Accuracy and periodic update of the benefits plan |
Unclear spectrum of services covered by the benefits plan; plan outdated since its creation (1994) |
Four updates to the benefits plan since the T-760 ruling (2009, 2011, 2013, 2015, and 2017) |
No internal procedure for authorizing services (other than medicines) not included in the benefits plan |
An internal procedure for authorizing services not included in the benefits plan has been created |
Increasingly high numbers of tutelas regarding health care (more than 40% of all tutelas) |
The growing tendency of health care tutelas stopped for a while (23.74% in 2014); now there is a “new wave” with different triggers |
Progress related to the unification of the contributory and subsidized benefits plans |
The benefits plans of the contributory and subsidized regimes were not equitable |
The benefits plans are the same for both regimes (for children since 2009, for everybody since 2012) |
Advances related to the availability of complete, clear, and timely information at the moment of users’ affiliation with health care providers |
Substantial information asymmetry; little knowledge about benefits, rights, and the performance of the health care providers |
Creation of a “patients’ bill of rights” and a “performance chart for health care providers” (2009) Progress in the creation of a ranking of health care providers |
Advances related to universal health coverage throughout the national territory |
In 2008, 83.26% of the Colombian population was affiliated with a health care provider |
In 2016, 95.6% of the Colombian population was affiliated with a health care provider |