The Philippine Health Insurance Corp. (PhilHealth) aims to significantly reduce members' out-of-pocket healthcare expenses from the current 45% to 25% within the next three years.
Filipino members currently shoulder 45% of total healthcare costs, covering outpatient drugs, hospitalization, and preventive care.
PhilHealth is expanding its coverage, including outpatient drugs, to help manage funds efficiently and retain members.
The agency will reimburse P8.8 billion in previously denied hospital claims, including approximately 1.1 million claims rejected due to late filing.
PhilHealth hopes that by compensating public hospitals for filed claims, these institutions will have more resources for services like free medicines and better equipment.
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