Unisalute – the company specialising in health insurance policies for the Unipol Group – has repeatedly and unsuccessfully tried to extend its services to local administrations in Italy to respond to the structural changes that have taken place in the local society in the last twenty years: demographic aging, transformation of the labour market, increase of the costs of public health and diversification of demand. The interested parties of Unisalute and Unipol have therefore commissioned PlusValue to look for a new solution, creating favourable conditions for public administration to accept a pilot project.