LATEST PUBLICATIONS
PN 2021-09
Gender Perspectives in E-livelihood and E-entrepreneurship
PN 2021-08
Promoting a More Innovative and Inclusive Society through ICT Development
SEARCA MGB 2021 2
Seed Guidebook: Scaling and Expanding for Effective Development the Experiences and Learning from the SEARCA Project ISARD
SEARCA RPCL 2021 6
Microbes for Sustainable Agriculture: Isolation and Identification of Beneficial Soil- and Plant-Associated Microorganisms

LATEST AV MATERIALS
PIDS WB 2021-0903
Annual Public Policy Conference Webinar 2: Ethical Business
PIDS WB 2021-0902
Opening Program and Annual Public Policy Conference Webinar 1: Resetting Capitalism
PIDS WB 2021-0901
19th Development Policy Research Month Kick-Off Forum
PIDS WB 2021-0702
Local Governments' PDP and SDG Localization Efforts as Contribution to National Development
Publication Detail
DP 2014-45: Feasibility of Supplemental Funds from the Private Sector for Catastrophic Illness Financing

Catastrophic illnesses can push a household into poverty by causing unmanageable, or catastrophic, expenditures for their treatment or management. Kalusugan Pangkalahatan aims to provide financial risk protection for the poor. Hence, insurance coverage for catastrophic illnesses need to be strengthened. However, the scope of the PhilHealth Z benefits, which was developed to protect Filipinos affected with certain medical conditions from financial catastrophe, is limited. This report provides an analysis of the feasibility of supplemental funds from the private sector, specifically from health maintenance organizations (HMOs) and self-insured companies, for the Z benefits program. Key informant interviews were conducted with representatives of PhilHealth, HMOs, and self-insured companies to determine the constraints, prospects, and requirements to implement a supplemental fund. Results were analyzed thematically.

Establishing a supplemental fund from the private sector for catastrophic illness financing is currently not feasible. The supplemental fund can be lodged in PhilHealth or outsourced to HMOs. However, managing a supplemental fund would require operational, institutional, and legal changes to be made by PhilHealth. On the other hand, better regulation of the HMO industry is also required. Regardless of how the supplemental fund will be managed and implemented, it is imperative to conduct studies on the incidence and costing of catastrophic illnesses first to make the supplemental fund viable.



Philippine Institute for Development Studies
Authors Keywords
Juban, Noel R.; Reverente, Benito Jr. R.; Santos, Maria Socorro S.D.; health maintenance organizations; Philippines; catastrophic illness financing; supplemental insurance; private health insurance;
Download PDF Number of Downloads
Published in 2014 and available in the PIDS Library or Downloaded 1,084 times since January 13, 2015
×
Please let us know your reason for downloading this publication. May we also ask you to provide additional information that will help us serve you better? Rest assured that your answers will not be shared with any outside parties. It will take you only two minutes to complete the survey. Thank you.


To use as reference:
If others, (Please specify):
Name: (optional)
Email: (required, but will not display)
Age:
Gender:
If Prefer to self-describe, please specify:
Level of Education:
Occupation:
If employed either part-time or full-time, name of office:
If others, (Please specify):
Would you like to receive the SERP-P UPDATES e-newsletter? Yes No
Use the space below if you have any comment about this publication or SERP-P knowledge resources in general.