BIENESTAR:Reverse Engeneering AnalysisD4SB Group - IED Milano - Alberto Cottica - April 28, 2011
BRIEF:Reverse engineer the Bienestar economic engine, to validate their business model.
CHALLENGE:Understand current access to primary health care in Colombia, specifically inCaldas district.Primary health care...
HOW IT WORKS:Bienestar aims to provide affordable healthcare to the poor in Colombia.The model is based on the “Ser” syste...
RESEARCH...
Caldas•   Its part of the Paisa Region and its capital is Manizales.•   The population of Caldas is ~1 million, and its ar...
Reduction of Caldas’ population       Factors:estimated decrease of 0.2% annually   •   low birth ratebetween the years 20...
All rights reserved by Diego Torquemada Combined effect of mortality and migration In Caldas:                             ...
Reasons for migration:Scarcity in the labor markets of the municipalities.Profile:Mainly youth, between the age of 25 - 39...
Incidence of Poverty in Caldas According to the SISBENThe state of Caldas has a population of 974,514 inhabitants (June, 2...
Poverty incidence rate (the total number of poor over the total population):•   proportion of the population in extreme po...
All rights reserved by Diego TorquemadaCaldas should be characterized as a state with a poor population, but not indigent....
Caldas population by zone (June 20, 2009)•   Caldas: Total: 976,438 - Urban Center: 686,905 - Rural: 289,533•   Manizales:...
All rights reserved by Diego TorquemadaThe capital of Caldas, the city of Manizales, accounts for 40% of the total populat...
Villamaría•   ~50.000 inhabitants•   35.000 urban•   15.000 ruralRESEARCH
Professionals working in health industry in Vilamaria(rate per 1000 inhabitants)Doctors: 0,48         Dentists: 0,22Nurses...
Patients treated in 2009 by health institutions in VilamariaHospital San Antonio: 41.173      Centro Medico El Parque: 19....
THE NUMBERS...REVERSE ENGINEERING
Patients:According to our analysis, poor people suscribed to the Bienestar plan can save up to43 USD/year compared to regu...
Doctors:Doctors that only operate on their own clinics can get an average of 18% increase in theirsalary (14,9 times the m...
Bienestar:•   According to our analysis, Bienestar becomes economically sustainable on the    second year, but it doesn’t ...
Bienestar & doctors:•   Bienestar potential target should include doctors working for institutions as they can    earn ~59...
Bienestar & patients:•   Bienestar’s potential target is 33,550 persons which accounts for the 67% of the total    populat...
NEXT STEPS...
• State project goal• Identify actors (stakeholders map)• Interview guide / Ask questions  (what questions have not been a...
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Bienestar - Reverse Engeneering

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Presentation in which we try to analyze and reverse engineer the economic engine of the Bienestar Social Business in Caldas, Colombia.

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Bienestar - Reverse Engeneering

  1. 1. BIENESTAR:Reverse Engeneering AnalysisD4SB Group - IED Milano - Alberto Cottica - April 28, 2011
  2. 2. BRIEF:Reverse engineer the Bienestar economic engine, to validate their business model.
  3. 3. CHALLENGE:Understand current access to primary health care in Colombia, specifically inCaldas district.Primary health care = 1st point of visit.60% cheaper costs for services and medicine.
  4. 4. HOW IT WORKS:Bienestar aims to provide affordable healthcare to the poor in Colombia.The model is based on the “Ser” system in Argentina:• a ~$5 membership card for patients/year• access to a network of doctors and healthcare centers with 60% cheaper costs for services and medicine
  5. 5. RESEARCH...
  6. 6. Caldas• Its part of the Paisa Region and its capital is Manizales.• The population of Caldas is ~1 million, and its area is 7,291 km².• Part of the Colombian Coffee Grow Axis region along with 2 other departments.RESEARCH
  7. 7. Reduction of Caldas’ population Factors:estimated decrease of 0.2% annually • low birth ratebetween the years 2006 and 2020. • reduction of infant mortality • high life expectancy rate • national migratory patternsRESEARCH
  8. 8. All rights reserved by Diego Torquemada Combined effect of mortality and migration In Caldas: However, for every 4 births there are 3 1 death for every 3 births which means migrations, meaning very low population positive net natural growth. growth rate. (growth rate = natural growth – net migration). RESEARCH
  9. 9. Reasons for migration:Scarcity in the labor markets of the municipalities.Profile:Mainly youth, between the age of 25 - 39(Iinitially to the capital in search of opportunity, and later to other states or countries.)The combination of migration and mortality rates explains the population’s reduction in theyounger age groups (particularly 25-39 years old) and the growth in the older age groups.RESEARCH
  10. 10. Incidence of Poverty in Caldas According to the SISBENThe state of Caldas has a population of 974,514 inhabitants (June, 2008):• 250,169 inhabitants were registered in the SISBEN as Level 1 (extreme poverty)• 354,240 were registered as Level 2 (poor)(SISBEN assigns a score to the surveyed households based on: level and access toeducation, access to the labor market, living conditions, access to public services and tothe social security system.)RESEARCH
  11. 11. Poverty incidence rate (the total number of poor over the total population):• proportion of the population in extreme poverty (Level 1 / total population) is 25.7%• total poverty incidence of Caldas (Level 1 population + Level 2 population) is 62.0%3 out of every 5 inhabitants of Caldas are poor by definition of the SISBEN index.Caldas has one of lowest number of incidences of extreme poverty (Level 1) in Colombia.However, Caldas is the third state in the nation in Level 2 percentage, with a total of 36%,while the national total is only 25%.RESEARCH
  12. 12. All rights reserved by Diego TorquemadaCaldas should be characterized as a state with a poor population, but not indigent.Poverty is not homogeneously distributed; each of the territorial entities that make up theCoffee Axis exhibit a different composition of poverty levels.The Magdalena sub region registers a rate of extreme poverty 20 points higher than thestate’s average.Due to the better living conditions in Manizales, the true poverty levels of the municipalitiesof Caldas are disguised.RESEARCH
  13. 13. Caldas population by zone (June 20, 2009)• Caldas: Total: 976,438 - Urban Center: 686,905 - Rural: 289,533• Manizales: Total: 386,931 - Urban Center: 360,020 - Rural: 26,911• Villamaría: Total: 50,123 - Urban Center: 40,437 - Rural: 9,686RESEARCH
  14. 14. All rights reserved by Diego TorquemadaThe capital of Caldas, the city of Manizales, accounts for 40% of the total populationand is home to the greatest number of businesses, industrial, educational, andcommercial establishments of the state.RESEARCH
  15. 15. Villamaría• ~50.000 inhabitants• 35.000 urban• 15.000 ruralRESEARCH
  16. 16. Professionals working in health industry in Vilamaria(rate per 1000 inhabitants)Doctors: 0,48 Dentists: 0,22Nurses: 0,12 Nursing assistance: 0,78RESEARCH
  17. 17. Patients treated in 2009 by health institutions in VilamariaHospital San Antonio: 41.173 Centro Medico El Parque: 19.540 Public: 41.173Pasbisalud: 16.383 SOS Confamiliares: 6.803 Private: 45.320 Salud Total: n.dRESEARCH
  18. 18. THE NUMBERS...REVERSE ENGINEERING
  19. 19. Patients:According to our analysis, poor people suscribed to the Bienestar plan can save up to43 USD/year compared to regular prices this is a saving of ~42% more.ANALYSIS AND CONCLUSIONS
  20. 20. Doctors:Doctors that only operate on their own clinics can get an average of 18% increase in theirsalary (14,9 times the minimum wage).Doctors that operate inside institutions (private & public) can increase their salary anaverage of ~59% (6,0 times the minimum wage).ANALYSIS AND CONCLUSIONS
  21. 21. Bienestar:• According to our analysis, Bienestar becomes economically sustainable on the second year, but it doesn’t become finantially sustainable until it’s 4th year of existance.ANALYSIS AND CONCLUSIONS
  22. 22. Bienestar & doctors:• Bienestar potential target should include doctors working for institutions as they can earn ~59% more.ANALYSIS AND CONCLUSIONS
  23. 23. Bienestar & patients:• Bienestar’s potential target is 33,550 persons which accounts for the 67% of the total population of Villamaria.ANALYSIS AND CONCLUSIONS
  24. 24. NEXT STEPS...
  25. 25. • State project goal• Identify actors (stakeholders map)• Interview guide / Ask questions (what questions have not been answered)• Identify research methodologies to be used in the field.• Revise strategies with Marta• Talk to Felipe about projects / ideas / requests for the field trips (eg. interviews)

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