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Thursday, November 11, 2004
PhilHealth expands insurance benefits
GOV. Joseph Marañon discussed the expanded benefits offered by PhilHealth through Quality Improvement Demonstration Study with Philippine Health Insurance Corporation Assistant Vice President for Region VI Marilyn Geduspan together with American Consultant Elizabeth Buitrick and QIDS Regional Project Manager Dr. Aura Galino.
QIDS is an Evaluation of the Health Sector Reform Agenda, a four year project that started 2003 and ends 2007.
It is supported by the US National Institute of Health and led by the Institute for Global Health of the University of California in San Francisco and UPECON Foundation based at the University of the Philippines - School of Economics.
Marañon said it is good to know that PhilHealth is doing this project to ease the burden of the parents whose children below six years old are hospitalized and do not have money to pay bills.
He added this project will encourage non-members to enroll in PhilHealth. He noted though that he would advise parents to be responsible and assess their capability to raise children.
Consultant Elizabeth Butrick said that there are three designs of intervention, one of which is Group A, which refers to expanded and assured financial access to health care coverage (zero-co-pay) for children below 6 years old confined in Valladolid District Hospital.
Those who can avail of the project are children below 6 years old who are living in Pontevedra, Pulupandan, San Enrique, Valladolid and Bago City.
Zero co-payment means parents will not pay the bills in the hospital because admissions of children belows 6 years old will be classified as intensive cases.
She added that Group B refers to the use of incentives or bonus for quality care.
This is to encourage medical practitioners to stay in the country because PhilHealth will give higher professional fee as bonus and Group C refers to the current benefit program of the PhilHealth.
Three hospitals were chosen at random to implement the QIDS: Valladolid District Hospital-Group A intervention; Kabankalan District Hospital-Group B while Alfredo Marañon Memorial Hospital-Group C.
(November 11, 2004 issue)
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