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Equilibrio financiero y prima del seguro de salud en Colombia (UPC), 1996-2007

Author

Listed:
  • Restrepo, Jairo Humberto
  • Mejia, Aurelio

Abstract

Resumen: la unidad de pago por capitación -UPC- es la prima del seguro en el sistema de seguridad social en salud de Colombia, y constituye la principal variable del mercado regulado del que hacen parte los agentes administradores del seguro y los prestadores de servicios. En el régimen contributivo, el comportamiento de la UPC ha estado asociado a la dinámica de los ingresos netos para financiar la atención de la población, con menores consideraciones sobre el costo del plan de beneficios. En el régimen subsidiado, el ajuste de la UPC ha tenido en cuenta en mayor medida los gastos de atención, reconociendo en particular el incremento en la demanda por atenciones costosas. Los saldos acumulados en ambos regímenes permitirían considerar la ampliación del plan de beneficios o de la cobertura, previa definición del saldo óptimo para atender contingencias.

Suggested Citation

  • Restrepo, Jairo Humberto & Mejia, Aurelio, 2007. "Equilibrio financiero y prima del seguro de salud en Colombia (UPC), 1996-2007," Perfil de Coyuntura Económica, Universidad de Antioquia, CIE, July.
    • Handle: RePEc:col:000165:005045
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    File URL: http://aprendeenlinea.udea.edu.co/revistas/index.php/coyuntura/article/view/2324/1896
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    Citations

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    Cited by:

    1. Grupo de Economía de la Salud & Jairo Humberto Restrepo, 2012. "Implicaciones económicas y fiscales de la cobertura universal en salud," Observatorio Seguridad Social 15578, Grupo de Economía de la Salud.
    2. Grupo de Economía de la Salud & Jairo Humberto Restrepo, 2011. "Evolución de la Seguridad Social en Salud en Colombia: avances, limitaciones y retos," Observatorio Seguridad Social 15580, Grupo de Economía de la Salud.

    More about this item

    Keywords

    unidad de pago por capitación; seguro de salud; sistema de seguridad social en salud; prima del seguro;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • G22 - Financial Economics - - Financial Institutions and Services - - - Insurance; Insurance Companies; Actuarial Studies
    • G32 - Financial Economics - - Corporate Finance and Governance - - - Financing Policy; Financial Risk and Risk Management; Capital and Ownership Structure; Value of Firms; Goodwill

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