Growing pains: the Nicaraguan social insurance health model in transition

  • Reference: P-1009-E

  • Year: 2000

  • Number of pages: 16

  • Geographic Setting: Nicaragua

  • Publication Date: Oct 1, 2000

  • Source: IESE (España)

  • Type of Document: Case

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Description

A consultant who has been contracted to draw up a report examining the feasibility of applying a model similar to that of the MSP (provisional health model, already operating within the INSS - Nicaraguan Institute of Social Security) to poor populations not covered by the INSS, reaches the conclusion that the model is not yet transferable as it may require urgent large-scale improvements. The case describes the MSP's progress: a 160% growth in the number of people enrolled in the program, a four-fold increase in the number of participating companies, a high level of user satisfaction, etc. Subsequently, it examines the problems in six areas: benefits, beneficiaries and registration, financing and expenses, payment systems, company selection and contracting, and provider networks.