The Evolution of Health Benefits Packages in Colombia: Thirty Years of Successes and Failures

Health benefits packages in Colombia—what is covered, by whom, and at what cost—have evolved over the past thirty years. Coverage changed from two explicit health benefits packages (with benefits linked to ability to contribute) to an implicit approach that covers, in theory, everything for everyone...

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Bibliographic Details
Main Authors: Marcela Brun Vergara, Johnattan Garcia Ruiz, Javier Guzman
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Health Systems & Reform
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Online Access:https://www.tandfonline.com/doi/10.1080/23288604.2024.2343174
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Summary:Health benefits packages in Colombia—what is covered, by whom, and at what cost—have evolved over the past thirty years. Coverage changed from two explicit health benefits packages (with benefits linked to ability to contribute) to an implicit approach that covers, in theory, everything for everyone, excluding a narrow negative list of services and health technologies. This article explores the evolution of priority setting in Colombia during two periods of major reform. Each period had its own advantages and disadvantages associated with different institutional arrangements, processes, and methodologies. Colombia’s evolution provides several lessons for other low- and middle-income countries interested in institutionalizing evidence-based priority-setting.
ISSN:2328-8604
2328-8620