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Inatasan ni Pangulong Ferdinand R. Marcos Jr. ang Philippine Health Insurance Corp. (PhilHealth), na palawigin ang coverage nito, para sa kanilang mga miyembro.

Sa naging pulong ng Pangulo kasama ang mga opisyal ng PhilHealth, inilatag ng mga ito ang short-term plan (first six months of 2023) ng kanilang tanggapan, kabilang na ang pagpapataas ng hemodialysis coverage mula 90 sessions patungong 156 sessions.

“Repealing the pay-whichever-is-lower corporate policy in payment claims and increasing the case rate of the top four packages covering 25 percent of filed claims.” pahayag ni Secretary Garafil.

Ayon kay PCO Secretary Cheloy Velicaria – Garafil, bahagi rin ng plano ng PhilHealth ang introduksyon ng PhilHealth mobile app, SMS confirmations, at implementasyon ng bagong benefit packages ng tanggapan.

“Under its new packages, PhilHealth is looking to introduce the outpatient mental health benefit package, outpatient package for severe acute malnutrition for children below five years old and strengthen its Konsulta package.” saad ni Secretary Garafil.

Plano rin ng PhilHealth na i-rationalize ang COVID-19 incentive packages, RT-PCR at antigen test, at isolation packages.

“For its mid-term plan to be introduced in 2024, PhilHealth will carry out general amnesty for employers and government agencies with missed premium payments, which will cover businesses, employers and individuals, especially small and medium enterprises that cannot afford to pay the 3 percent interest on missed premium payments. The health insurer also plans to impose penalties on erring doctors and hospitals instead of revoking their accreditation, amend the Universal Healthcare Law (UHC) and increase the case rates of top 10 packages with the highest claims filed.” —Secretary Garafil.

Para naman sa long-term plan, dito pumapasok ang digitalization efforts at konstruksyon ng mga bagong gusali at iba pang pasilidad ng PhilHealth.

“An anti-fraud system will also be introduced and a reorganization of PhilHealth will also be implemented to ensure proper manpower complement, especially for claims processing and frontline services.” ayon kay Secretary Garafil. | ulat ni Racquel Bayan