Policy Analysis on Financing Roles for Population- and Individual-based Health Services in Light of the Universal Health Care Act

Autor:	Ma-Ann M. Zarsuelo, Christine Mae S. Avila, Michael Antonio F. Mendoza, Leonardo R. Estacio, Ma. Esmeralda C. Silva, Carmencita D. Padilla
Rok vydání:	2020
Předmět:	Finance education.field_of_study Government Scope (project management) Service delivery framework business.industry Financial risk Population General Medicine Policy analysis Procurement Business education Health policy
Zdroj:	Acta Medica Philippina. 54
ISSN:	2094-9278 0001-6071
Popis:	Objectives. The health financing scheme brought by the Universal Health Care Act has a significant change in the landscape of allocating funds for health services, as well as in the delineation of roles among the key actors. Consistent with the law, the protection from the health financial risks of Filipinos must be guaranteed. This study aimed to determine the roles of the government and other key agencies in financing population-based and individual-based health services in the Philippines. Methods. A systematic review of literature was done to generate evidence for the policy brief and proposed policy alternatives. The UP Manila Health Policy Development Hub organized a roundtable discussion in collaboration with the Department of Health participated by key stakeholders from various sectors involved in the policy issue. Systematic review and insights from the discussion were analyzed to produce consensus policy recommendations. Results. Given the current procurement and financing, the DOH should fund population-based services while PhilHealth, with the assistance of Health Maintenance Organizations (HMO) for premium holders, should fund individual-based services. Health programs with grey areas (i.e. with both individual- and population-based services) need further technical discussions. It is imperative to have clear-cut specific guidelines on the managerial and financial roles of the provincial health board and the scope of financing service delivery. Conclusion. Delineating the roles of DOH, PhilHealth, and HMOs in financing health services is not without risks. The utilization of the special health fund at the provincial level should be carefully implemented and monitored to minimize inefficiencies and fraud.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::24fd5d3776bb7ed258d5a9536b7f277c https://doi.org/10.47895/amp.v54i6.2605 Zobrazit plný text záznamu