FMCH 3
RA 11223: Universal Health Care Act of 2018/
FOURmula One for Health
(Additional notes)
Governance and Accountability
Ethics in Public Health Policy and Practice
• Declaration and management of conflict ofd interest
• Collection and tracking of financial relationships with health
care professionals/providers for all manufacturers of drugs,
medical devices, and medical supplies registered by FDA
• Public health ethics committee as an advisory body for the
Secretary of Health
SUMMARY-FINANCING
Clarifying roles
1. DOH and LGU for population-based services
2. PhilHealth for individual-based services
Pooling Funds to PhilHealth for all individual-base services (e.g. Sin
tax, PAGCOR, PCSO)
Simplifying membership into two types: Direct and Indirect
Contributory
Contracting by network based on adherence to quality and co-
payment standards + third party accreditation
SUMMARY- SERVICE DELIVERY
• 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
01/18/2020
• Enabling income retention for all public providers through a
Special Health Fund
SUMMARY-REGULATION
• Mandating transparent pricing of health goods and services
• Basic and non-basic accommodation bed ratio of 90:10 for
government hospitals, 70:30 for specialty hospitals, and
10:90 for private hospitals
• Ensuring benefit complementation between PhilHealth and
Private Health Insurance (PHIs) and Health Maintenance
Organizations (HMOs)
• Expanding scholarship programs requiring 3 years return
service in underserved areas for government scholars,
augmenting HRH through national health workforce
support system, primary care-oriented education, health
professionals registry
SUMMARY- GOVERNANCE
• Requiring submission of health and financial data by
helathcarte providers and suppliers harmonized to an
interoperable system; sharing of publicly-funded data sets
• Institutionalizing Health Technology Assessment as
prerequisite for public financing of goods/services, and
Health Impact Assessment for various programs, policies,
and projects
• Strengthening Health Promotion and medicines
procurement
• Streamlining PhilHealth Board from 17 to 13 members
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