philhealths indigent program :: essays research papers

CHAPTER I. RATIONALEIntroductionThe Philippine health Insurance Corporation was created by Republic Act No. 7875 to administer the National Health Insurance Program which is designed to provide health insurance coverage and ensure affordable, acceptable and health services for all Filipinos.The Enhanced PCSO Greater Medicare penetration (GMA) Program is a partnership forged by four important agencies of the governance the Philippine Charity Sweepstakes Office (PCSO), the Local Government Unit (LGU), department of Budget and Management (DBM), the Philippine Health Insurance Corporation (PhilHealth) and other national government agencies (NGAs) such as DILG, DSWD, DAR, DOH.The Enhanced PCSO GMA Program is a fruition of the common goals of PCSO, PhilHealth, DBM and the LGUs of the intention to enroll 5 million indigent families nationwide institutionalizing an integrated health care financing and delivery mechanism that ensures accessible, affordable and persona health care to al l underprivileged Filipinos. The Program started its enrollment on February 2004 and ended on May 2004. The validity of this card is for a year and enkindle be renewed through and through the Local Government Units (LGUs).For the implementation of the Program, PCSO allocated P1.5 billion as assistance for the payment of the local government unit (LGU) premium counterpart to PhilHealth for 2004, initially utilized the P1 billion Stand By Fund approved by the PCSO Board. DBM, on the other hand, assured the release of P1.5 billion to PhilHealth for the national government (NG) premium counterpart for the would be indigent.CHAPTER II. OBEJCTIVES1.To be able to unwrap the qualified members2.To be able to know the membership process3.To be able to identify the program benefits4.To be able know the number of indigents enrolled in Region VIII.5.To be able to identify the number of claims from the enrolled members.6.To determine the controversies behind the cardCHAPTER III. desktop AND L IMITATIONThe study is confined only to Region VIII which composes the provinces of Biliran, Eastern Samar, Leyte, Northern Samar, Southern Leyte and Western Samar.Chapter IV. MethodologyThe primary data were gathered through interviews with the Membership & Marketing Division, Finance Division, Claims Division and Management Information System of PhilHealth.In the secondary data, the researcher used the information from PhilHealth, news clippings from the newspapers and the Internet.CHAPTER V. DATA abbreviationTable I. Number of Indigents Enrolled In Eastern SamarMunicipalityNo. Of Indigents EnrolledPercentage Arteche1,1423.27%Balangiga6861.96%Balangkayan9912.84%Borongan5,39815.46%Can-avid1,9095.47%Dolores3,57510.24%Gen. Macarthur5051.45%Giporlos1,0923.13%Guiuan2,9338.40%Hernani8692.49%Jipapad3150.90%Lawaan9532.73%Llorente1,3093.75%Maslog400.11%Maydolong1,1543.31%Mercedes4591.31%Oras3,1218.94%Quinapondan1,4894.26%Salcedo1,0152.91%San Julian1,2203.49%San Policarpo1,8885.41%Sulat1,31 13.75%Taft1,5404.41%TOTAL34,914100.00%In Eastern Samar, the highest number of indigents enrolled was the Municipality of Borongan with a total of 5, 398 or 15.