Gregorio C.

Rulloda
Vice-President and Spokesperson
Corporate Affairs Group
PhilHealth :
Achieving Universal
Health Care for All
Filipinos
Strategic Thrusts - UHC
2. Improved access to quality
hospitals and health care facilities
1. Financial risk protection by
expanding NHIP enrollment
and benefit delivery
Strategic Thrusts - UHC
3. Attainment of the health-related MDGs:
reduction of maternal and child mortality,
morbidity and mortality from TB and malaria
and the prevalence of HIV/AIDS
3. Preparedness from emerging
disease trends

4. Prevention and control of non-
communicable diseases


PhilHealths ROLE & GOAL
Vision
Bawat Pilipino Miyembro
Bawat Myembro Protektado
Kalusugan Natin Segurado


Mission
"Sulit na Benepisyo sa Bawat Miyembro,
Dekalidad na Serbisyo para sa Lahat"
Specific Goals
Willingness to pay a fair premium
Payors appreciation of
Philhealths value
Universal coverage for basic healthcare needs
Enrolment of entire
population
Transparent provision of needed goods and
services to all members at set PhilHealth rates
Providers enthusiasm
to partner with
PhilHealth
PhilHealth contributes to all medical
transactions
Patients utilization of
benefits and packages
Trust in the institution for partnership and
employment opportunities
Enhanced Reputation
as a center of
governance excellence



Bawat Pilipino, Miyembro

Employees
OFWs
Individually
Paying Members
Lifetime Members
Sponsored Members
SOCIAL SOLIDARITY: Bayanihan into the National Health Insurance
Program where the healthy, wealthy and unaffected look after the
sick, poor and afflicted.

No one is excluded, everybody are entitled to the care of the nation. All
are members and all have rights & responsibilities, and being a contributing
member alone allows everybody to fulfill their responsibilities.
Children who
are below 21
years old
Spouse of the member
Parents who
are 60 years
old & above
who are not
members
Who are the qualified dependents?

Bawat Pilipino, Miyembro




Bawat Pilipino, Miyembro

85%
Sa kalusugan naman po: Nang
dumating tayo, animnaput
dalawang porsiyento lamang ng
mga Pilipino ang naka-enrol sa
PhilHealth. ..Ngayon po, 85
percent ng lahat ng mamamayan,
miyembro na nito. Ang ibig pong
sabihin, 23.31 million na Pilipino
ang naidagdag sa mga saklaw ng
PhilHealth mula nang bigyan tayo
ng mandato.
Sector
Registered
Members
Dependents
Members
and
Dependents
Employed 11.36 13.69 25.05
Government 2.03 4.00 6.03
Private 9.33 9.69 19.02
Sponsored Members 10.06 29.83 39.89
Individually-Paying 4.74 6.07 10.81
Lifetime Members 0.61 0.42 1.03
Overseas Workers 2.63 2.55 5.18
Total 29.40 52.56 81.96



Bawat Pilipino, Miyembro



Bawat Pilipino, Miyembro

Bringing information closer to Members and
Empowering Members


Bawat Pilipino, Miyembro

Bringing information closer to Members and
Empowering Members
The Corporate Website
Bawat Pilipino, Miyembro



Bawat Pilipino, Miyembro

Bringing information closer to Members and
Empowering Members
PhilHealth Taps Social Media for SHI Advocacy
www.facebook.com/philhealth
teamphilhealth
email.actioncenter@philhealth.gov.ph
From: carina_mana@yahoo.com.ph
Sent: Thursday, June 07, 2012, 3:27 PM
To: actioncenter@philhealth.gov.ph
Subject: PHILHEALTH number verification
Hi,
This is so great, I hope PAGIBIG service will follow your footsteps
in serving their people. Anyways, I will continue with my
contributions starting this month and again thank you very much
for your immediate assistance on this matter

Cheeers!


Bawat Pilipino, Miyembro

Bringing information closer to members and
Empowering members


Bawat Pilipino, Miyembro

Bringing information closer to members and
Empowering members


Bawat Pilipino, Miyembro

Bringing information closer to Members
and Empowering members
PhilHealth SHInES at House of
Representatives
PhilHealth Launched SHInES in Iloilo City


Bawat Pilipino, Miyembro

Bringing information closer to
Members, Empowering them
PhilHealth Expo Launches the
"Be PhilHealth Now" Campaign


Bawat Pilipino, Miyembro

Bringing information closer to Members
and Empowering Members
PhilHeath's e-Innovations for
Health Launched
Enables individuals to register
online
Enables employers to
post payments of their
employees on real time
Registration, billing and query of
Organized Groups
Electronic Payment Facilities

Remittance-By-Air thru text


Bawat Pilipino, Miyembro

PhilHeath's e-Innovations for
Health Launched
Facility for viewing the locations of health
facilities and visualization of various
corporate data using maps
Facility for checking membership status of
Sponsored Members under the NHTS-PR
during benefits availment
Facility for checking
eligibility of membership
and filing of claims by
HCPs
Bringing information closer to Members
and Empowering Members


Bawat Pilipino, Miyembro

PhilHeaths presence and visibility
in various fora, conventions,
special events and similar
activities
Bringing information closer to Members
and empowering Members
2012 Kabisig National
Government Expo
2nd Philippine
Print Media
Congress
Umagang Kay Ganda
Kapamilya Services
DZMMs "Takbo para sa
Karunungan"
Region 6 Inter Agency
Tournament
Iloilo Charter Day
PhilHealths Deliverable to the Society: Financial Risk
Protection

Every Filipino can get financial assistance, have
access to excellent providers where health care is
paid for, use the assistance when needed, and
receive significant support
Bawat Miyembro, Protektado



Bawat Miyembro, Protektado

To have the opportunity to get
financial assistance whenever it
might be needed
ANG PREMIUM AY ABOT
KAYA!!!
Sa halagang P3.33 /day or
P100.00/month o depende
sa buwanang kita para
sa mga empleyado at
professionals


Bawat Miyembro, Protektado

To have accessibility to health professionals
and facilities where quality health care is
paid for;


Bawat Miyembro, Protektado

To actually use
the assistance
when needed
when doing so, to
receive a
significant
amount of support
54%
13%
13%
9%
11%
Out of Pocket
National
Local
Social Health Insurance
Others
Hospital
BENEPISYO sa PHILHEALTH
Hospital
Health Center


Bawat Miyembro, Protektado

Assistance to members at the point of
service


Bawat Miyembro, Protektado
PhilHeath's e-Innovations for
Health Launched
Facility for viewing the locations of health
facilities and visualization of various
corporate data using maps
Facility for checking membership status of
Sponsored Members under the NHTS-PR
during benefits availment
Facility for checking
eligibility of membership
and filing of claims by
HCPs
Easy access to members and stakeholders
in benefit availment


Kalusugan Natin, Segurado

No Filipino will ever be financially afraid of
getting sick, and that no one will left behind
in the race toward universal health care and
financial risk protection

PhilHealth needs to and will leverage its
purchasing power to help break the silos
and foster increased collaboration
Adress inequities in Health


Kalusugan Natin, Segurado

How to use PhilHealths purchasing power?
Use Performance Commitment
Contracts to ensure that health
facilities are safe and high
quality;
Provide incentives to ensure that
health human resource is
adequate in number, purposely
distributed and properly
compensated


Kalusugan Natin, Segurado

How to use its purchasing power?

Negotiate for lower costs and charges of health
care goods and services


Kalusugan Natin, Segurado

PhilHealth want to change HOW health care
services are rendered by providers with care
and received by members with pride

Case payment for all diseases provides clear,
explicit and predictable financial support;
Case Rates - Since
September 1, 2011,
there were 11 medical
cases and 12 surgical
procedures being paid
through case rate


Kalusugan Natin, Segurado

Ito po ang proseso ng
pagpapagamot para sa kanila:
Papasok ka sa alinmang
ospital ng gobyerno. Ipapakita
mo ang iyong PhilHealth card.
Magpapagamot ka. At uuwi
kang maginhawa nang walang
inilabas ni isang kusing

No Balance Billing Policy (SAPAT NA ANG BAYAD NG
PHILHEALTH)
Thank You!
Panatag ang Loob at Masayang
Pamilya Kapag Naka PhilHealth