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    Salient Features of Universal Health Care

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    Nezer Soriano
    The document outlines the key features and actions of universal health care in the Philippines. It provides population coverage for all Filipinos through a national health insurance program. It guarantees services coverage for preventive, promotive, curative, rehabilitative, and palliative care with a priority on primary care services. Financing is provided through pooling government funds and providing matching grants to local governments to cover individual health services and population-based services, respectively.

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    Salient Features of Universal Health Care

    Uploaded by

    Nezer Soriano
    334 views1 page
    The document outlines the key features and actions of universal health care in the Philippines. It provides population coverage for all Filipinos through a national health insurance program. It guarantees services coverage for preventive, promotive, curative, rehabilitative, and palliative care with a priority on primary care services. Financing is provided through pooling government funds and providing matching grants to local governments to cover individual health services and population-based services, respectively.

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    Salient Feautres of UHC in the Philippines

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    The document outlines the key features and actions of universal health care in the Philippines. It provides population coverage for all Filipinos through a national health insurance program. It guarantees services coverage for preventive, promotive, curative, rehabilitative, and palliative care with a priority on primary care services. Financing is provided through pooling government funds and providing matching grants to local governments to cover individual health services and population-based services, respectively.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    334 views1 page

    Salient Features of Universal Health Care

    Uploaded by

    Nezer Soriano
    The document outlines the key features and actions of universal health care in the Philippines. It provides population coverage for all Filipinos through a national health insurance program. It guarantees services coverage for preventive, promotive, curative, rehabilitative, and palliative care with a priority on primary care services. Financing is provided through pooling government funds and providing matching grants to local governments to cover individual health services and population-based services, respectively.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Salient Features of Universal Health Care

    OUTCOME:

    - Population Coverage: All Filipinos deemed members of the national health insurance program
    either as direct contributory members (with capacity to pay) and indirect contributory
    members (all others.)
    - Service Coverage: All Filipinos have access to preventive, promotive, curative, rehabilitative,
    and palliative care with primary care services as priority.
    - Financial Coverage: All Filipinos are guaranteed zero co-payments for basic/ward
    accomodations and fixed co-payment for non-basic admission in government hospitals.

    ACTIONS:

    Financing

    - Pooling funds from various government sources such as PAGCOR and PCSO into Philhealth for
    individual-based health services and providing matching grants to local government units by
    DOH for population-based health services.
    - Creating a special health fund to earmark health resources, including income from Philhealth,
    in province-wide and city-wide health systems.

    Service Delivery

    - Designating a primary care provider for every Filipino and providing comprehensive primary
    care benefit (outpatient consultation and drugs) within the first 2 years of the implementation
    of the law.
    - Consolidating fragmented local health systems into province-wide and city-wide health
    systems exhibiting management integration in 3 years, and financial integration in 6 years.
    - Transforming the Health Promotion and Communication Service into a Health Promotion
    Bureau and designating all Department of Education (DepEd) schools as health settings.

    Regulation

    - Regulating co-payments and co-insurance in all public hospitals


    - Mandating basic and non-basic accommodation bed ration of 90:10 for government
    hospitals, 70:30 for specialty hospitals and at least 10:90 for private facilities.
    - Requiring return service of 3 years for all government-funded medical and allied health
    scholars.

    Governance

    - Institutionalizing Health Technology Assessment, Health Impact Assessment, and other


    evidence-based mechanisms to inform decision-making in the health sector.
    - Requiring all public and private healthcare entities to (1) submit health-related and financial
    data (2) make readily accessible to the public prices of all health services and goods being
    offered.

    Performance Accountability

    - Establishing mechanisms to monitor and evaluate progress of programs, plans and actions

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