In the Pink of Health: Universal Health Care and Other Benefits Association of Government Accountants (AGAP) Seminar The Global Financial Crisis: An Opportunity to Examine What We Are Doing Right Dr. Rey B. Aquino Bacolod City 13 October 2009

“Sa health insurance, sakop na ang 86% ng ating populasyon...” President Gloria Macapagal-Arroyo SONA 2009 of breaching enrollment levels

As of July 2009, enrollment stands at million members or million beneficiaries, up from 69.1 million beneficiaries in the same period last year. in million principal members of breaching enrollment levels

For the Sponsored Program, million families are enrolled as of July 2009, up from only 2.52 million for the same period last year. in million families of breaching enrollment levels

Increase in total assets from P83.8 billion in July 2008 to P96.2 billion in July 2009 in billion pesos of breaching the P100 billion asset mark

Collections increased to P 14.8 billion in July 2009, up from to P13.7 billion in July 2008 in billion pesos of breaching collection levels

Benefit payments as of July 2009 totaled P 11.8 billion compared to P10.6 billion in July 2008 More Benefits in billion pesos

Outpatient malaria starting December 2008 Tiered payments for professional fees starting January 2009 Upgrading of payment systems for surgical procedures and increasing the valuation of new procedures starting February 2009 in billion pesos More Benefits in billion pesos

4th Normal Deliveries effective January 2009 and increase from P4,500 to P6,500 by September 2009 A (H1N1) starting May 2009 DOH’s P-100 for the Sponsored Program starting June 2009 Case payment for cataract extraction of P16,000 Outpatient package for HIV / AIDS in billion pesos More Benefits

Aggregate 35% increase starting April 5 that would translate to annual benefit increase of about P 7 billion in billion pesos More Benefits

Typhoon Ondoy

In response to Ondoy and as directed by President GMA, PhilHealth shall provide a global budget to affected hospitals based on the average volume of claims submitted for a period of three (3) months and average value paid per claim. In Response to Ondoy

AGAP and PhilHealth For AGAP members in GOCCs Ensure timely and correct remittance of premiums

AGAP and PhilHealth For AGAP members in GOCCs Ensure timely and correct remittance of premiums For AGAP members in the NGAs Assist in lobby efforts for allocation of correct premiums

AGAP and PhilHealth For AGAP members in GOCCs Ensure timely and correct remittance of premiums For AGAP members in the NGAs Assist in lobby efforts for allocation of correct premiums For AGAP members in hospitals Proper use of PhilHealth reimbursements

AGAP and PhilHealth For AGAP members in GOCCs Ensure timely and correct remittance of premiums For AGAP members in the NGAs Assist in lobby efforts for allocation of correct premiums For AGAP members in hospitals Proper use of PhilHealth reimbursements For AGAP members in Local Government Units Proper use of capitation funds

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