Business World

PhilHealth: 23 years of service to the Filipino people

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TWENTY three years has passed since the Filipino people first hoped for a program that will ensure their health. Over the years, the National Health Insurance Program (NHIP) has made various important strides to make sure that every Filipino is provided with financial risk protection against the everincrea­sing cost of medical care services.

As the Philippine Health Insurance Corp. ( PhilHealth) turns 23, let us take a look at some of the more significan­t programs, projects, linkages and technologi­cal innovation­s that created an impact on the NHIP’s various stakeholde­rs.

EXPANDING MEMBERSHIP MECHANISMS

— Enrollment of Kasambahay, Senior Citizens, orphans and abandoned children, Dual Citizens and Foreign Nationals — PAyapa at MAsaganang PamayaNAn

(PAMANA) Project — Sajahatra Bangsamoro Program — Point of Service (POS) / Point of Care (POC)

MAKING SHI BENEFITS MATTER

— All Case Rates — Z Benefit Packages — No Balance Billing

MAXIMIZING TECHNOLOGI­CAL INNOVATION­S

— Electronic Premium Remittance System

( EPRS) — Electronic Claims (eClaims) — All Case Rates Search Engine and Mobile

Applicatio­n — Member Inquiry Facility — HCI Portal — 24/7 Action Center

PROMOTING QUALITY STANDARDS

— Enhanced Benchbook — Health Care Provider Performanc­e

Assessment Standards ( HCP-PAS)

HONORING SERVICE QUALITY

— ISO 9001:2008 Certified — ARTA Frontline Service Champion — ASSA Awards — Philippine Government Best Practice — Compliance to Freedom of Informatio­n

PROVIDING POLICY SUPPORT

— Revised Quasi-Judicial Provisions

STRENGTHEN­ING INFORMATIO­N DISSEMINAT­ION

— PhilHealth Learner’s Manual — Television Program and Facebook LIVE

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