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Articles

Issues, Challenges, and Ways Forward for PhilHealth’s Health Information System under a Diagnosis-Related Grouping-Global Budget (DRG-GB) Regime

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By Therese Jules P, Jemar Anne V, Siy Van, Valerie T, Valérie T
| gov.ph
In this study, the readiness of PhilHealth’s health information system (HIS) to support the transition to Diagnosis-Related Groups with Global Budgets (DRG-GB) as envisioned in the Universal Health Care Act of 2019 was assessed. Using a framework that examines data generation, fiduciary management, and performance analysis, systemic weaknesses across all three domains were identified.
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Winning the Game: Strengthening PhilHealth’s Provider Fraud Control Mechanisms towards Improved Service Delivery and Financial Risk Protection for Filipinos

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By Therese Jules P, Valerie T, Valérie T, Siy Van, Jemar Anne V
| gov.ph
Fraud in social health insurance results in inefficient use of government resources and diverts funds away from necessary health care needs and subsidizing the poor.
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The State of Health Infrastructure Investments in the Philippines and Assessment of the Health Facility Enhancement Program (HFEP)

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By Aaron Carlos G, Valerie T, Valérie T, Therese Jules P, Danielle Lois M
| gov.ph
The Health Facilities Enhancement Program (HFEP) is a capital investment grant administered by the Department of Health (DOH) to help local government units (LGUs) augment their health infrastructure, including primary healthcare facilities, hospitals, and equipment. Over the past decades, HFEP has accounted for approximately 12 percent of DOH's total budget. Despite its scale and more than a decade of implementation, systematic program evaluations remain limited.
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