Abstract

MOLINA-MARIN, Gloria; VARGAS-JARAMILLO, Julián; BERRIO-CASTANO, Argiro  and  MUNOZ-MARIN, Diana Patricia. Characteristics of the Contracting out process between insurers and hospitals; Medellín 2007-2008. Rev. Gerenc. Polit. Salud [online]. 2010, vol.9, n.18, pp.10-115. ISSN 1657-7027.

Objective: to describe the characteristics of the health service contracting out process between Administrator Entities of Benefit Plans – health Promoting Entities and Territorial Entities- with public and private Health Service Providers of Medellin city, between 2007 and 2008. Methodology: a descriptive, exploratory methodological approach was used to analyze a sample of the contract's minutes and a qualitative approach to identify the relevant aspects of the negotiation process and the relationship between contractors and contracting parties in the development of the contracts. Main finding: the contract is a source of ongoing inter-institutional stress during the negotiation, development, and ending phases affected by the exercise of the underwriter´s dominant position of the health insurers opposed to the purpose of willing agreement guaranteeing effective access to health service.

Keywords : Interinstitutional Relations; Bargaining; Health Insurer; Health Services; Health Reforms; Privatization; Interorganizational Relations; Health services; Insurance Companies Health Care Reform; Medellin (Colombia) 2007-2008; Interinstitutional Relations; Bargaining; Health Insurer; Health Services; Health Reforms; Privatization; Interorganizational Relations; Health services; Insurance Companies Health Care Reform; Medellin (Colombia) 2007-2008.