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La integración vertical en el sistema de salud colombiano

Author

Listed:
  • Jairo Humberto Restrepo

    (Universidad de Antioquia)

  • John Fernando Lopera

    (Universidad de Antioquia)

  • Sandra Milena Rodríguez

    (Universidad del Norte)

Abstract

Vertical integration in the health sector refers to the government structure designed to coordinate and control attention services in the different states of the value chain, and to facilitate the collaboration and communication between the suppliers. In Colombia, the vertical integration allows insurers (EPS) to provide health services directly through their own centers of attention (IPS). This situation has motivated the EPS to create their own IPS and other modalities of vertical integration or control. This article offers a model of double marginalization for only one EPS and one IPS, and concludes that when the insurance company practices vertical control toward the lender, the benefits are larger than in a scheme of independent firms; also, the final price of the integrated scheme is smaller.

Suggested Citation

  • Jairo Humberto Restrepo & John Fernando Lopera & Sandra Milena Rodríguez, 2007. "La integración vertical en el sistema de salud colombiano," Revista de Economía Institucional, Universidad Externado de Colombia - Facultad de Economía, vol. 9(17), pages 279-308, July-Dece.
    • Handle: RePEc:rei:ecoins:v:9:y:2007:i:17:p:279-308
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    File URL: http://www.uexternado.edu.co/facecono/ecoinstitucional/workingpapers/jrestrepo17.pdf
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    References listed on IDEAS

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    Cited by:

    1. Ligia Alba Melo-Becerra & Luis E. Arango & Oscar Iván Ávila-Montealegre & Jhorland Ayala-García & Leonardo Bonilla-Mejía & Jesús Alonso Botero-García & Carolina Crispin-Fory & Manuela Cardona & Daniel, 2023. "Aspectos financieros y fiscales del sistema de salud en Colombia," Revista ESPE - Ensayos sobre Política Económica, Banco de la Republica de Colombia, issue 106, pages 1-92, October.
    2. Angulo Amaya, Maria Camila, 2024. "Criminal governance and public resources: The case of paramilitaries and health care provision in Colombia," World Development, Elsevier, vol. 179(C).
    3. Juan Regino Maldonado & Wen Yali & Frederick Cubbage & Patricia Regino Maldonado, 2017. "Forest Resources in the Performance of Mexican Community Forest Enterprises in a Vertical Integration System," International Journal of Sciences, Office ijSciences, vol. 6(09), pages 1-15, September.
    4. Ligia Alba Melo-Becerra & Diego Vásquez-Escobar & María Isabel Alarcón-Obando & Giselle Tatiana Silva-Samudio, 2024. "Empresas Promotoras de Salud en Colombia: Gestión del riesgo en salud, eficiencia técnica y solidez financiera," Borradores de Economia 1272, Banco de la Republica de Colombia.
    5. Sandra Rodriguez A., 2015. "Poder de monopsonio en el mercado de aseguramiento en salud en Colombia," Revista de Economía del Caribe 14779, Universidad del Norte.
    6. 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.

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    More about this item

    Keywords

    health economics; industrial organization; vertical integration; health care insurance; profits; prices;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • L22 - Industrial Organization - - Firm Objectives, Organization, and Behavior - - - Firm Organization and Market Structure

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