Business Model Innovation for Inclusive Health Care Delivery at the Bottom of the Pyramid

Federica Angeli*, Anand Kumar Jaiswal

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

43 Citations (Web of Science)


This article investigates business models innovation for delivering health care at the base of the pyramid (BoP). The examination of six health care organizational cases suggests that co-creation of patient needs, community engagement, continuous involvement of customers, innovative medical technology, focus on human resources for health, strategic partnerships, economies of scale, and cross-subsidization are business model innovation strategies that enable inclusive health care delivery. Based on these findings, we propose a four-dimensional framework. A process of value discovery, leading BoP patients and communities to recognize a health need and seek for an acceptable treatment, precedes the identification of a successful value proposition. Value creation and value appropriation then follow to warrant patient affordability and organizational sustainability. A "business model mechanism" for BoP health care hence emerges, where interdependencies among these dimensions are highlighted. This article sheds new light on how market-based approaches can improve equitable health care access and hence contribute to poverty alleviation.
Original languageEnglish
Pages (from-to)486-507
JournalOrganization & Environment
Issue number4
Publication statusPublished - Dec 2016


  • health care
  • business model innovation
  • base of the pyramid (BoP)
  • emerging economies

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