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PhilHealth Pushes for Better Quality Health Care - July 19, 2006

TRUE to its mandate of ensuring quality health care for all members of the National Health Insurance Program (NHIP), the Philippine Health Insurance Corporation (PhilHealth) has adopted innovative projects that guarantee quality health care.

In a Press Conference at Annabel’s Restaurant this morning, Dr. Eduardo P. Banzon, PhilHealth Vice President for Health Finance Policy Services said that PhilHealth is geared towards implementing new accreditation standards for its partner health care providers. "We have developed the PhilHealth Benchbook which is a yardstick against which the quality of health care rendered by PhilHealth and its accredited institutional and professional health care providers can be measured", Banzon stressed.

He added that the PhilHealth Benchbook presents an updated list of standards and criteria against which health care provider organizations and professionals are encouraged to assess themselves prior to applying for accreditation, and more importantly, after accreditation has been granted by PhilHealth.

Moreover, together with the implementation of the PhilHealth Benchbook in 2007, PhilHealth will implement the Continuing Accreditation Project which aims to grant health care providers ‘continuing accreditation unless revoked’. This new concept of accreditation aims to establish long- term relationships with health care providers with the end in view of nurturing them to be better hospitals. "PhilHealth recognizes the importance of health care providers since without them, enrolment with PhilHealth is practically useless since health care services will be inaccessible," Banzon pointed out.

Banzon announced that these projects will be implemented as follows:

(1) Appraisal of the first group of ‘Medical Tourism’ Hospitals before the end of 2006;
(2) Initial appraisal of Levels 3 and 4 hospitals in Visayas and Mindanao in 2007;
(3) Appraisal of all National Capital Region (NCR) hospitals using the Benchbook Accreditation Standards before the end of 2007; and
(4) Appraisal of all hospitals using the Benchbook by 2008.

He also stressed that PhilHealth aims to empower its members by making fee schedules explicit and by rationalizing the Professional Fees being collected by health care professionals. This is done through the Relative Value Scale (RVS), a systematic listing and coding of surgical procedures where each procedure is assigned a corresponding Relative Value Unit (RVU). "With the RVS the reporting of procedures performed by physicians are simplified and accurately identified. PhilHealth envisions a National Fee Schedule and this should be done for the interest of our members."

At the same time, the Health Technology Assessment (HTA) Forum was published to disseminate information on the recommendations and evidence reports of drugs that were reviewed, prepared and translated into policies by the HTA Committee which is composed of various Specialty Societies and PhilHealth through its Quality Assurance Research and Policy Development Group. Banzon said the HTA Forum is a showcase of PhilHealth’s commitment to quality care and features work resulting from other programs of HTA, including appraisal and dissemination of clinical practice guidelines developed by local medical societies used for reviewing reimbursement claims and evaluation of the effectiveness and safety of medical and surgical procedures. To date, eight (8) hospitals have been visited for purposes of assessing their use of the CPGs.

Banzon pointed out that the prevailing high cost and wide price variation of drugs impede the access of the greater majority of Filipinos to timely and quality health care. Many essential drugs are unaffordable to the average Filipino, thereby depriving them of health by curtailing treatment, prevention, and control of illnesses. "This prompted Her Excellency Gloria Macapagal-Arroyo, to declare in her first SONA, that the nation shall exhaust its efforts to cutting to half the costs of exorbitantly priced essential medicines, especially those commonly bought by the poor, making these more affordable, accessible and available to the masses. In realizing the President’s directives, the Department of Health (DOH) and the PhilHealth have embarked on various strategies to achieve this", Banzon said.

The PhilHealth Vice President said that it all begins with the public knowing the right price of their medicines at any given time. This is what a revitalized PhilHealth’s Drug Price Reference Index (DPRI) provides as a service to the Filipino citizenry.

"Working under Secretary Duque’s framework of FOURmula One for Health (F1), both agencies have worked together with other public agencies, private and international organizations, consumer groups and the academe to achieve price transparency and to disseminate this vital information to the public," Banzon said.

He explained that the DPRI was developed to help answer the need of the Filipinos to have access to affordable and quality drugs. As the largest purchaser of health care, PhilHealth can help make essential drugs and health care available and affordable. Through the DPRI, PhilHealth and DOH aim to promote drug price transparency, rational and fair drug pricing, and rational drug use.

"This initial listing of prices shall inform the public of the price range for a select number of essential drugs. PRICE TRANSPARENCY will be the initial step towards empowering consumers and improving accessibility to drugs. The consumer is encouraged to refer to this list when making decisions on drug purchases. Empowered with this information, the public shall be able to demand for lower drug prices. PhilHealth will be vigilant, and will continue to monitor drug prices and recommend the appropriate prices of drugs. Eventually, a reference price for all the drugs in the Philippine National Drug Formulary shall guide drug reimbursements of PhilHealth beneficiaries, and all other government drug purchases," Banzon concluded.

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