Striving for Equity and Efficiency
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World Bank, Washington, DC
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This report reviews the current provider
payment arrangements and policies of the Philippines, and
the extent to which they have contributed to the achievement
of the HFS goals. It focuses on the pillars of the HFS that
center on provider payment issues, including what is paid
for and by whom (pillar 3) and how it is paid for (pillar
4). Because the HFS envisages that pooled sources of health
funding, such as payments by the Philippines Health
Insurance Corporation (PHIC or PhilHealth) and the
government budget, should progressively replace OOP spending
as the source of financing for health care, the extent to
which this shift has occurred is a recurring theme. In
addition, the assessment looks at how the purchasing
arrangements improve allocative and technical efficiency,
equity, and quality. It takes a sectoral approach to
purchasing, looking not only at the purchasing arrangements
of PhilHealth, but also purchasing of health services by the
DOH and local government units (LGUs). The assessment
concludes with concrete recommendations for the next five
years and beyond.
Palabras clave
DEMOGRAPHIC AND HEALTH SURVEY, HEALTH SERVICES, HEALTH INSURANCE, HEALTH SYSTEM REFORM, HEALTH PROVIDER, HEALTH FINANCE, RESOURCE ALLOCATION, PROVIDER PAYMENT, CAPITATION PAYMENT, PUBLIC HEALTH, HEALTH CARE SERVICES
