Decreto-Lei n.º 401/98, de 17 de Dezembro de 1998
Decreto-Lei n.º 401/98 de 17 de Dezembro O sistema de preços previsto para as instituições e serviços integrados no Serviço Nacional de Saúde (SNS) tem-se revelado incompleto. Na verdade, é sentida a necessidade de encontrar soluções contratuais para regular o pagamento das prestações de saúde. Uma correcta gestão do SNS aconselha que se encontrem soluções negociais, quer para aumentar o aproveitamento dos meios instalados, quer para assegurar uma efectiva concorrência entre os prestadores.
Os instrumentos contratuais podem actuar mediante o estabelecimento de acordos de âmbito nacional e regional, para a fixação de preços para determinadas entidades responsáveis pelos encargos das prestações de saúde. Por outro lado, torna-se necessário admitir acordos relativos ao pagamento de prestações de saúde, mediante critérios genéricos fixados por despacho do Ministro da Saúde.
O sistema não ficaria completo se não fosse instituído um mecanismo em que a responsabilidade do SNS é transferida para determinadas entidades, que por sua vez pagam as prestações de saúde de determinados grupos de pessoas aos prestadores de saúde, quer sejam públicos ou privados.
Para tanto, torna-se necessário alterar o artigo 25.º do Estatuto do Serviço Nacional de Saúde, aprovado pelo Decreto-Lei n.º 11/93, de 15 de Janeiro, no sentido de admitir, para além de tabelas de preços administrativos, a fixação de critérios de pagamento através da via negocial.
Foi ouvida a Associação Portuguesa de Seguradores.
Assim: No desenvolvimento do regime jurídico estabelecido pela base XXXIII da Lei n.º 48/90, de 24 de Agosto, nos termos da alínea c) do n.º 1 do artigo 198.º e do n.º 5 do artigo 112.º da Constituição, o Governo decreta o seguinte: Artigo único O artigo 25.º do Estatuto do Serviço Nacional de Saúde, aprovado pelo Decreto-Lei n.º 11/93, de 15 de Janeiro, passa a ter a seguinte redacção: 'Artigo 25.º Preços dos cuidados de saúde 1 -...
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