Brasília – The Ministry of Health reported that the “Agora Tem Especialistas” program has seen limited adherence from private health-plan operators since the credit-swap mechanism opened in July 2025. By late October, only one operator, Hapvida, had formally joined and begun providing services to SUS patients, while Amil is expected to enter the program only in January 2026. On the hospital side, approximately 180 institutions submitted applications, with 85 validated so far, a modest number when compared to the nearly 3,770 private hospitals and 1,824 philanthropic facilities operating nationwide.

According to sector analysts, low adherence is linked to regulatory delays, uncertainties surrounding debt-swap rules and insufficient financial incentives. The Ministry stated it intends to publish the complementary regulation soon and plans to launch a monitoring panel by March 2026 to increase transparency regarding contracted services, production volumes and reimbursement flows.

Source: Futuro da Saúde