(M) L2.3: RA 11223 - Universal Healthcare Act Flashcards
(105 cards)
This law aims to ensure ______ access to quality and affordable healthcare and protection against financial risk
Equitable
The law aims to progressively realize universal healthcare through what 2 aspects?
- Systemic approach
- Clear role delineation
Declaration of Principles (fill in the blanks):
An ______ and ________ approach to:
- ensure health literacy, healthy living, and protection from hazards and risk
- provide comprehensive health services without financial hardship
Integrated and Comprehensive
Declaration of Principles (fill in the blanks):
A whole of ______, ______, and ________ approach in the development of policies
System, Government, and Society (SGS)
Declaration of Principles (fill in the blanks):
A ______-centered approach revolving around everyone’s needs and well-being policies
People
What is the FULL TITLE of RA 11223?
An Act Instituting Universal Healthcare for All Filipinos, Prescribing Reforms in the Healthcare System, and Appropriating Funds Thereof
It is the policy of the State to protect and promote the right to _____ of all Filipinos and instill health consciousness among them
Health
What Declaration of Principles and Policies does this statement fall under?
To ensure that all Filipinos are literate, provided with healthy living conditions, and are protected from hazards that could affect their health
An integrated and comprehensive approach
What Declaration of Principles and Policies does this statement fall under?
This provides access to quality and cost-effective, promotive, preventive, curative, rehabilitative, and palliative health services without causing financial hardship
This also prioritizes the needs of the population who cannot afford such services
A health care model
What Declaration of Principles and Policies does this statement fall under?
This fosters a whole-of-system, whole-of-government, and whole-of-society approach in the development, implementation, monitoring, and evaluation of health policies, programs, and plans
A framework
What Declaration of Principles and Policies does this statement fall under?
This is centered on people’s needs and wellbeing and is cognizant of the differences in culture, values, and beliefs
A people-oriented approach for the delivery of health services
This law aims to establish what 3 healthy environments?
Living, Schooling, and Working Environments
Ideally, every family must have what type of healthcare provider?
Primary care provider team
T or F: Health spending is unpredictable as there is no clear basis for what health services PhilHealth can cover per member
False (it is predictable in a sense that you know that not everything, only some, will be covered by the government)
Financing: Eliminating Redundancies
Identify whether this is population-based or individual-based health services:
> shall be financed by the national government through the DOH and LGUs provided free of charge at point of service for all Filipinos
Population-based
Financing: Eliminating Redundancies
Identify whether this is population-based or individual-based health services:
Interventions such as health promotion disease surveillance, and vector control, which have community groups as recipients
Population-based
Financing: Eliminating Redundancies
Identify whether this is population-based or individual-based health services:
> shall be financed through repayment mechanisms to ensure predictability of health expenditures to the Philippine Health Insurance Corporation (PHIC) e.g. social health insurance, private health insurance, and HMOs
Individual-based
Financing: Eliminating Redundancies
Identify whether this is population-based or individual-based health services:
Services which can be accessed within a health facility or remotely that can be definitively traced back to one (1) recipient, has limited effect at a population level and does not alter the underlying cause of illness such as ambulatory and inpatient care, medicines, laboratory tests and procedures among others
Individual-based
This entity shall support the LGUs in financing of capital investments and provision of population-based interventions
The National Government
Financing: Simplifying Membership
These are members who:
> have the capacity to pay premiums
> are employed and are bound by an employer-employee relationship
> are self-earning, professional practitioners, migrant workers, including their qualified dependents and lifetime members
Direct Contributors
Financing: Simplifying Membership
These are members who are not included in the other category as well as their qualified dependents, whose premium shall be subsidized by the national government including those who are subsidized as a result of special laws
Indirect Contributors
Financing: Simplifying Membership
These members pay premium rates that shall be in accordance with a schedule, and monthly income floor and ceiling
Direct Contributors
Financing: Simplifying Membership
These members’ premium subsidies shall be gradually adjusted and included annually in the General Appropriations Act (GAA)
Indirect Contributors
What act allows for the adjustment of subsidies given to indirect contributors?
General Appropriations Act (GAA)
