The ethical principle of autonomy, one that is widely used for guiding the professional conduct of health care workers, is relevant in the issue of COVID-19 vaccination. While utilitarianism would suggest that mandating vaccination among health workers will bring about the greatest good for the largest number of people, this could affect respect for autonomy. … Continue reading Mandatory vaccination and ethics
In the face of limited resources in a world with unlimited health demands, the need to sustain the viability and sustainability of health financing systems is paramount. Legislators must carefully examine the design of health policies that influence the realization of universal health care and to consider interventions that have the greatest effect on the … Continue reading Pen Point 52
We look forward to 2021 with faith and expectancy for its promise - new life, joy, hope, peace, healing and contentment. God said, "Behold, I make all things new." Let's have the patience to wait for the coming of these divine gifts. May our constant reminder then be that of Jeremiah 29:11: "For I know … Continue reading Welcome, 2021!
It's hard when Christmas comes during these trying times. But beyond our pains, struggles and anxieties these days, God's love has and will always triumph because it is Emmanuel - God with us. With God, we look with hope to better time - better health and well-being and a more peaceful nation.
It's almost the end of the year 2020! Despite the events that transpired in the past few months, even when it's hard, let us try to leave the year with the hope that the coming year will be better for all of us. It has been an honor to work for the Filipino people through … Continue reading Merry Christmas 2020!
Price negotiation will help determine the prices of drugs to be included in PhilHealth benefit packages. However, these prices, based on my understanding of the JAO, are applicable to providers under the jurisdiction of DOH. As such, providers who are either private or LGU-sponsored may not directly benefit from it. A consolidated/pooled volume will drive … Continue reading Should PhilHealth use the centrally negotiated price of drugs in the development of benefit packages?
This definition of "overpayment" in the context of FFS is outright wrong. We are accustomed to thinking that paying a peso for every peso is the only right thing to do in a country that is deluged by cases of graft and corruption. Our past has conditioned us to think that paying over or under … Continue reading Is the government paying more than it should?
Efficiency gains should NOT be criminalized because they encourage the health care system to provide the best care we all deserve. At one point in time, HCPs paid under the ACR system will achieve efficiency gains by decreasing the overall cost of health care. HCPs do this by meticulously deciding on what and what not … Continue reading Should the government “criminalize” efficiency gains?
Paying for amounts printed on receipts is tantamount to subscribing to FFS rather than ACR. As illustrated above, this is inefficient and could likely promote external fraud. ACR, however, is far from perfect but averaging should've been the best method to determine the average cost of care needed for a specific case or procedure. The … Continue reading Should the government pay for whatever is on the receipt?
"Paying whichever is lower does not change the payment mechanism from ACR to FFS." This is true. Choosing to pay whichever is lower will not automatically change the payment mechanism from All Case Rates (Case-based payment) to Fee-for-Service. The "change" in payment mechanism does not depend on how we choose to pay, but on what … Continue reading Bill vs. ACR: Should the government pay for whichever is lower?