Evidence-informed policies sound sensible, right? But why does it not often happen, especially in the Philippines? While the use of evidence in decision-making seems logical, policy-making (sadly) often isn't rational. It's almost always political.
What are the considerations in the provider payment mechanism? How we raise money to pay for health care is an important issue. But equally important are the daunting tasks of organizing health service delivery, and compensating individuals and organizations that provide these services. To meet the increasing demand for health care services, health care workers … Continue reading Pandemic Financing: How the World is Funding the COVID-19 Response (Part 2)
Various provider payment mechanisms will continue to exist in the country’s health care system. Emphasis is placed, however, on the current movement towards using performance-driven, prospective payments (e.g. Global Budget Payment) based on diagnosis-related groups (DRG). The shift to DRG-based GBP will not be easy. Mechanisms should be in place to avoid underprovision and ensure … Continue reading Pen Point 49
Introduction Many countries are scrambling to respond to the COVID-19 pandemic. The primary focus has been on strengthening health systems to improve surge capacity1,2. At the same time, countries are faced with the difficulty of balancing the demands of responding to the pandemic with the need to maintain the delivery of essential health services2. This … Continue reading Pandemic Financing: How the World is Funding the COVID-19 Response (Part 1)
EXECUTIVE SUMMARY In order to reduce the financial uncertainties associated with future illnesses, Overseas Filipino Workers are encouraged to enroll themselves in the national health insurance program. However, not all OFWs are enrolled in the program or are actively paying their premiums. The reasons behind this include limited knowledge about Philhealth and its services. This, … Continue reading THE CHALLENGE OF ENSURING PHILHEALTH COVERAGE AMONG OFWS
A government can be cost-efficient but have poor allocative efficiency. Cost efficiency achieves the maximum health benefit at a given cost while allocative efficiency maximizes the health of society by achieving the right mixture of health goods and services according to preferences. Say for example the government wants to produce more midwives under a national … Continue reading Health Economics Series: Cost Efficiency and Allocative Efficiency
Average productivity (AP) is simply the quotient of the total output (O) divided by the number of units of a certain input (I) [i.e. AP = O / I]. Marginal productivity (MP), on one hand, is the additional output derived from an additional unit of a certain input [i.e. MP = ∆O / ∆I]. Example: … Continue reading Health Economics Series: Average Productivity and Marginal Productivity
Uncertainty is a situation where it is impossible to know the likelihood (unknown probabilities) of an event occurring while information asymmetry is a situation in which one party has more / better information than the other party. Many Filipinos exhibit the first type of information failure: uncertainty. Filipinos are not keen on examining the financial … Continue reading Health Economics Series: Uncertainty and Asymmetric Information
Good news if we've truly flattened the curve. But have we improved our health system's surge capacity? Some hospitals lack manpower and PPE. Ending the ECQ may mean well for the economy. However, without health systems strengthening and evidence-based measures to control community transmission, we'll continue to strain our overburdened health care system.
Duterte & his allies have mastered the art of deception and selective justice. Deception of people for the sake of the people is a contradiction in democracy. Indeed, politics is a dirty game. Remember that there are no permanent friends, or enemies, only permanent (sometimes selfish) interests. Inaction is action. Our government is responsible both … Continue reading Pen Point 47