RA 11223 + F1 For Health

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FMCH 3 01/18/2020

RA 11223: Universal Health Care Act of 2018/  Enabling income retention for all public providers through a
Special Health Fund
FOURmula One for Health SUMMARY-REGULATION

(Additional notes)  Mandating transparent pricing of health goods and services


 Basic and non-basic accommodation bed ratio of 90:10 for
Governance and Accountability
government hospitals, 70:30 for specialty hospitals, and
Ethics in Public Health Policy and Practice
10:90 for private hospitals
 Declaration and management of conflict ofd interest  Ensuring benefit complementation between PhilHealth and
 Collection and tracking of financial relationships with health Private Health Insurance (PHIs) and Health Maintenance
care professionals/providers for all manufacturers of drugs, Organizations (HMOs)
medical devices, and medical supplies registered by FDA  Expanding scholarship programs requiring 3 years return
 Public health ethics committee as an advisory body for the service in underserved areas for government scholars,
Secretary of Health augmenting HRH through national health workforce
support system, primary care-oriented education, health
SUMMARY-FINANCING
professionals registry
Clarifying roles
SUMMARY- GOVERNANCE
1. DOH and LGU for population-based services
2. PhilHealth for individual-based services  Requiring submission of health and financial data by
Pooling Funds to PhilHealth for all individual-base services (e.g. Sin helathcarte providers and suppliers harmonized to an
tax, PAGCOR, PCSO) interoperable system; sharing of publicly-funded data sets
Simplifying membership into two types: Direct and Indirect  Institutionalizing Health Technology Assessment as
Contributory prerequisite for public financing of goods/services, and
Contracting by network based on adherence to quality and co- Health Impact Assessment for various programs, policies,
payment standards + third party accreditation and projects
 Strengthening Health Promotion and medicines
SUMMARY- SERVICE DELIVERY procurement
 Streamlining PhilHealth Board from 17 to 13 members
 Institutionalizing primary care as a prerequisite to access
higher level of care and contracting by networks
 Consolidating fragmented providers into province-wide and
city-wide service delivery networks to navigate and
coordinate
DEEVON M. CARIAGA, RN 1
FMCH 3 01/18/2020

 % of children under five who are stunted


FOURmula One for Health 32.3 in 2008 to 33.4 in 2015
BACKGROUND  % of children aged 12-23 mos. given all basic vaccinations
79.5 2008 to 69.9 in 2017
Milestones in the PH Health Sector Reform
 National Health Insurance Program
 1991- Local Government Code Act Support value at 50%
 1995- National Health Insurance Act
 1999- Health Sector Reform Agenda
 2005- FOURmula One for Health
 2011- Universal Health Care/ Kalusugan Pangkalahatan
 2016- Philippine Health Agenda

Situational overview Summary

 Significant increase in Fiscal Space for health only marginally


improved outcomes
 Inequity persists in both access to essential health services
and health outcomes across regions and provinces, as well
Despite improvement in health expenditures, improvement in
as socio-economic quintiles
health outcomes has been marginal
 There is fragmentation of the health system after
 Infant mortality rate devolution, with blurred accountability.
25 per 1,000 live births in 2008 to
21 per 1,000 live births in 2017

DEEVON M. CARIAGA, RN 2
FMCH 3 01/18/2020

*Dra. Oczon’s PPT only

*Disclaimer: additional notes lang ito, aralin niyo din yung main
trans. Thank you ^^

AM+DG

DEEVON M. CARIAGA, RN 3

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