholding changes in one of the industry’s largest corporations
The criteria for selecting the Amil health plan company included its size in the industry and its position as one of Brazil’s largest corporations, as well its adoption of financialization strategies discussed in the literature
Summary
In the middle of the first decade of this century, health insurance and health plan companies in Brazil began to acquire a clearly financial appearance, and the presence of their representatives in government decision-making spheres became frequent and visible. The criteria for selecting the Amil health plan company included its size in the industry and its position as one of Brazil’s largest corporations, as well its adoption of financialization strategies discussed in the literature.
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