PhilHealth system meeting equity mandate, but sustainability gap remains

Although the PhilHealth system is functioning as designed, a data scientist said the Philippines may want to consider models such as Taiwan’s, where almost all residents contribute through “fixed, manageable premiums” based on their category. Dr. Alicor Panao, a data scientist and associate professor at the University of the Philippines, said PhilHealth’s latest claims data show a system under increasing pressure and, from a financial sustainability point of view, an imbalance in who benefits most from the program. Elderly members accounted for about 23% of total claims spending and 21% of claims volume. Sponsored members comprised 23% of spending and […]... Keep on reading: PhilHealth system meeting equity mandate, but sustainability gap remains

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