Objective:

To describe the mechanisms of allocation and purchase of the Seguro Popular program, the way they operate and how are controls applied.To discuss incentive schemes that can improve performance in general, strengthen primary care and improve access to specialty hospitals.

Materials and methods:

The 2014 reforms to the General Health Law are evaluated to understand their intent, which is to strengthen State systems and the relationship with the Federal authority. Options for allocation mechanisms to encourage better primary care and access to specialty treatments towards are discussed, to guarantee access to health services.

Conclusions:

To make State schemes of social protection in health agents for the expansion of services, the programmatic approach shall be replaced to achieve a more effective relationship between the Federation and the States.

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