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FORTHCOMING

Reforming ISSSTESON’s Public Procurement for Sustainability

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This review analyses public procurement policies and practices of ISSSTESON, the institution providing health and pension services to the workers of the State Government of Sonora, Mexico. It benchmarks ISSSTESON practices against the 2015 Recommendation of the Council on Public Procurement to help the institute upgrade its procurement operations and increase efficiency, in a difficult financial environment. It also examines the revenue structure of the Institute and suggests reforms for the pension scheme, which is too generous compared to national and international experience.

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FORTHCOMING

The Revenue Structure of ISSSTESON

ISSSTESON (Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado de Sonora), an institution that provides medical and social security services to public workers in the state of Sonora, Mexico, faces a difficult financial conjuncture. A recent fact-finding mission revealed that one of the main concerns for ISSSTESON’s senior management is the lack of a stable revenue stream, which has resulted in issues of solvency for the institute, with delays in payments to suppliers. This situation has practical implications for its affiliates, and is likely to deteriorate unless reforms are introduced. ISSSTESON needs a comprehensive restructuring to ensure its financial stability. This chapter analyses ISSSTESON’s revenue structure, its recent evolution and its most important challenges, and offers recommendations to set it on the path toward financial sustainability.

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