INTRODUCTION:
Neoliberal doctrine is characterized by economic openness, fragmentation among workers, reduction of public spending, and privatization of state-owned enterprises. New management models emerge as a solution to the intentional belief in inefficient and costly public administration. Among the indirect management models, we will highlight the role of the Brazilian Hospital Services Company (EBSERH), a state-owned company created in 2011 exclusively for the management of university hospitals in Brazil. Private management emerges as a strategic response to the absence of public policies in the areas of education and health, marked by historical underfunding and scarcity of human resources.

METHODS:
This is documentary research, based on document and content analysis. A qualitative approach aims to map indicators of EBSERH's reach in the country and to point out whether its management presents better results when compared to public management.

RESULTS:
2024 data indicates that 45 hospitals (88% of the total in the country) have adopted the new management model, hiring 47,400 public employees, maintaining the number of beds, and showing little change in the volume of consultations compared to the period before its creation. There is a significant increase in the number of surgeries (82%), hospitalizations (30%), and residency programs (52%). Financial transfers from the federal government to teaching hospitals show a 196% increase compared to the previous model.

CONCLUSIONS:
The indicators point to almost total adherence of university hospitals to the new management model, as a response to the chronic crisis experienced due to underfunding in healthcare and the commodification of public policies. Despite increased productivity, the data reflect the transfer of public revenue to the private sector and the precarious employment of public health workers, which aligns with the austerity measures advocated within current public policies.