Why do other payers use Philhealth as the benchmark for payment? What are other options?
What is PhilHealth, it is a government approved universal health plan made for the people of Philippines. This health scheme is made for the benefit of the people and to sustain a national health program for all in the country. This will cover various health related benefits for the person taking the scheme as well as his/her beneficiary. This scheme also has tax exemption to attract more people in the country.
This has become a benchmark in the country because:
It is a government owned scheme, so it has become a set standard with the rules and regulation of the scheme.
It has built to supervise the health benefits and had set standards in the industry.
It has implemented guidelines on defined contributions and benefits, portability of benefits, cost containment and quality assurance
There are many other companies which provide health benefits, like Metlife, but all these companies are privately owned.
Why do other payers use Philhealth as the benchmark for payment? What are other options?
Why do payers nevertheless persist in using shared savings components of alternative payment models?
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