Pooling Health Risk to Protect People : An Assessment of Health Insurance Coverage in Philippines
Taking the Philippines Health Financing Strategy (HFS) 2010–2020 objective of ‘sustaining membership in PhilHealth for all Filipinos’ as its point of departure, this report assesses the expansion of health insurance coverage in the Philippines and...
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| Format: | Report |
| Language: | English |
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World Bank, Washington, DC
2017
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| Online Access: | http://documents.worldbank.org/curated/en/770741512371309140/Pooling-health-risk-to-protect-people-an-assessment-of-health-insurance-coverage-in-Philippines http://hdl.handle.net/10986/29047 |
| Summary: | Taking the Philippines Health Financing
Strategy (HFS) 2010–2020 objective of ‘sustaining membership
in PhilHealth for all Filipinos’ as its point of departure,
this report assesses the expansion of health insurance
coverage in the Philippines and the extent to which it
provides protection from out-of-pocket (OOP) health
spending. The report commences with a description of the
organization of social health insurance through PhilHealth,
the different PhilHealth membership groups, their
eligibility criteria, contribution structure, and benefits.
Using both administrative data and household surveys, the
report then analyzes the patterns and trends in PhilHealth
membership over time and discusses the drivers of membership
expansion among different membership groups. Because the HFS
and the country’s health insurance laws stress the link
between the objective of sustaining membership in PhilHealth
and the attainment of equity and financial protection goals,
the equity dimension of PhilHealth membership gets special
attention. In this regard, the report looks at equity in
coverage, contributions, benefit design, and benefit
payments, as well as performance on financial protection
measures. It concludes by proposing some future directions,
together with associated specific recommendations. |
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