WHRB4.1 Financing
WHRB4.1 Financing
WHRB4.1 Financing
RESULTS
• The case scenarios were generated through data collected from 117 hospitals (25.7% response
rate) over a period of 2 weeks.
• The study provided estimates on true cost of care, i.e. how much an average Filipino patient
would spend, using different costing scenarios, with the overall assumption that treatment is in
accordance to clinical practice guidelines.
Highest
PhilHealth Lowest Cost*
Case Rate Scenario (Php) Cost**
Case Rate (Php) (Php)
(Php)
CAP High Risk Adult CAP, high risk, non-ventilated 73,234.30 117,971.57
32,000.00 Adult CAP, high risk, ventilated 83,652.24 119,661.37
RECOMMENDATIONS
1. Create a system that will require institutions to regularly provide updated costing
information specifically to improve accuracy of case rates, and more broadly to support efforts
in planning, budgeting, monitoring and evaluation. Additionally, there is value in mandating
electronic medical records system to facilitate collection of routine data.
3. Improve case rates design into one that takes into account variations in patient
characteristics, i.e. diagnosis-related groupings. Ensure deployment of appropriate
communication strategy to facilitate understanding by stakeholders of the broader financing
system reforms.
Advancing Health through Evidence- To access the full text of this article or other research Advisory Board
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research and strengthen internal analytic [email protected] Beverly Lorraine Ho, MD, MPH
capacity in the Department of Health 651-7800 loc 1326 Barbara Michelle de Guzman, MSN, RN
and build health policy systems research
capacity within the sector. Research Division - Health Policy Development and Publication Manager
Planning Bureau Juanita Valeza
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Development