The document discusses regulatory reform and independent regulatory authorities in Brazil across several sectors such as supplemental health insurance, telecommunications, electricity, and land transport. It notes that establishing independent regulators can help improve economic efficiency, avoid political influence, and better protect consumers. However, setting up independent authorities also poses political challenges and questions around their legitimacy, governance structures, financial resources, rulemaking powers, and use of sanctions.

1. 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

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

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

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

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

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

15. Price Index of Health Plans Source: IDEC CREMESP

20. A heterogeneous institutional status

23. Governance structures

24. Possibility of Instructions

25. Appeals

26. Appointment of Heads

27. Terms of Appointment

29. Financial Resources

43. Thank you for your attention