General analysis of the contributive regime develompent in Colombia

Abstract

This study analyzes the main macroeconomic factors that have affected the optimal performance of the Contributive Regime in the General System of Social Security in Health. The political guidelines given by an international financing organization as World Bank which caused structural reforms in most of the Latin American countries at the end of the 80s and at the beginning of the 90s are being reviewed. Later, the results of the main macroeconomic indicators with a direct relation to Contributive Regime such as GIP behavior, employment statistics, public and private expenses in health, among others, are reviewed and related among themselves in order to identify possible failures that have limited the growth in affiliations by potential populations. Then, this study analyzes the behavior of Contributive Regime domestic indicators, which determine their appropriate dynamics, such as family and salary density, equity regarding the value of the Payment Unit by Capitation of the Contributive Regime regarding the Subsidy Regime and the partial subsidies created by Agreement 267 of 2004 by the National Council of Social Security in Health, and made them in Law 1122 of 2007. Finally, it analyzes the results of the main five EPS, as well as two of the most important health company holdings in the country.