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. 2018 Jun;20(1):133–145.

Table 1.

Ten years after T-760

2008 2018
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Unclear spectrum of services covered by the benefits plan; plan outdated since its creation (1994) Four updates to the benefits plan since the T-760 ruling (2009, 2011, 2013, 2015, and 2017)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