Showing posts with label PCB. Show all posts
Showing posts with label PCB. Show all posts

Tuesday, April 16, 2013

PhilHealth 16: Financial Engineering to Subsidize NCDs Treatment

In a presentation during the MeTA Forum last April 10, 2013 at the Asian Institute of Management (AIM) in Makati, Dr. Rizza Herrera and Dr. Liezel Lagrada of PhilHealth showed some 50 slides about the Primary Care Benefit (PCB) packages, showing only some of those slides here. PCB are outpatient services for the poor, a form of preventive healthcare to minimize incidence of the poor going to hospitals more often. I support more preventive healthcare, but I do not support the view that it's the government that should provide it for all.

PCB1 is one year old now, started in April 2012.


These packages are the equivalent of annual medical check up for clients of private health insurance or health maintenance organizations (HMOs). They even include X-ray. The hypertensive are entitled to once a month check up even though their annual premium is the same (or slightly higher?) than those who have no hypertension and are entitled to only once a year BP measurement.


PhilHealth says they have veered away from rebate mentality to capitation as payment service.  The number of participating local government units (LGUs) have been rising.

PCB1 is not portable, each family is assigned to a specific PCB1 provider, extending it to other member sectors would entail a good tracking system, both from Philhealth and from the providers.
Despite the increase in the number of PCB1 providers, there is still a big gap in the patient : health personnel ratio which greatly affects the realization of quality health care.


Intermission -- some photos that afternoon, speakers and audience....


Then the expansion to PCB 2, mainly addressed to control NCDs. My earlier discussion on PhilHealth claims for NCDs is posted below, PhilHealth Watch 15.