PhilHealth Individual-Based Services
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Questions and Answers

What is the primary objective of consolidating fragmented providers into province-wide and city-wide service delivery networks?

  • To reduce the cost of healthcare services
  • To increase the number of healthcare providers
  • To navigate and coordinate Institutionalized healthcare services (correct)
  • To concentrate healthcare services in urban areas
  • What is the requirement for government scholars under the expanded scholarship program?

  • 3 years return service in underserved areas (correct)
  • 1 year return service in underserved areas
  • No return service requirement
  • 2 years return service in urban areas
  • What is the purpose of Health Technology Assessment in the healthcare system?

  • To increase the cost of healthcare services
  • To determine the feasibility of new healthcare technologies (correct)
  • To ensure that goods and services are publicly financed
  • To reduce the quality of healthcare services
  • What is the target ratio of basic to non-basic accommodation beds for government hospitals?

    <p>90:10</p> Signup and view all the answers

    What is the purpose of requiring health and financial data submission by healthcare providers and suppliers?

    <p>To ensure transparency and accountability</p> Signup and view all the answers

    What is the primary objective of PhilHealth's simplification of membership into direct and indirect contributory members?

    <p>To pool funds for individual-based health services</p> Signup and view all the answers

    What is necessary to make decentralization work for Universal Health Care?

    <p>Clearly defining roles between national and local governments</p> Signup and view all the answers

    What is the main function of the National Health Insurance Program (PhilHealth) in the Philippines?

    <p>Serving as the preferred single payer for healthcare services</p> Signup and view all the answers

    What is essential for supporting the devolution of powers and functions in healthcare?

    <p>Adequate financing through intergovernmental transfers</p> Signup and view all the answers

    What is necessary to ensure effective healthcare delivery in the Philippines?

    <p>Consolidating local governments to reduce inefficiencies</p> Signup and view all the answers

    What is the dual system composed of in the Philippines?

    <p>Public and private healthcare providers</p> Signup and view all the answers

    What is essential for effective healthcare governance in the Philippines?

    <p>Institutionalizing accountability mechanisms</p> Signup and view all the answers

    What is the primary goal of the Universal Health Care Act in the Philippines?

    <p>To ensure equitable access to quality and affordable healthcare</p> Signup and view all the answers

    How are individual-based health services funded under the Universal Health Care Act?

    <p>Primarily through pre-payment mechanisms such as SHI, PHI, and HMO</p> Signup and view all the answers

    What is the role of the National Health Insurance Program (NHIP) in the Universal Health Care Act?

    <p>To provide health insurance to all Filipino citizens, regardless of their financial situation</p> Signup and view all the answers

    How are healthcare providers incentivized to form networks under the Universal Health Care Act?

    <p>Through a shift to performance-driven, closed-end, prospective payments</p> Signup and view all the answers

    What is the role of the Department of Health (DOH) in the implementation of the Universal Health Care Act?

    <p>To contract with province-wide and city-wide health systems</p> Signup and view all the answers

    What is the goal of the Health Promotion Bureau in the Department of Health?

    <p>To promote health literacy and healthy living</p> Signup and view all the answers

    How are healthcare services regulated under the Universal Health Care Act?

    <p>Through a licensing and regulatory system</p> Signup and view all the answers

    What is the role of the PhilHealth Board of Directors in the implementation of the Universal Health Care Act?

    <p>To oversee the implementation of the NHIP</p> Signup and view all the answers

    What is the goal of the National Health Human Resources Master Plan?

    <p>To provide appropriate policies and strategies for health workforce development</p> Signup and view all the answers

    What is the source of funding for the Universal Health Care Act?

    <p>A combination of government subsidies, premium contributions, and sin tax collections</p> Signup and view all the answers

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