ENTIDAD PROMOTORA DE SALUD MALLAMAS E P S INDIGENA

What ENTIDAD PROMOTORA DE SALUD MALLAMAS E P S INDIGENA does

Mallamas EPS-I (ENTIDAD PROMOTORA DE SALUD MALLAMAS E P S INDIGENA) is a Colombian Entidad Promotora de Salud organized as a non-profit indigenous public-law entity under Law 691 of 2001, founded in 1995 by indigenous leaders from the Pastos community in the Resguardo Indígena de Muellamues (municipality of Guachucal, Nariño). It administers both subsidized and contributory health-insurance regimes on behalf of 353,425 affiliates (334,244 subsidized and 19,181 contributory, of which 69% of the subsidized base is indigenous), serving 44 indigenous peoples through more than 500 Resguardos, Cabildos and Indigenous Partialities. Operating authorization was confirmed by Supersalud Resolution 547 of 2001 and Resolution 301 of 2008, with capacity expanded to 672,550 affiliates across 15 departments under Resolution 001000 of 10 June 2014; the entity currently operates in 11 departments and 61 municipalities and is not subject to any special surveillance measure.

The entity's core differentiator is the proprietary TEMPIAS (Modelo Propio e Intercultural) health-management model, which integrates Western medicine with traditional indigenous practices (parteras, sobadores, shamanic healing) within the SISPI framework. Its product surface is composed of member-facing digital services (Oficina Virtual, Consulta de Afiliados, Portabilidad portal, Actualización de Datos), a national provider network portal (Red de Prestadores) covering 19 service categories, a Power BI dashboard for care nodes organized by health-condition groupings, and back-office systems for appointments (Citas y Control de Tecnologías), billing (Radicación de Cuentas), claims (SIGIRES), and service authorizations. The platform integrates with government systems including SAT (affiliation), Mipres (prescriptions), ADRES (capitation funding), and SISBEN (eligibility classification), supplemented by Microsoft Forms satisfaction surveys and SARLAFT/SICOF compliance modules.

Revenue is generated almost entirely through Unidad de Pago por Capitación (UPC) capitation payments received from the Colombian government via ADRES for each affiliated member under the subsidized regime, with secondary flows from contributory-regime contributions and compensation-fund distributions (Ley 100 de 1993) to its contracted provider network. Pricing is fully regulated; copayments and moderating fees are set by Ministry of Health resolution. Customer acquisition is community-led, channeled through indigenous authorities and Resguardos, and supplemented by 61 municipal offices, a national 24/7 toll-free line (01 8000 913 701), and digital self-service. Recent growth has been driven primarily by government-mandated transfers of affiliates from liquidated EPS (Convida 2022, Comfamiliar Huila 2022, Asmet Salud 2023) and by expansion into Norte de Santander and Santander.

Name

ENTIDAD PROMOTORA DE SALUD MALLAMAS E P S INDIGENA

Legal name

ENTIDAD PROMOTORA DE SALUD MALLAMAS EPS INDIGENA

Website

https://mallamaseps.com

Company type

Private

Founded year

1995

Operating status

Operating

Headcount range

1–10 employees

Short description

Mallamas EPS-I is a Colombian indigenous-owned, non-profit health insurance entity administering subsidized and contributory plans for 353,425 affiliates — 69% indigenous across 44 peoples — using the proprietary TEMPIAS intercultural care model within the national health system.

Ownership category

akta.pro rank

Product category

Managed Health Care Insurance

NAICS

Health and Welfare Funds (525120)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Health Systems Strengthening & Global Health Technical Assistance (BPADAEAH)

akta.pro secondary industry

Territorial/Island Health Departments (HLAJAAAE)

Keywords

• Health insurance services
• Indigenous healthcare administration
• Subsidized health regime
• Intercultural medicine model
• EPS administration Colombia

Headquarters

HQ city

Ipiales

HQ country

Colombia

HQ region

Latin America

Offices8 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Supply Chain, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Subsidized Regime (Regimen Subsidiado): Revenue is generated through the Unidad de Pago por Capitacion (UPC) from the government for each affiliated member in the subsidized regime. The EPS receives per capita payments to cover the benefits plan for population that cannot afford contributions.
2. Contributory Regime (Regimen Contributivo): Revenue from contributions made by employed individuals and pensioners, managed through the ADRES system, with per capita payments covering the benefits plan.
3. Compensation Fund (LMA - Ley 100 de 1993): Managed compensation fund resources distributed to the network of health service providers based on services rendered to the affiliated population.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

Mallamas EPS-I is an indigenous-owned Colombian health insurance entity that administers the Plan de Beneficios en Salud for affiliated members under the Subsidized Regime (Régimen Subsidiado) and the Contributory Regime (Régimen Contributivo) of the SGSSS. It contracts and manages a national network of healthcare providers delivering clinical, hospital, diagnostic, pharmaceutical, mental health, maternal-perinatal, oncology, and transport services, while operating the TEMPIAS intercultural model that integrates Western medicine with traditional indigenous healing practices (parteras, sobadores, shamanic healing) within the SISPI framework.

Product overview

Mallamas EPS-I is an Indigenous Health Promoting Entity operating as a specialized public non-profit organization authorized and supervised by Colombia's National Health Superintendent. The entity offers a comprehensive healthcare administration platform serving both subsidized and contributory regimes across 11 departments and 61 municipalities in Colombia. The product portfolio centers on the web-based Oficina Virtual for member self-service, complemented by specialized systems for appointments (Citas y Control de Tecnologías), billing (Radicación de Cuentas), and service authorizations. The Red Nacional de Servicios de Salud provides a nationwide provider network organized by health condition groupings, supported by the Nodos de Atención por Agrupadores care coordination system. The organization operates under the intercultural healthcare model TEMPIAS and SISPI framework, integrating Western medicine with indigenous traditional practices. Key digital services include the member rights verification portal (Consulta de Afiliados), portability services, data update functionality, and compliance systems (SARLAFT/FPADM and SICOF) for regulatory adherence. The entity manages affiliated populations of 334,244 members (69% indigenous) plus 19,181 in the contributory regime, totaling 353,425 members.

Differentiator

Problem solved

Functional benefit

Products and services

• Subsidized Regime Health Insurance (Régimen Subsidiado) Health insurance coverage for low-income Colombians who cannot afford contributory contributions, financed through per-capita Unidad de Pago por Capitación (UPC) payments from the government via ADRES. Covers the full Plan de Beneficios en Salud and serves 334,244 members, of whom 69% are indigenous.
• Contributory Regime Health Insurance (Régimen Contributivo) Health insurance for employed individuals and pensioners whose contributions flow through ADRES, with per-capita payments covering the Plan de Beneficios en Salud. Serves 19,181 members.
• Modelo Propio e Intercultural TEMPIAS Culturally appropriate healthcare delivery that integrates Western medicine with traditional indigenous practices such as parteras (midwives), sobadores (massage therapists), and shamanic healing within the SISPI framework. Available to all affiliated members and forms the cultural foundation of the EPS.
• Red Nacional de Servicios de Salud (National Provider Network) National healthcare provider network covering hospitals, clinics, diagnostic imaging centers, clinical laboratories, pharmacies, medical device suppliers, ophthalmology/optometry, oxygen supply, and medical transport (ground, air, river). Active across 16 departments.
• Nodos de Atención por Agrupadores (Care Nodes by Health Groupings) Care nodes organized by health condition groupings covering maternal-perinatal care, cardiovascular-metabolic conditions, mental health, adult and pediatric cancer, HIV, rheumatoid arthritis, rare diseases, and vector-borne diseases.
• Oficina Virtual (Virtual Office Portal) Self-service web portal allowing affiliated members to download affiliation certificates, update personal data, request service authorizations, and manage health-related administrative procedures online.
• Portal de Portabilidad (Portability Portal) Portability service allowing members who have temporarily changed residence to access health services anywhere in the Colombian national territory through Mallamas EPS-I's network.
• Red Integral e Integrada de Salud por Agrupadores (Power BI Transparency Dashboard) Interactive Power BI-based visualization dashboard showing the integrated national health service network organized by health condition groupings, enabling public transparency and monitoring of service delivery.
• Consulta de Afiliados (Member Rights Verification) Member rights verification system allowing users to check their affiliation status, coverage details, and entitlement information online.
• Citas y Control de Tecnologías (Appointment Scheduling and Medical Technology Control) Appointment scheduling and medical device utilization tracking system for managing healthcare appointments and medical technology control within the provider network.
• Radicación de Cuentas (Account Filing and Billing System) Account filing and billing management system for healthcare providers in the network to submit and track their service claims and invoices.
• Solicitud de Autorización de Servicios de Salud y envío de IAIU (Health Service Authorization and IAIU Submission) Health service authorization request system and IAIU (Instituciones Adecuadas para la Prestación de Servicios de Salud) submission portal for managing provider access requests and member service authorizations.
• Referencia y Contrareferencia (Patient Referral System) Patient referral and counter-referral system for coordinating patient transfers between different levels of healthcare providers within the network.
• Actualización de Datos (Member Data Update Service) Online service allowing affiliates or family members to update contact information and residence details through an online form.
• PQRS System (Petitions, Complaints, Claims, Suggestions, Requests, Congratulations) Member feedback and grievance handling system for petitions, complaints, claims, suggestions, requests, and congratulations, ensuring user voice in service improvement.
• Plan de Beneficios en Salud (Health Benefits Plan Information) Information service detailing all covered services and technologies financed through the Per Capita Payment Unit (UPC), available as downloadable PDF documentation for members.
• COVID-19 Information Portal Dedicated COVID-19 information section providing members with essential information about coronavirus symptoms, prevention, testing, and vaccination guidance.
• SARLAFT/FPADM and SICOF Compliance Systems Anti-Money Laundering and Terrorism Financing Risk Administration System (SARLAFT/FPADM) and Weapons of Mass Destruction Financing prevention, alongside the SICOF Corruption, Opacity and Fraud Risk Administration Subsystem for regulatory compliance.
• SISPI (Sistema Indigena de Salud Propia e Intercultural) Indigenous Own and Intercultural Health System operating in conjunction with the General System of Social Security in Health, incorporating traditional medicine and cultural practices as the framework for indigenous care delivery.

Quantifiable outcome

• 334,244 affiliated members in subsidized regime representing 44 indigenous peoples across Colombia
• +2 more outcomes

Named customers6 records

Segments1 record

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration10 records

Feature1 record

Partnerships

Five partnerships are on record, tiered core.

• Superintendencia Nacional de SaludcoreOthersPrimary regulatory authority that authorizes, supervises, and controls Mallamas EPS-I operations. Issues operational authorizations (Resolucion 547 of 2001, Resolution 301 of 2008, Resolution 01677 of 2007) and monitors compliance with health regulations.
• Ministerio de Salud y Proteccion SocialcoreOthersNational government ministry that establishes health policy, the Plan de Beneficios en Salud (PBS), UPC values, and regulatory framework. Operates the Sistema de Afiliacion Transaccional (SAT) platform used for member enrollment.
• SISBEN (Sistema de Identificacion y Clasificacion de Potenciales Beneficiarios para Programas Sociales)coreOthersGovernment system used to classify and identify potential beneficiaries for subsidized health coverage. Essential for determining eligibility of new affiliates to Mallamas EPS-I subsidized regime.
• ADRES (Administradora de los Recursos del Sistema General de Seguridad Social en Salud)coreOthersGovernment administrator that manages and distributes healthcare funding (UPC contributions) to EPS entities. Processes capitation payments and compensation fund transfers to Mallamas EPS-I provider network.
• Resguardos Indigenas SocioscoreStrategic or Co-development PartnerIndigenous Resguardos are the owners and founding members of Mallamas EPS-I. These indigenous territories govern the EPS and determine strategic direction. Over 500 Resguardos, Cabildos and Partialidades participate in the ownership structure.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Mutual SER EPS: Colombian EPS with mutual/cooperative origins serving predominantly subsidized-regime affiliates in underserved regions. Operates a similar non-profit solidarity-entity structure and shared capitation revenue model with Mallamas.
• Dusakawi EPS-I: Indigenous EPS operating in Colombia under Law 691 of 2001, owned by indigenous communities and offering culturally adapted care under the SISPI framework. Comparable in EPS-I classification, member-base scale, and reliance on UPC capitation for subsidized affiliates.
• Coosalud EPS: Major Colombian EPS founded as a cooperative (similar solidarity-enterprise origins to Mallamas) with heavy exposure to the subsidized regime and a comparable population base. Operates under the same UPC capitation framework and SGSSS regulatory regime.
• Anas Wayuu EPS-I: Colombian indigenous EPS authorized under Law 691 of 2001 serving the Wayuu people, with the same EPS-I structure and indigenous-governance model as Mallamas. Operates the same subsidized-regime capitation model with intercultural care focus, making it the most directly comparable peer.
• Asociación Indígena del Cauca (AIC) EPS-I: Indigenous EPS in the Cauca department recently under liquidation proceedings, with affiliate transfers directed to Mallamas and other EPS-I. Highly comparable in EPS-I legal status, indigenous community ownership, and subsidized-regime model, illustrating the structural migration of indigenous affiliates to Mallamas.
• Pijaos Salud EPS-I: Colombian indigenous EPS serving the Pijao and other indigenous peoples in the Tolima region. Shares the EPS-I legal status, indigenous community ownership structure, and subsidized-regime revenue model with Mallamas.

Broad incumbents

• Sura EPS: Major Colombian EPS operated by Grupo Sura, with diversified regime exposure and provider-network integration. Comparable in operating under the SGSSS framework and receiving UPC-based capitation, but with broader geographic and segment coverage.
• Sanitas EPS: Major Colombian EPS under Keralty/Grupo Bolivar, one of the leading private EPS entities. Comparable as an SGSSS-licensed health plan administrator relying on UPC capitation, but operates at national scale across both regimes with broader commercial positioning.
• Nueva EPS: Largest state-owned Colombian EPS serving both subsidized and contributory regimes nationwide. A broad incumbent comparable in the SGSSS capitation model and beneficiary population, though at significantly greater scale and without indigenous specialization.

Regional players

• Savia Salud EPS: Regional EPS focused primarily on Antioquia with a subsidized-regime orientation and not-for-profit origins. Operates under the same SGSSS capitation framework as Mallamas but with regional rather than multi-department geographic concentration.

Market position

Strengths1 record

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/entidad-promotora-de-salud-mallamas-e-p-s-indigena

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about ENTIDAD PROMOTORA DE SALUD MALLAMAS E P S INDIGENA