PhilHealth eyes new process to accredit hospitals

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Thursday, January 5, 2012


HOSPITALS licensed by the Department of Health shall be deemed accredited by the Philippine Health Insurance Corporation as Centers of Safety and shall no longer be subjected to pre-accreditation surveys.

But these hospitals will need to sign a performance commitment contract with PhilHealth to become part of the National Health Insurance Program and receive reimbursements, explained PhilHealth president Dr. Eduardo Banzon, adding the plan is one way of improving the way the agency engages with health care providers such as hospitals.

The contract shall allow PhilHealth to improve the quality of services by stipulating the terms and conditions of the engagement, adopting international standards for accreditation and giving incentives to providers demonstrating good performance, he added.

“We need to change the way we engage and do business with providers to achieve positive reforms in achieving a universal health care. One way is to separate accreditation with that of contracting provider services,” Banzon said.

Presently, he noted that these two processes are merged. “This engagement limits the number of providers that are accredited and consequently limits access to quality health services by our members.”

“By separating the two, we can eventually attach incentives such as higher reimbursement rates for providers meeting performance targets and accredit as many facilities to give more options to our members,” the official explained in Wednesday’s statement, adding that the new procedure shall be implemented upon completion of the necessary consultations, staff work and publication of the policy circular from PhilHealth.

Hospitals aiming for higher accreditation awards like the Center of Quality and Center of Excellence, however, shall still undergo pre-accreditation surveys as well as sign the performance commitment contract with PhilHealth. (CGC)

Published in the Sun.Star Bacolod newspaper on January 05, 2012.

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