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RE: Random Spiel, PhilHealth next 2025

in #rant2 days ago

Great points there. On one side, gov't says there is surplus, but on the ground there is still a delay in payments. It would be interesting to understand what is the source of these delays. Seems to me it's a Philhealth issue more than just a funding issue (from National budget). So if we give gov't subsidy, what is the guarantee that such budget will be utililized properly?

Maybe the missing piece here is on how GOCC performance like Philhealth is being measured? Of course, the measure should not be profit-driven but more on efficiency.
a.) How much budget has been utilized? Over/Under?
b.) Efficiency rating of Philhealth payments - is this comparable to HMOs as well, I've heard those are late too?
c.) Sustainability - how many years can Philhealth reserve funds cover? I believe there are typical measures already within the insurance/actuarial industry.

etc...

Based on the above, if these questions can be answered, then we can proceed to the question whether or not Philhealth deserves gov't subsidy.