Principal Health Reforms

Health Sector Reform

Health Sector Reform

- fundamental change of processes in policies and institutional arrangements of the health sector
- usually guided by the government

DOH Key Reform Strategies: Year

2010-2016

DOH Key Reform Strategies (3)

1. universal & sustainable PhilHealth membership
2. upgrade & modernize gov't health facilities through HFEP
3. fortify efforts to achieve MDG targets

HFEP

Health Facilities Enhancement Program

MDG

Millennium Development Goals

Strategies to Achieve UHC Goals (7)

1. strengthen governance & accountability of key actors
2. pragmatic assessment of unmet healthcare needs
3. rationalize capital investments
4. systematic tracking of the health system's progress
5. partnerships with private sector & other gov't institutions
6. align health professional education system with international standards
7. capacity for & managing risks

RA 7875: Year

1995

RA 7875 (1995)

National Health Insurance Act
- gain financial access to health services
- prioritize those who can't afford such

Health Sector Reform Agenda: Year

1999

Health Sector Reform Agenda (1999)

- improve the way health care is delivered, regulated, financed
- systemic reforms in public health, the hospital system, local health, health regulation, health financing

FOURmula One (F1) for Health: Year

2005

FOURmula One (F1) for Health (2005)

- service delivery, health regulation, health financing and governance as a single package
- effective management infrastructure and financing arrangements
- focus on critical health interventions

RA 9502: Year

2008

RA 9502 (2008)

Universally Accessible Cheaper and Quality Medicines Act
- access to affordable quality drugs and medicine for all

RA 9994: Year

2010

RA 9994 (2010)

Expanded Senior Citizen's Act of 2010
- benefits and privileges to senior citizens
- 20% discount and exemption from the value-added tax (VAT)

RA 9994: Purchases Applicable to 20% VAT Discount (3)

a. medicines, pneumococcal vaccines and other essential medical supplies, accessories and equipment
b. professional fees of attending physicians (private clinics and hospitals) and of caregiver (recommended by private hospitals)
c. medical and dental services, diagnostic and laboratory fees in all private hospitals, medical facilities, outpatient clinics, and home health-care services;

RA 9994: Free...

- medical and dental services
- diagnostic and laboratory fees in all private outsourced,
medical facilities, outpatient clinics, home health-care services

RA 9994: Administrative Order No. 2010-0032

guidelines and mechanisms to implement the provisions of RA 9994

Health Financing Strategy _-_: Years

2010-2020

Health Financing Strategy (2010-2020)

- improving financial protection
achieving efficiency gains
- ensuring access to quality care through ⭐️ 5 Pillars

5 Pillars

1. create more fiscal space for health
2. sustain membership in PhilHealth-pooling
3. who pays for what
4. provider payments
5. fiscal autonomy of health facilities

Aquino Health Agenda for Universal Health Care: Year

2010

Aquino Health Agenda for Universal Health Care (2010)

Administrative Order No. 2010-0036
- aka Kalusugan Pangkalahatan
- improve, streamline, and scale up the reform strategies laid out in the Health Sector Reform Agenda (1999) and the FOURmula One for Health
- address inequalities in health outcomes
- all Filipinos have equitable access to quality healthcare

Aquino Health Agenda for Universal Health Care (2010): Specific Aims

1. strengthen NHIP: prime mover in improving financial risk protection
2. generate resources to modernize and sustain public health facilities
3. improve the provision of public health services to achieve MDGs

NHIP

National Health Insurance Program

RA 10152: Year

2011

RA 10152 (2011)

Mandatory Infants and Children's Health Immunization
- gov't's role in preventive health care of infants & children
- free to kids up to 5 years of age

Vaccine-Preventable Diseases

1. tuberculosis
2. DTP (diphtheria, tetanus, pertussis)
3. poliomyelitis
4. measles
5. mumps
6. German measles
7. Hep B
8. H influenzae type B (HiB)

Hepatitis B

given within 24 hours of birth

RA 10351: Year

2012

RA 10351 (2012)

Sin Tax Reform Law
- raise revenues for health
- discourage consumption of tobacco & alcohol
- impose higher excise taxes on "sin" products

RA 10354: Year

2012

RA 10354 (2012)

Responsible Parenthood and Reproductive Health Act
- access to (nearly all) modern contraceptives
- reproductive health education in government schools
- recognizes woman's right to post-abortion care
⭐️ reinforced by Executive Order No. 12 2017

Executive Order No. 12 2017

- attain & sustain 0 unmet need for modern family planning
- through the Strict Implementation of the RA 10354, providing funds therefore

RA 9241 & RA 10606: Year

2013

RA 9241 & RA 10606 (2013)

National Health Insurance Act of 2013
- amends RA 7875

i. full National Government subsidy to enrol poor families identified by the DSWD's NHTS-PR + coverage for pregnant women
2. simplified membership requirements
3. simplified availment rules and increased financial protection for the poor through no-balance billing
4. streamlined accreditation process
5. better administration of NHIP

NHTS-PR

National Household Targeting System - Poverty Reduction

Amendment of RA 7432: Year

2014

RA 7432 (2014)

(Senior Citizen Act)
- amended by RAs 9994 & 10645
- funds needed are sourced from RA 10351

(NOTE: 9994 & 10645: 2014 | 7432: 1992)

Philippine Health Agenda: Year

2016

Philippine Health Agenda (PHA) (2016)

Administrative Order No. 2016-0038
- builds on previous reforms

1. best health outcomes, no inequity
2. promote health & deliver healthcare
3. protect all families against the high healthcare costs

Philippine Health Agenda (PHA) (2016): Health Services

1. available for the well & sick at all life stages + responsive to triple burden of disease
2. delivered by a functional network of health facilities
3. financed by PhilHealth

Key Actors in Achieving UHC Goals (4)

1. DOH
2. PhilHealth
3. LGUs
4. healthcare providers

RA 10645

Mandatory PhilHealth Coverage for All Senior Citizens