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 journalArticlepeer-review


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
Number of pages22
JournalOrganization and Environment
Issue number4
Early online date11 May 2016
Publication statusPublished - 1 Dec 2016

Bibliographical note

© 2016 SAGE Publications


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

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