1) The document outlines PhilHealth's strategic goals to achieve universal healthcare in the Philippines, including financial risk protection through expanded enrollment, improved access to quality healthcare facilities, and attainment of health-related UN Millennium Development Goals.
2) PhilHealth's vision is for "Every Filipino [to be] a Member, Every Member Protected, Our Health is Secure" and its mission is to provide "Fair Benefits for Every Member, Quality Service for All."
3) PhilHealth aims to enroll the entire population for basic healthcare needs coverage and contribute to all medical transactions so patients can utilize benefits packages without financial fears of illness.
PhilHealth Benefits: National Health Insurance Program. Philippine Labor Law requires employers to contribute for the health insurance coverage of their employees through PhilHealth.
The foregoing proposed Constitution of the Republic of the Philippines was approved by the Constitutional Commission of 1986 on the twelfth day of October, Nineteen hundred and eighty-six, and accordingly signed on the fifteenth day of October, Nineteen hundred and eighty-six at the Plenary Hall, National Government Center, Quezon City, by the Commissioners whose signatures are hereunder affixed.
This presentation aims to keep the student abreast with the current issues on Ethical Behavior concerning public servants, as a result, they will appreciate laws and implemented techniques by the government in reducing and or eliminating corrupt practices.
By providing students with relevant topics on issues on Ethical behavior particularly graft & corruption practices in government, I am expecting that they will be more willing to enjoin government in providing quality services to the people whom they served.
This remains a property of my online resources.
PhilHealth Benefits: National Health Insurance Program. Philippine Labor Law requires employers to contribute for the health insurance coverage of their employees through PhilHealth.
The foregoing proposed Constitution of the Republic of the Philippines was approved by the Constitutional Commission of 1986 on the twelfth day of October, Nineteen hundred and eighty-six, and accordingly signed on the fifteenth day of October, Nineteen hundred and eighty-six at the Plenary Hall, National Government Center, Quezon City, by the Commissioners whose signatures are hereunder affixed.
This presentation aims to keep the student abreast with the current issues on Ethical Behavior concerning public servants, as a result, they will appreciate laws and implemented techniques by the government in reducing and or eliminating corrupt practices.
By providing students with relevant topics on issues on Ethical behavior particularly graft & corruption practices in government, I am expecting that they will be more willing to enjoin government in providing quality services to the people whom they served.
This remains a property of my online resources.
Pag-IBIG Benefits: Home Development Mutual Fund. Employees who can avail of housing loans as one of their Pag-IBIG Benefits from the Home Development Mutual Fund.
Special Leave for Women: 2 months. For women employees who have undergone surgery for gynecological disorders, Philippine Labor Law grants them a 2-month special leave to recover.
Simplified Explained Version, REPUBLIC ACT 9485 - ANTI-RED TAPE ACT OF 2007, Report for PAE1-Service Delivery System, College of Public Administration - Tarlac State University
Philhealth and the private health insurance part onecompareking2014
The Philippines’ health care condition has improved in the last two decades but not as much compared to other Southeast-Asian countries. Factors such as climate change, high population density, rapid urbanization contributes to new infectious diseases, thus the demand for health insurance is rapidly increasing.
Pag-IBIG Benefits: Home Development Mutual Fund. Employees who can avail of housing loans as one of their Pag-IBIG Benefits from the Home Development Mutual Fund.
Special Leave for Women: 2 months. For women employees who have undergone surgery for gynecological disorders, Philippine Labor Law grants them a 2-month special leave to recover.
Simplified Explained Version, REPUBLIC ACT 9485 - ANTI-RED TAPE ACT OF 2007, Report for PAE1-Service Delivery System, College of Public Administration - Tarlac State University
Philhealth and the private health insurance part onecompareking2014
The Philippines’ health care condition has improved in the last two decades but not as much compared to other Southeast-Asian countries. Factors such as climate change, high population density, rapid urbanization contributes to new infectious diseases, thus the demand for health insurance is rapidly increasing.
In order to address the problem where providers do not agree with specific provisions of issuances, i.e. the rates paid for services rendered Relative Value Scale and ICD 10 was implemented by PhilHealth.
Know more about standards used in PhilHealth here.
View video presentation here: https://youtu.be/xmZPj6Xw5lo
Araling Panlipunan 4
Ekonomiks Learning Module Yunit 1
------------------
Source: DepEd
Regional Mass Training for Grade 10 Teachers on K to 12 Basic Education Program
May 4 - 9, 2015 | Bicol University, Daraga, Albay
Separation Pay: Authorized Causes. When an employee is separated due to authorized causes, Philippine Labor Law requires that the employer provide for separation pay.
Benefits Management: the essential ingredient for change, 10 Jan 2017. Southampton
Transformational change is here to stay.
We are living in an era of continuous transformation where standing still is simply not an option in today’s ultra-competitive and constantly changing business environments.
This presentation describes the key drivers and management imperatives for successful transformational change in organisations. It shows how placing Benefits Management at the heart of change management directly addresses and enables success.
In the main there are two key attributes of the Benefits Management methodology that help deliver successful business change.
The first is a flexible framework which can be easily embedded across the entire organisational change structure. This provides powerful change management capabilities that focus on delivering the desired end results and outcomes for the business.
Secondly and arguably most importantly, is the need to focus on the decision makers and data owners within the organisation. They are responsible for driving the change and associated benefits forward. This applies equally to; the senior responsible owner, the business change manager and benefit owners.
Benefits Management done well will naturally draw people into the change process and can achieve game-changing results. It does this by fostering in people; joined-up thinking, good communications, readiness for change and a culture of shared goals and objectives.
Today’s market drivers for constant business change don’t offer the luxury of choice.
If there is new technology or a threat to our current or aspired market objectives, then organisations must rise to the change challenge or accept the inevitable consequences such as reduced market share or business failure.
If directed to cut costs or do more for less, it should be done intelligently. Benefits management is essentially about making sure that the organisation has an unrelenting focus on delivering business value and not just traditional time, cost and quality outputs.
In the real world, it’s about people and winning the hearts and minds of the people, that will deliver true success.
On the theme of benefits management, the presentation impressed the need for measurable improvement but not at all costs. One of the challenges of benefits management is to identify which benefits are the ones to address, and not just because they happen to be measurable!
Several useful frameworks and tools are recommended and referenced in the presentation.
The presenters were Neil White, Chair of APM Benefits Management SIG and Merv Wyeth, Secretary.
See also: http://bit.ly/2iykbXX
Philippines: Governing for Quality Improvement in the Context of UHCHFG Project
The Philippine Health Insurance Corporation, or PhilHealth, was created in 1995 to administer the National Health Insurance Program, which aims to provide financial access to health services to all Filipinos. In 1998, PhilHealth established the Sponsored Program to provide coverage for the poor. In 2004, the Philippines passed a law to mandate subsidized coverage of the indigent, and PhilHealth campaigned with the Local Government Units to enroll the poor in their jurisdiction, while the Department of Health invested in the local health service delivery and strengthened its regulatory function (Lagrada, 2009). In 2013, another law was passed requiring PhilHealth to extend the subsidy to the poor and near-poor and to mobilize sin tax revenue to finance the subsidies for these groups. In response to these legal mandates, PhilHealth has streamlined its enrollment processes and has used targeted outreach to rapidly poor and vulnerable groups with the aim of achieving UHC.
Sure Health - Increasing access to health in NigeriaDaniel Emeka
So I came up with this idea of how to use the existing technology of mobile phones to increase access to health.
glad a lot of others a thinking in that light today
Making Quality Healthcare Affordable to Low Income GroupsIDS
This is a presentation on the Hygeia Community Health Plan Model that was given to a meeting hosted by Future Health Systems in Abuja in January 2009 www.futurehealthsystems.org.
National objectives for health 2017-2022-kim santos
National objectives for health 2017-2022-National objectives for health 2017-2022-National objectives for health 2017-2022-National objectives for health 2017-2022-National objectives for health 2017-2022-National objectives for health 2017-2022-National objectives for health 2017-2022-National objectives for health 2017-2022-
This is the first part of the lecture in Community Health Nursing. This course provides an overview of the Philippine Health Care Delivery System and the different programs implemented by the Philippine Department of Health to promote and protect the health of the people.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Philhealth presentation
1. Gregorio C. Rulloda
Vice-President and Spokesperson
Corporate Affairs Group
PhilHealth :
Achieving Universal
Health Care for All
Filipinos
2. Strategic Thrusts - UHC
2. Improved access to quality
hospitals and health care facilities
1. Financial risk protection by
expanding NHIP enrollment
and benefit delivery
3. Strategic Thrusts - UHC
3. Attainment of the health-related MDGs:
reduction of maternal and child mortality,
morbidity and mortality from TB and malaria
and the prevalence of HIV/AIDS
3. Preparedness from emerging
disease trends
4. Prevention and control of non-
communicable diseases
4. PhilHealth’s ROLE & GOAL
Vision
Bawat Pilipino Miyembro
Bawat Myembro Protektado
Kalusugan Natin Segurado
Mission
"Sulit na Benepisyo sa Bawat Miyembro,
Dekalidad na Serbisyo para sa Lahat"
5. Specific Goals
• Willingness to pay a fair premium
Payor’s appreciation of
Philhealth’s value
• Universal coverage for basic healthcare needs
Enrolment of entire
population
• Transparent provision of needed goods and
services to all members at set PhilHealth rates
Providers’ enthusiasm
to partner with
PhilHealth
• PhilHealth contributes to all medical
transactions
Patients’ utilization of
benefits and packages
• Trust in the institution for partnership and
employment opportunities
Enhanced Reputation
as a center of
governance excellence
6. Bawat Pilipino, Miyembro
Employees
OFWs
Individually
Paying Members
Lifetime Members
Sponsored Members
SOCIAL SOLIDARITY: Bayanihan into the National Health Insurance
Program where the healthy, wealthy and unaffected look after the
sick, poor and afflicted.
No one is excluded, everybody are entitled to the care of the nation. All
are members and all have rights & responsibilities, and being a contributing
member alone allows everybody to fulfill their responsibilities.
7. Children who
are below 21
years old
Spouse of the member
Parents who
are 60 years
old & above
who are not
members
Who are the qualified dependents…?
Bawat Pilipino, Miyembro
8. Bawat Pilipino, Miyembro
85%
“Sa kalusugan naman po: Nang
dumating tayo, animnapu’t
dalawang porsiyento lamang ng
mga Pilipino ang naka-enrol sa
PhilHealth. …..Ngayon po, 85
percent ng lahat ng mamamayan,
miyembro na nito. Ang ibig pong
sabihin, 23.31 million na Pilipino
ang naidagdag sa mga saklaw ng
PhilHealth mula nang bigyan tayo
ng mandato. “
9. Sector
Registered
Members
Dependents
Members
and
Dependents
Employed 11.36 13.69 25.05
Government 2.03 4.00 6.03
Private 9.33 9.69 19.02
Sponsored Members 10.06 29.83 39.89
Individually-Paying 4.74 6.07 10.81
Lifetime Members 0.61 0.42 1.03
Overseas Workers 2.63 2.55 5.18
Total 29.40 52.56 81.96
Bawat Pilipino, Miyembro
13. Bawat Pilipino, Miyembro
Bringing information closer to Members and
Empowering Members
PhilHealth Taps Social Media for SHI Advocacy
www.facebook.com/philhealth
teamphilhealth
email.actioncenter@philhealth.gov.ph
From: carina_mana@yahoo.com.ph
Sent: Thursday, June 07, 2012, 3:27 PM
To: actioncenter@philhealth.gov.ph
Subject: PHILHEALTH number verification
Hi,
This is so great, I hope PAGIBIG service will follow your footsteps
in serving their people. Anyways, I will continue with my
contributions starting this month and again thank you very much
for your immediate assistance on this matter
Cheeers!
16. Bawat Pilipino, Miyembro
Bringing information closer to Members
and Empowering members
PhilHealth SHInES at House of
Representatives
PhilHealth Launched SHInES in Iloilo City
17. Bawat Pilipino, Miyembro
Bringing information closer to
Members, Empowering them
PhilHealth Expo Launches the
"Be PhilHealth Now" Campaign
18. Bawat Pilipino, Miyembro
Bringing information closer to Members
and Empowering Members
PhilHeath's e-Innovations for
Health Launched
Enables individuals to register
online
Enables employers to
post payments of their
employees on real time
Registration, billing and query of
Organized Groups
Electronic Payment Facilities
Remittance-By-Air thru text
19. Bawat Pilipino, Miyembro
PhilHeath's e-Innovations for
Health Launched
Facility for viewing the locations of health
facilities and visualization of various
corporate data using maps
Facility for checking membership status of
Sponsored Members under the NHTS-PR
during benefits availment
Facility for checking
eligibility of membership
and filing of claims by
HCPs
Bringing information closer to Members
and Empowering Members
20. Bawat Pilipino, Miyembro
PhilHeath’s presence and visibility
in various fora, conventions,
special events and similar
activities
Bringing information closer to Members
and empowering Members
2012 Kabisig National
Government Expo
2nd Philippine
Print Media
Congress
Umagang Kay Ganda
Kapamilya Services
DZMM’s "Takbo para sa
Karunungan"
Region 6 Inter Agency
Tournament
Iloilo Charter Day
21. PhilHealth’s Deliverable to the Society: Financial Risk
Protection
Every Filipino can get financial assistance, have
access to excellent providers where health care is
paid for, use the assistance when needed, and
receive significant support
• Bawat Miyembro, Protektado
22. Bawat Miyembro, Protektado
To have the opportunity to get
financial assistance whenever it
might be needed
ANG PREMIUM AY ABOT
KAYA!!!
Sa halagang P3.33 /day or
P100.00/month o depende
sa buwanang kita para
sa mga empleyado at
professionals
23. Bawat Miyembro, Protektado
To have accessibility to health professionals
and facilities where quality health care is
paid for;
24. Bawat Miyembro, Protektado
To actually use
the assistance
when needed
when doing so, to
receive a
significant
amount of support
54%
13%
13%
9%
11% Outof Pocket
National
Local
SocialHealth Insurance
Others
28. Bawat Miyembro, Protektado
PhilHeath's e-Innovations for
Health Launched
Facility for viewing the locations of health
facilities and visualization of various
corporate data using maps
Facility for checking membership status of
Sponsored Members under the NHTS-PR
during benefits availment
Facility for checking
eligibility of membership
and filing of claims by
HCPs
Easy access to members and stakeholders
in benefit availment
29. Kalusugan Natin, Segurado
No Filipino will ever be financially afraid of
getting sick, and that no one will left behind
in the race toward universal health care and
financial risk protection
PhilHealth needs to and will leverage its
purchasing power to help break the silos
and foster increased collaboration
Adress inequities in Health
30. Kalusugan Natin, Segurado
How to use PhilHealth’s purchasing power?
Use Performance Commitment
Contracts to ensure that health
facilities are safe and high
quality;
Provide incentives to ensure that
health human resource is
adequate in number, purposely
distributed and properly
compensated
31. Kalusugan Natin, Segurado
How to use its purchasing power?
Negotiate for lower costs and charges of health
care goods and services
32. Kalusugan Natin, Segurado
PhilHealth want to change HOW health care
services are rendered by providers with care
and received by members with pride
Case payment for all diseases – provides clear,
explicit and predictable financial support;
Case Rates - Since
September 1, 2011,
there were 11 medical
cases and 12 surgical
procedures being paid
through case rate
33. Kalusugan Natin, Segurado
“…Ito po ang proseso ng
pagpapagamot para sa kanila:
Papasok ka sa alinmang
ospital ng gobyerno. Ipapakita
mo ang iyong PhilHealth card.
Magpapagamot ka. At uuwi
kang maginhawa nang walang
inilabas ni isang kusing…”
No Balance Billing Policy (SAPAT NA ANG BAYAD NG
PHILHEALTH)
Protection from financial impacts of health care use by improving benefit delivery ratio of the NHIP Upgrading of government-owned and operated hospitals and health facilities.
Improving health is central to the Millennium Development Goals (MDG)
The new corporate website, www.philhealth.gov.ph , which promises to be more user-friendly but is still packed with the necessary information on the National Health Insurance Program that a PhilHealth stakeholder needs. The new website opens to three major sections, namely, MEMBERS, CORPORATE PARTNERS and ONLINE SERVICES. The MEMBERS section leads site visitors to the five (5) member-categories, while the CORPORATE PARTNERS section leads to our accredited facilities, health care professionals, collecting agents, as well as to private partners. Finally, the ONLINE SERVICES features several electronic facilities that include the eRegistration, eClaims, and PhilGIS.
Pending the complete payment mechanism of case payment for all types of illness, Philhealth will still continue the fee for service payment. Fee for service reimbursements is the kind of health insurance policy wherein payment to health care providers is made at the time of service. The benefits are subject to some limits which differ based on the level of the health care facility (Level 1, 2, 3, 4) and the severity of the cause of admission (Case type A, B, C, D)