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PhilHealth Broadens Health Care Provider Base - July 19, 2006

IN order to expand access to health care services, the Philippine Health Insurance Corporation (PhilHealth) continues to ensure that a health care provider is always ready to take care of PhilHealth members and dependents.

In a press briefing at the Annabel’s Restaurant in Quezon City this morning, Lorna O. Fajardo, Acting PhilHealth President and CEO said that the number of accredited health care providers has significantly increased over the years. For instance, she said, "...for in-patient care alone, the total number of accredited hospitals has increased from 1,491 in the year 2000 to 1,574 hospitals in 2005. There are now 83 more hospitals to cater to the in-patient needs of PhilHealth members and dependents and the rest of the population."

Fajardo added that to facilitate access to surgical services, PhilHealth has accredited 30 ambulatory surgical clinics (ASCs). These centers provide surgical services even while the members are inside the shopping malls, thereby bringing health care services closer to Filipinos.

She stressed that by introducing the Outpatient Primary Care Benefit Package in Year 2000 for sponsored members, PhilHealth has spearheaded the upgrading of government-operated health centers all over the country. "We have ensured that these centers or rural health units (RHUs) provide out-patient diagnostic services to Filipinos in the remotest towns," adding that nearly 1,100 government health centers or RHUs are now accredited with PhilHealth. "All of these health centers are staffed by doctors, nurses and midwives supported by medical technologists who are ready to provide the out-patient diagnostic benefits to sponsored members."

PhilHealth also came out with the first of the Millennium Development Goals or MDG benefits in 2003. It started covering the care of tuberculosis through the TB-Directly Observed Treatment Shortcourse and will soon cover the care of HIV-AIDS, malaria and other interventions addressing the MDG health targets.

The first half of Year 2006 also saw a massive roll-out of the TB-DOTS benefit with the number of accredited providers now hitting 220. "We expect this number to reach 500 before the year ends," Fajardo said.

Earlier, in 2003, PhilHealth began implementing the Maternity Care Package which covered the first and second normal deliveries. In less than three years, PhilHealth has accredited 170 Maternity Lying-in Clinics or non-hospital maternity care providers. It also facilitated the increase in the number of Free Standing Dialysis Clinics by accrediting them as providers in 2003. At present PhilHealth has already accredited 24 Free Standing Dialysis Clinics. "We also have around 20,000 accredited doctors nationwide, ready to provide the quality care that our members from various sectors deserve," Fajardo emphasized.

Still, Fajardo said, PhilHealth continues to introduce innovations to improve its communication efforts with accredited doctors and health facilities. "Starting next year, all PhilHealth communications that pertain to the status of accreditation of these providers, advisories, circulars and all other updates concerning the health care providers will be sent through electronic mail. We have also started urging hospitals to invest in information and communication technology (ICT) by requiring those in Levels II, III and IV to introduce electronic admission and other hospital logbooks by 2007," Fajardo said.

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