Montenegro Torres, FernandoBernal Acevedo, Oscar2013-05-022013-05-022013-01https://hdl.handle.net/10986/13285This case study provides an overview of the contribution of Colombia's compulsory health insurance, particularly its Subsidized Regime (SR), to universal health care coverage in the country, and the current challenges the SR faces. The case study is based on discussions with stakeholders from academia and the public and private sectors. The report is divided into four sections: (1) country context and health outcomes; (2) the SR within the institutional architecture of the national health insurance system; (3) the subsidized regime: considerations on equity in the context of the public debate on the right to health care in Colombia; and (4) policy decisions and key areas of the agenda for the short and medium term.0en-USCC BY 3.0 IGOaccess to health care servicesaccess to health servicesaccess to primary health careaccess to servicesadministrative costsAdult mortalityAdult mortality rateagedagingambulatory servicesbasic health servicesbirth ratecapitationcardiovascular diseasescatastrophic expenditureChild Healthchild mortalitychronic conditionscitiescitizenscivil rightsClinicscommunicable diseasescommunity healthcommunity health carecompetition among providerscomplicationscosts of treatmentdeath ratedeathsdebtdecision makingDelivery of Health Caredelivery of health servicesdemand for healthdemand for health careDemographic projectionsDemographic Transitiondeveloping countriesDevelopment PolicydiabetesDisabilitydoctorseconomic growthelderlyelderly peopleemploymentequitable access to health careExpendituresfamiliesfertilityfertility ratefertility ratesfinancial protectionFinancial Resourcesfinancial risksHealth Affairshealth carehealth care facilitieshealth care networksHealth Care Providershealth care reformHealth Care Serviceshealth care systemHealth CoverageHealth DataHealth EconomicsHealth ExpenditureHealth Expenditureshealth facilitieshealth insurance coveragehealth insurance marketHealth Insurance SchemesHealth Insurance Systemhealth interventionsHealth OrganizationHealth Outcome Indicatorshealth outcomeshealth planHealth Planshealth policyhealth promotionhealth providersHealth Reformhealth sectorhealth sector reformhealth serviceshealth systemhealth system performancehealth systemshealth workershealthcare servicesHIV/AIDShospital administratorshospital bedsHospital Revenueshospital serviceshospitalsHousehold IncomeHuman Developmenthuman resourcesHuman resources managementHuman Rightshypertensionill healthimmunizationincomeincome countriesincome distributionincome householdsindexesindigenous peopleinduced demandInfantInfant MortalityInfant mortality rateinpatient careinsurance arrangementsinsurance companiesinsurance planlawslife expectancyLife expectancy at birthlive birthslocal authoritieslocal governmentsmalariamaternal mortalityMedical Insurancemedical staffmedicinesMillennium Development GoalsmorbidityMortalityMunicipal authoritiesnational governmentNational HealthNational Health ExpenditureNational Health ExpendituresNational Health Insurancenational levelnational prioritiesnational securityNumber of birthsNumber of deathsNursesnutritional needsobesityold ageolder adultsoutpatient servicespatientpatientsPhysicianphysiciansPolicy DecisionsPolicy Dialoguepolicy makerspregnant womenprevention interventionsprimary careprimary health careprimary health care servicesprivate health insurancePrivate insuranceprivate sectorprivate sectorsprivate spendingprogressprovision of careprovision of health careprovision of health servicesprovision of servicesPublic DebatePublic HealthPublic Health CarePublic Health Insurancepublic health interventionspublic health servicespublic hearingsPublic HospitalPublic hospitalspublic policypublic providerspublic sectorPublic Servicespublic spendingpurchasing powerpurchasing power parityquality controlquality servicesregulatory frameworksRight to Health Carerisk adjustmentrisk factorsrural areasScreeningsecurity situationSocial Health Insurancesocial insuranceSocial SecuritySocial ServiceSocial ServicesSocial StudiessyphilisTuberculosisUNFPAuniversal accessurban areasuse of health servicesworkersWorld Bank10.1596/13285