Providing Health Insurance for the Poor: The Philippine Experience. Leizel P Lagrada MD MPH PhD Berlin Global Learning Forum/ June 23-27, 2015

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Providing Health Insurance for the Poor: The Philippine Experience. Leizel P Lagrada MD MPH PhD Berlin Global Learning Forum/ June 23-27, 2015"

Transcription

1 Providing Health Insurance for the Poor: The Philippine Experience Leizel P Lagrada MD MPH PhD Berlin Global Learning Forum/ June 23-27, 2015

2 Experience of Enrolling the Poor in selected JLN countries Population Coverage Technical Initiative Workshop; Manila, December 2014 JLN countries shared experiences in reaching disadvantaged populations to achieve UHC

3 Kenya Challenges Enrollment is compulsory for formal sector, but voluntary for all other groups. Lack of incentive for the poor, near poor and informal groups to enroll Strategies Innovative partnerships between NHIF and mobile network providers to collect premiums via mobile money National Registration bureau to require membership to renew work permits and licenses

4 Ghana Challenges Corruption leads to errors of inclusion in targeting; insurance agents sometimes enroll new members incorrectly as indigent to offer them premium exemption Strategies Use of biometric technology to properly identify the enrolled indigents

5 Vietnam Challenges Corruption leads to errors of inclusion in targeting; incorrect identification of individuals as poor to provide them with benefits and premium exemption Strategies Individuals identified as poor have their names placed on a list, which is published in a public area (reduces the risk of leakages)

6 National Health Insurance Program expansion through the years.. Expanding SHI from employed sector to informal sector Consolidating the health insurance programs for private employees, civil servants and overseas workers into one SHI Shifting from counterpart contribution scheme between the NG and LGUs to full NG contribution to enroll the poor. Single mechanism to identify the poor, using the NHTS-PR list generated by DSWD Earmarked sin taxes to support UHC, including the premium for the poor

7 Characteristics of the National Health Insurance Program Mandate Coverage Provide all citizens with the mechanism to gain financial access to health services RA 7875 (1995) as amended by RA 9241(2004) & RA (2013) Compulsory coverage for all citizens; Family-based membership where primary member and qualified dependents have almost the same benefit Administration Single-payer system Financing For employed: Payroll-based premium with employer and employee contributions (2.5% of basic salary) For Self-employed: Two-tiered annual premium PhP2,400 (US$54) with less than P25,000 (US$563.5) monthly income) PhP3,600 (US$81) for those earning P25,000 or higher monthly income Government subsidy for the poor and senior citizen (PhP2,400 annual premium)

8 Characteristics of the National Health Insurance Program Benefits Uniform in-patient package,including catastrophic benefit packages Primary care benefit for the indigents and other sponsored members (will also be rolled out to all members ) Providers Voluntary accreditation of government and private health facilities Plus: contract with hospitals to deliver catastrophic benefit packages Payment Mechanism Case rate for in-patient benefits Special Case Rate for Z packages Per Family Payment Rate (PFPR) for Primary Care Benefit (Tsekap) Privileges Automatic coverage of the poor assessed by NHTS-PR of the Department of Social Welfare and Development (DSWD) No Balance Billing for indigents and sponsored members when admitted in government hospitals Automatic availment of benefits by pregnant women and those enrolled as sponsored member at point-of-care Lifetime entitlement to senior citizens (60 years old and above)

9 Where are we right now? 17 REGIONAL O F F I C E S 106 L O C A L OFFICES 6,400 OFFICERS S T A F F F I L I P I N O S ~100,000,000

10 NHTS-PR: Targeting the Poor under NHIP Individuals who have no visible means of income, or whose income is insufficient for family subsistence are identified by DSWD as poor Based on specific criteria set for the purpose of National Household Targeting System for Poverty Reduction (NHTS-PR) Once identified through NHTS-PR, poor families are automatically covered by the National Health Insurance Program

11 NHTS-PR: The Process 1) Geographic Targeting Enumeration strategy was defined using poverty maps Poorest municipalities were covered first and all households were assessed Less poor municipalities had combination of enumeration of pockets of poverty and on demand applications 2) Household Assessment Households were assessed through home interviews to gather information on Household Assessment Form (HAF) Supervision was randomly done during the field work to ensure good quality of information Processing was done online at regional offices with validation routines to check the quality of data PMT scoring was applied to PMT ready data 3) Validation List of poor household selected through PMT as those below provincial poverty thresholds was published at the village level Addressing complaints about exclusion and inclusion Verification of data, gathering of evidence, assessing the excluded Providing evidence for Local Verification Committee for final decision Processing of validated data Reference: Fernandez, L. Design and Implementation Features of the National household Targeting System in the Philippines, Philippine Social Protection Note No. 5. WB and AusAID, June 2012

12 What about those who were missed? Enrollment at Point of Care 1. Non-member/ beneficiary patients, who are assessed and classified as Class C-3 or D by the Hospital Medical Social Welfare Officer (HMSWO)* 2. Member/beneficiary patients who are not covered due to lack of qualifying contribution and classified to be Class C-3 or D by the HMSWO Note: * DOH Administrative Order No. 51 s- 2001Classification of Admitted Patients

13 Member Enrollment Made Simple: The new PMRF is enough No more documentary Requirements! A person intending to enroll as member (including dependents) shall submit a properly accomplished PhilHealth Member Registration Form

14 Population coverage in millions Use of NHTS-PR to cover the poor Population with PhilHealth Coverage between Overseas Workers Lifetime Employed- Private Employed- Government IPP Sponsored Program.and to extend coverage to near poor

15 Who does what in providing coverage for the poor? DSWD Manages NHTS-PR Processes on-demand application Shares list of poor household to PhilHealth PhilHealth DOH DOF/DBM LGUs/public hospitals other sponsoring agents Matches DSWD list with PhilHealth membership base Identifies primary members/families from NHTS list Provides coverage for identified indigent and poor families Seek adequate budget to enroll the NHTS list of families Monitor health care utilization of indigent families Invest in health facilities and services used by the poor Raises revenues from sin taxes to enroll the poor and invest in public health facilities Point of care enrollment Facilitate enrollment of near poor/ informal sector

16 Cooperative work within PhilHealth.. Central Office Regional Offices Local health insurance office PhilHealth outlets Member Data Management Health Benefits and Access to Services Member Empower ment Effective Coverage for the Poor

17 Challenges & Opportunities.. Mandatory membership for all Filipinos Sustain Membership Coverage How to cover the uninsured workers in Informal Economy Enforcement and compliance of Employers and members of the NHIP Law Empowered Members Knowing the benefits and how to avail the benefits Strengthen Partnership with Stakeholders

18 Perspectives for future Guarantee full financial risk protection for the poor through No Balance Billing policy Protect the non-poor from impoverishing effect of health care cost through fixed co-pay Monitor and measure the financial risk protection and health care utilization (health outcomes) provided by the NHIP and use the evidence to further improve the program

19 Thank you.

The National Health Insurance Program in the Philippines: Critical Challenges and Future Directions

The National Health Insurance Program in the Philippines: Critical Challenges and Future Directions The National Health Insurance Program in the Philippines: Critical Challenges and Future Directions Maricel T. Fernandez Alex B. Brillantes Jr Abigail Modino PIDS HSRM Knowledge-Sharing Seminar 01 July

More information

The Search for Best Practices of Universal Health Coverage Policies: Health Insurance for the Poor in the Philippines

The Search for Best Practices of Universal Health Coverage Policies: Health Insurance for the Poor in the Philippines The Search for Best Practices of Universal Health Coverage Policies: Health Insurance for the Poor in the Philippines Briefer on the Universal Health Care Program Page 1 Briefer on the Universal Health

More information

ON THE ROAD TO UNIVERSAL HEALTH COVERAGE: LESSONS FROM A MULTI- COUNTRY STUDY IN EAST ASIA

ON THE ROAD TO UNIVERSAL HEALTH COVERAGE: LESSONS FROM A MULTI- COUNTRY STUDY IN EAST ASIA ON THE ROAD TO UNIVERSAL HEALTH COVERAGE: LESSONS FROM A MULTI- COUNTRY STUDY IN EAST ASIA ADAM WAGSTAFF RESEARCH MANAGER, DEVELOPMENT RESEARCH GROUP, THE WORLD BANK Health Equity and Financial Protection

More information

Philippine Health Agenda: Universal Health Care. Enrique T. Ona, MD, FPCS, FACS Secretary of Health

Philippine Health Agenda: Universal Health Care. Enrique T. Ona, MD, FPCS, FACS Secretary of Health Philippine Health Agenda: Universal Health Care Enrique T. Ona, MD, FPCS, FACS Secretary of Health Thirty percent of our countrymen who succumb to sickness die without seeing a doctor. -President Aquino

More information

Moving from universal health coverage to effective financial protection: Evidence from a health insurance experiment in the Philippines

Moving from universal health coverage to effective financial protection: Evidence from a health insurance experiment in the Philippines Moving from universal health coverage to effective financial protection: Evidence from a health insurance experiment in the Philippines SA. Quimbo University of the Philippines School of Economics Prince

More information

ISSN No (October 2015) Introduction

ISSN No (October 2015) Introduction Philippine Institute for Development Studies Surian sa mga Pag-aaral Pangkaunlaran ng Pilipinas ISSN 1656-5266 No. 2015-18 (October 2015) Exploring private supplemental insurance for catastrophic illnesses

More information

Universal Health Care

Universal Health Care Universal Health Care in the Philippines Gains and Challenges Enrique T. Ona, MD, FPCS, FACS ( Hon.) Secretary of Health The Social Contract with the Filipino From treating health as just another area

More information

National Health Insurance Policy 2013

National Health Insurance Policy 2013 National Health Insurance Policy 2013 1. Background The Interim Constitution of Nepal 2007 provides for free basic health care as a fundamental right of citizens. Accordingly, the Government of Nepal has

More information

Joint Select Committee on Health Care Reform

Joint Select Committee on Health Care Reform LD 1611 An Act To Provide Affordable Health Insurance to Small Businesses and Individuals and To Control Health Care Costs PUBLIC 469 Sponsor(s) Committee Report Amendments Adopted O'NEIL OTP-AM H-565

More information

Single Payer Systems: Equity in Access to Care

Single Payer Systems: Equity in Access to Care Single Payer Systems: Equity in Access to Care Lynn A. Blewett University of Minnesota, School of Public Health The True Workings of Single Payer Systems: Lessons or Warnings for U.S. Reform Journal of

More information

Social Health Insurance In Three Asian Countries: China, Thailand and Vietnam 1 July 2014 Roli Talampas Asian Center UP Diliman

Social Health Insurance In Three Asian Countries: China, Thailand and Vietnam 1 July 2014 Roli Talampas Asian Center UP Diliman Social Health Insurance In Three Asian Countries: China, Thailand and Vietnam 1 July 2014 Roli Talampas Asian Center UP Diliman Outline Objectives & Questions Framework Methods Findings Summary Objectives

More information

Medical Insurance for the Poor: impact on access and affordability of health services in Georgia

Medical Insurance for the Poor: impact on access and affordability of health services in Georgia Medical Insurance for the Poor: impact on access and affordability of health services in Georgia The health care in Georgia is currently affordable for very rich and very poor Key informant Key Messages:

More information

All persons gainfully employed under age 60. Self-employed are covered also.

All persons gainfully employed under age 60. Self-employed are covered also. Prepared by First Life Financial Company. I SUMMARY Social Security Eligibility Retirement Contributions All persons gainfully employed under age 60. Self-employed are covered also. 60M/F To Social Security:

More information

Ensuring that health financing policy supports universal health coverage efforts

Ensuring that health financing policy supports universal health coverage efforts National Conference on Ensuring that health financing policy supports universal health coverage efforts Matthew Jowett PhD Senior Health Financing Specialist WHO Geneva What is universal health coverage?

More information

The Patient Protection & Affordable Care Act: Next Steps in Maine. February 8, 2013 1

The Patient Protection & Affordable Care Act: Next Steps in Maine. February 8, 2013 1 The Patient Protection & Affordable Care Act: Next Steps in Maine February 8, 2013 1 Maine Medical Association Voluntary membership association of over 3,600 Maine physicians, residents, and medical students

More information

TOWARDS UNIVERSAL HEALTHCARE COVERAGE LESSONS FROM THE HEALTH EQUITY & FINANCIAL PROTECTION IN ASIA PROJECT

TOWARDS UNIVERSAL HEALTHCARE COVERAGE LESSONS FROM THE HEALTH EQUITY & FINANCIAL PROTECTION IN ASIA PROJECT TOWARDS UNIVERSAL HEALTHCARE COVERAGE LESSONS FROM THE HEALTH EQUITY & FINANCIAL PROTECTION IN ASIA PROJECT Eddy van Doorslaer Institute for Health Policy & Management & School of Economics Erasmus University

More information

Decree On National Health Insurance Fund. Government issued Decree: Chapter I General Provisions

Decree On National Health Insurance Fund. Government issued Decree: Chapter I General Provisions Government Lao People s Democratic Republic Peace Independence Democracy Unity Prosperity ------------------ No.../ GO Vientiane Capital, date./ Decree On National Health Insurance Fund - Pursuant to Law

More information

Philippine Institute for Development Studies Surian sa mga Pag-aaral Pangkaunlaran ng Pilipinas

Philippine Institute for Development Studies Surian sa mga Pag-aaral Pangkaunlaran ng Pilipinas Philippine Institute for Development Studies Surian sa mga Pag-aaral Pangkaunlaran ng Pilipinas The Sponsored Program of the Philippine National Health Insurance Analyses of the Actual Coverage and Variations

More information

INDONESIA: PROVIDING HEALTH INSURANCE FOR THE POOR

INDONESIA: PROVIDING HEALTH INSURANCE FOR THE POOR SERIES: SOCIAL SECURITY EXTENSION INITATIVES IN SOUTH EAST ASIA INDONESIA: PROVIDING HEALTH INSURANCE FOR THE POOR ILO Subregional Office for South East Asia Decent Work for All Asian Decent Work Decade

More information

City Hospitals Offices (Hospital) Barangay Health Stations

City Hospitals Offices (Hospital) Barangay Health Stations Fifteen Years of Decentralization in Health NEMESIO T. GAKO, MD, MPH Assistant Secretary Department of Health Manila Office of Secretary of Health Regional Hospital Medical Centers Sanitaria Provincial

More information

Health Insurance as Social Protection in Latin America

Health Insurance as Social Protection in Latin America Health Insurance as Social Protection in Latin America Marcos Vera-Hernandez (m.vera@ucl.ac.uk) University College London & Institute for Fiscal Studies 1 st Kenya Social Protection Conference Week Enhancing

More information

Health Systems: Type, Coverage and Financing Mechanisms

Health Systems: Type, Coverage and Financing Mechanisms Health Systems: Type, Coverage and Mechanisms Austria Belgium Bulgaria (2007) Czech Republic Denmark (2007) Estonia (2008). Supplementary private health Complementary voluntary and private health Public

More information

Colombia REACHING THE POOR WITH HEALTH SERVICES. Using Proxy-Means Testing to Expand Health Insurance for the Poor. Differences between Rich and Poor

Colombia REACHING THE POOR WITH HEALTH SERVICES. Using Proxy-Means Testing to Expand Health Insurance for the Poor. Differences between Rich and Poor REACHING THE POOR WITH HEALTH SERVICES 27 Colombia Using Proxy-Means Testing to Expand Health Insurance for the Poor Colombia s poor now stand a chance of holding off financial catastrophe when felled

More information

Expanding Social Health Insurance Coverage: New Issues and Challenges Rosario G. Manasan

Expanding Social Health Insurance Coverage: New Issues and Challenges Rosario G. Manasan Philippine Institute for Development Studies Surian sa mga Pag-aaral Pangkaunlaran ng Pilipinas Expanding Social Health Insurance Coverage: New Issues and Challenges Rosario G. Manasan DISCUSSION PAPER

More information

A STUDY OF THE SPONSORED PROGRAM NATIONAL HEALTH INSURANCE PROGRAM (PHILIPPINES)

A STUDY OF THE SPONSORED PROGRAM NATIONAL HEALTH INSURANCE PROGRAM (PHILIPPINES) PUBLIC EXPENDITURE TRACKING SURVEY A STUDY OF THE SPONSORED PROGRAM NATIONAL HEALTH INSURANCE PROGRAM (PHILIPPINES) ACTION FOR ECONOMIC REFORMS DECEMBER 2013 A PROJECT SUPPORTED BY US-AID IN COOPERATION

More information

Current challenges in delivering social security health insurance

Current challenges in delivering social security health insurance International Social Security Association Afric ISSA Meeting of Directors of Social Security Organizations in Asia and the Pacific Seoul, Republic of Korea, 9-11 November 2005 Current challenges in delivering

More information

Comparison of California Health Coverage Expansion Proposals

Comparison of California Health Coverage Expansion Proposals Note: A comparison of the Senate Republican proposal for the special session, CalCare Plus will be available shortly. Californians to Be Covered 1 Consumers/ Individuals Treatment of Self-Employed Employers

More information

Can Expanded Health Insurance and Improved Quality Protect Against Out-of-Pocket Payments?

Can Expanded Health Insurance and Improved Quality Protect Against Out-of-Pocket Payments? Can Expanded Health Insurance and Improved Quality Protect Against Out-of-Pocket Payments? Experimental Evidence from the Philippines SA. Quimbo University of the Philippines School of Economics N Wagner

More information

AFFORDABLE CARE ACT FAQ

AFFORDABLE CARE ACT FAQ AFFORDABLE CARE ACT FAQ What is the Healthcare Insurance Marketplace? The Marketplace is a new way to find quality health coverage. It can help if you don t have coverage now or if you have it but want

More information

Programs. Summary of State Programs and Laws Highlighted in Faces of Maryland s Newly Insured. Medical Assistance for Families (SB 6)

Programs. Summary of State Programs and Laws Highlighted in Faces of Maryland s Newly Insured. Medical Assistance for Families (SB 6) Programs Summary of State Programs and Laws Highlighted in Faces of Maryland s Newly Insured Medical Assistance for Families (SB 6) Medical Assistance for Families provides full health care insurance to

More information

The Patient Protection and Affordable Care Act ( ACA ) and Your Facility

The Patient Protection and Affordable Care Act ( ACA ) and Your Facility The Patient Protection and Affordable Care Act ( ACA ) and Your Facility By Christine Garrity: Chief Administrative Officer & General Counsel for The Professional Golfers' Association of America President

More information

Global Development Network Strengthening Institutions to Improve Public Expenditure Accountability

Global Development Network Strengthening Institutions to Improve Public Expenditure Accountability Global Development Network Strengthening Institutions to Improve Public Expenditure Accountability Philippines: Towards Expanding Access to Healthcare Services A Policy Simulation Report Cid L. Terosa

More information

Selected Employer Provisions in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010

Selected Employer Provisions in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 Selected Employer Provisions in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 This chart outlines, in depth, selected provisions in the Patient

More information

KOICA s Intervention in moving forwards UHC. Young Ran Kim

KOICA s Intervention in moving forwards UHC. Young Ran Kim KOICA s Intervention in moving forwards UHC Young Ran Kim 1. UHC in Korea - History and SWOTs in Korean Health Insurance 2. KOICA s intervention in moving forwards UHC 1. Introduction Korea s Experience

More information

Health Financing in Vietnam: Policy development and impacts

Health Financing in Vietnam: Policy development and impacts Health Financing in Vietnam: Policy development and impacts Björn Ekman Department of Clinical Sciences Lund University, Sweden Sydney 17 September, 2008 Outline of Presentation Part A: Health financing

More information

Lynn A. Blewett, Ph.D. Professor, University of Minnesota

Lynn A. Blewett, Ph.D. Professor, University of Minnesota Lynn A. Blewett, Ph.D. Professor, University of Minnesota Westlake Forum III Healthcare Reform in China and the US: Similarities, Differences and Challenges Emory University, Atlanta, GA April 10-12, 2011

More information

Richard Kerich, CPA, MBA Chief Executive Officer National Hospital Insurance Fund-Kenya

Richard Kerich, CPA, MBA Chief Executive Officer National Hospital Insurance Fund-Kenya Richard Kerich, CPA, MBA Chief Executive Officer National Hospital Insurance Fund-Kenya Country Overview Key Statistics: Total Population: 40 Million Gross National Income per capita: $ 1,620 Life Expectancy

More information

UPDATE BY: DR. FRANCIS RUNUMI AG.DHS(P&D)

UPDATE BY: DR. FRANCIS RUNUMI AG.DHS(P&D) UPDATE BY: DR. FRANCIS RUNUMI AG.DHS(P&D) 1 Introduction Draft Bill Highlights Challenges Next Steps 2 Introduction Health care delivery is affected by: 1. High population growth rate (3.4%) 2. Changing

More information

THE PATIENT Protection and Affordable Care Act,

THE PATIENT Protection and Affordable Care Act, 1 BEA BRIEFING Affordable Care Act Transactions in the National Income and Product Accounts Benjamin A. Mandel THE PATIENT Protection and Affordable Care Act, often called the Affordable Care Act (ACA),

More information

Introduction to Universal Health Coverage and Financing

Introduction to Universal Health Coverage and Financing Introduction to Universal Health Coverage and Financing Awad MATARIA, PhD Health Economist World Health Organization Eastern-Mediterranean Regional Office Regional Workshop on Cost-Effectiveness Analysis:

More information

Private Health Insurance Options in Egypt Discussion with EISA Chairman and senior staff

Private Health Insurance Options in Egypt Discussion with EISA Chairman and senior staff Private Health Insurance Options in Egypt Discussion with EISA Chairman and senior staff Ibrahim Shehata April 27, 2006 Background Health expenditure is dominated by household direct out-ofpocket payments

More information

Mandatory Private Health Insurance as Supplementary Financing

Mandatory Private Health Insurance as Supplementary Financing Chapter 12 SUPPLEMENTARY FINANCING OPTION (5) MANDATORY PRIVATE HEALTH INSURANCE Mandatory Private Health Insurance as Supplementary Financing 12.1 Mandatory private health insurance is where private health

More information

Federal Health Care Reform: Implications for New York

Federal Health Care Reform: Implications for New York Federal Health Care Reform: Implications for New York Division of Coverage and Enrollment Office of Health Insurance Programs Health Bureau Insurance Department June 2010 Federal Health Care Reform: Where

More information

Current Issues, Prospects, and Programs in Health Insurance in Zimbabwe

Current Issues, Prospects, and Programs in Health Insurance in Zimbabwe 11 Current Issues, Prospects, and Programs in Health Insurance in Zimbabwe T. A. Zigora, Deputy Secretary, Ministry of Health and Child Welfare, Zimbabwe Health care is receiving increasing attention worldwide,

More information

Anticipating the Health Insurance Marketplace in Texas

Anticipating the Health Insurance Marketplace in Texas Anticipating the Health Insurance Marketplace in Texas HFMA Lone Star Chapter Fall Institute September 16, 2013 1 About Community Health Choice Non-profit Health Maintenance Organization licensed by the

More information

BadgerCare Plus: Medicaid and Subsidies Under One Umbrella

BadgerCare Plus: Medicaid and Subsidies Under One Umbrella BadgerCare Plus: Medicaid and Subsidies Under One Umbrella by K atharine E. Witg e rt I S S U E B R I E F Introduction Many proposals for federal health reform include two key elements: a Medicaid expansion

More information

Health System in the Philippines

Health System in the Philippines Health System in the Philippines Teodoro J. Herbosa MD FPCS College of Medicine & National Telehealth Center University of the Philippines, Manila Undersecretary of Health 2010-2015 Republic of the Philippines

More information

Mongolia: Strengthening the Health Insurance System

Mongolia: Strengthening the Health Insurance System Technical Assistance Report Project Number: 47007 Capacity Development Technical Assistance (CDTA) September 2013 Mongolia: Strengthening the System (Financed by the Japan Fund for Poverty Reduction) The

More information

Enabling transition to formalization through providing access to health care: The examples of Thailand and Ghana

Enabling transition to formalization through providing access to health care: The examples of Thailand and Ghana Enabling transition to formalization through providing access to health care: The examples of Thailand and Ghana Jennifer de la Rosa and Xenia Scheil-Adlung ILO Social Security Department I. Introduction

More information

Universal Coverage Scheme and the poor: Thai experiences. Dr Pongpisut Jongudomsuk Director Health Systems Research Institute (HSRI)

Universal Coverage Scheme and the poor: Thai experiences. Dr Pongpisut Jongudomsuk Director Health Systems Research Institute (HSRI) Universal Coverage Scheme and the poor: Thai experiences Dr Pongpisut Jongudomsuk Director Health Systems Research Institute (HSRI) Thailand in 2004 Source: World Development Indicators 2005. Indicators

More information

OECD/IOPS Global Forum Session 2 African Pensions Roundtable Mauritius. Ahmad Lallmahomed

OECD/IOPS Global Forum Session 2 African Pensions Roundtable Mauritius. Ahmad Lallmahomed OECD/IOPS Global Forum Session 2 African Pensions Roundtable Mauritius Ahmad Lallmahomed PENSION SYSTEM IN MAURITIUS Three-tiered pension system Structured as follows: First tier - a universal non-contributory

More information

American Health Benefit Exchanges Fact Sheet A Provision of the Patient Protection and Affordable Care Act (PPACA)

American Health Benefit Exchanges Fact Sheet A Provision of the Patient Protection and Affordable Care Act (PPACA) American Health Benefit Exchanges Fact Sheet A Provision of the Patient Protection and Affordable Care Act (PPACA) This Fact Sheet reflects the Final Ruling published by the Department of Health and Human

More information

Kansas Insurance Department

Kansas Insurance Department Kansas Insurance Department A Kansas Guide to Health Insurance Changes Public Policy Session Panel Discussion KAMU Annual Conference Sept. 26, 2013 Sandy Praeger, Commissioner of Insurance 2014 Affordable

More information

Comparison of Healthcare Systems in Selected Economies Part I

Comparison of Healthcare Systems in Selected Economies Part I APPENDIX D COMPARISON WITH OVERSEAS ECONOMIES HEALTHCARE FINANCING ARRANGEMENTS Table D.1 Comparison of Healthcare Systems in Selected Economies Part I Predominant funding source Hong Kong Australia Canada

More information

World Bank Support for Pensions

World Bank Support for Pensions World Bank Support for Pensions Mark Dorfman, World Bank Social Protection Conference Abidjan, June 2015 1 Outline 2 Identification system assessment Social security analytical assessment tools 2 What

More information

Building up Health Insurance: the Experience of Ghana

Building up Health Insurance: the Experience of Ghana Building up Health Insurance: the Experience of Ghana Dr. Caroline Jehu-Appiah Ghana Health Service 5 th April 2011, Basel Presentation outline Background Achievements Challenges Success factors Way forward

More information

NATIONAL REPORT FOR THE PHILIPPINES Coralyn G. Del Rosario, Philippines

NATIONAL REPORT FOR THE PHILIPPINES Coralyn G. Del Rosario, Philippines NATIONAL REPORT FOR THE PHILIPPINES Coralyn G. Del Rosario, Philippines The Philippines is an archipelago of 7,100 islands. The capital of the Philippines is Manila in the main northern island of Luzon.

More information

DR. NARISA J. SUGAY Senior Manager, Non Formal Sector Member Management Group THE CHALLENGES AND WAYS FORWARD IN PROVIDING UNIVERSAL HEALTH CARE

DR. NARISA J. SUGAY Senior Manager, Non Formal Sector Member Management Group THE CHALLENGES AND WAYS FORWARD IN PROVIDING UNIVERSAL HEALTH CARE DR. NARISA J. SUGAY Senior Manager, Non Formal Sector Member Management Group THE CHALLENGES AND WAYS FORWARD IN PROVIDING UNIVERSAL HEALTH CARE Vision: Mission: The challenge How to make health more inclusive?

More information

Baucus Framework Senate HELP Bill House Tri-Committee Bill President Obama

Baucus Framework Senate HELP Bill House Tri-Committee Bill President Obama SJR 35: HEALTH CARE Comparison of Selected Elements of the Major Federal Health Care Reform Proposals Prepared for the Children, Families, Health, and Human Services Interim Committee Sept. 11, 2009 Baucus

More information

TAMANG SAGOT. PhilHealth Circular 025-2015. Social Health Insurance Coverage and Benefits for Women About To Give Birth (Revision 2)

TAMANG SAGOT. PhilHealth Circular 025-2015. Social Health Insurance Coverage and Benefits for Women About To Give Birth (Revision 2) TAMANG SAGOT PhilHealth Circular 025-2015 Social Health Insurance Coverage and Benefits for Women About To Give Birth (Revision 2) 1. What is new in this PC 25-2015? This circular contains the following

More information

The Standard Long Term Disability Plans and Rates 2014-15 Plan Year (no change from 2013-14)

The Standard Long Term Disability Plans and Rates 2014-15 Plan Year (no change from 2013-14) Plans and Rates Page 1 of 5 Voluntary Enrollment / Employee Paid plans allow each employee to choose whether or not they wish to enroll, and premiums must be paid by the employee. Plan 1 Plan 2 Plan 3

More information

White Paper on Universal Health Insurance

White Paper on Universal Health Insurance White Paper on Universal Health Insurance Fergal Lynch Deputy Secretary General 2 April, 2014 Starting point: Programme for Government commitment To develop an efficient and effective single-tier health

More information

The Instant Insurance Guide: Federal Health Care Reform

The Instant Insurance Guide: Federal Health Care Reform The Instant Insurance Guide: Federal Health Care Reform From Karen Weldin Stewart, CIR-ML Delaware Insurance Commissioner 1-800-282-8611 www.delawareinsurance.gov A Message From The Delaware Department

More information

What is a state health insurance exchange (i.e. "American Health Benefit Exchange")?

What is a state health insurance exchange (i.e. American Health Benefit Exchange)? MEMORANDUM DATE: 11/07/2011 TO: Members of the House Appropriation Subcommittee for LARA FROM: Paul Holland, Fiscal Analyst RE: State Health Insurance Exchanges In response to the requirements pertaining

More information

I. BACKGROUND AND RATIONALE

I. BACKGROUND AND RATIONALE Republic of the Philippines Department of Health OFFICB OF THE SECRETARY ADMINISTRATIVE ORDER NO. 2010-00?6 DEC 1 6 2010 SUBJECT: The Aquino Health Asgnda: Achievine Universal Health Care for All Filipinos

More information

The Affordable Care Act and the Prepaid Health Care Act

The Affordable Care Act and the Prepaid Health Care Act The Affordable Care Act and the Prepaid Health Care Act Hazel G. Beh Professor of Law, Director Health Law Policy Center Wm. S. Richardson School of Law April 9, 2015 Hawai I State Legislature Health Reform

More information

Medi-Growth Medicaid, Medicare Poised to Expand

Medi-Growth Medicaid, Medicare Poised to Expand C H A P T E R 7 Medi-Growth Medicaid, Medicare Poised to Expand More than 100 million Americans rely upon Medicaid and Medicare for insurance coverage. Medicaid, the government s insurance program for

More information

Pension schemes are integral parts of China s social protection system

Pension schemes are integral parts of China s social protection system Dewen Wang World Bank March 26-27, 2014, Incheon, Republic of Korea Pension schemes are integral parts of China s social protection system SP programs Social Insurance Social Assistance Social Welfare

More information

Social health protection : Comparison between Belgium and Thailand. Thomas Rousseau COOPAMI-NIHDI

Social health protection : Comparison between Belgium and Thailand. Thomas Rousseau COOPAMI-NIHDI Social health protection : Comparison between Belgium and Thailand Thomas Rousseau COOPAMI-NIHDI 3.11.2014 Overview 1. Comparison between Belgium and Thailand 2. The Belgium system more in detail Overview

More information

Republic of the Philippines SENATE OF THE PHILIPPINES Pasay City. SIXTEENTH CONGRESS First Regular Session. S. B. No. 2169

Republic of the Philippines SENATE OF THE PHILIPPINES Pasay City. SIXTEENTH CONGRESS First Regular Session. S. B. No. 2169 Republic of the Philippines SENATE OF THE PHILIPPINES Pasay City SIXTEENTH CONGRESS First Regular Session S. B. No. 29 '14 liar 11 P 2 :14 IU:CEIVED HY:._ r INTRODUCED BY SENATOR SONNY ANGARA AN ACT ESTABLISHING

More information

Health Reform Community Forum FAQs March 28, 2013

Health Reform Community Forum FAQs March 28, 2013 Differences Between MAGI and Non-MAGI 1) What are the differences between MAGI and Non-MAGI Medi-Cal? MAGI: MAGI is an abbreviation for Modified Adjusted Gross Income and is an income methodology used

More information

BY TOMAS ACHACOSO MANAGING ORGANIZED RECRUITMENT MOSCOW. MAY 2011

BY TOMAS ACHACOSO MANAGING ORGANIZED RECRUITMENT MOSCOW. MAY 2011 WELFARE SERVICES BY TOMAS ACHACOSO MANAGING ORGANIZED RECRUITMENT MOSCOW. MAY 2011 Institutions and Structures Providing Support Services to Labour Migrants In the Home Country Department of Labor and

More information

Summary of the Major Provisions in the Patient Protection and Affordable Health Care Act

Summary of the Major Provisions in the Patient Protection and Affordable Health Care Act Summary of the Major Provisions in the Patient Protection and Affordable Care Act Updated 10/22/10 On March 23, 2010, President Barack Obama signed into law comprehensive health care reform legislation,

More information

ANNUAL REPORT PROGRAM YEAR JANUARY - DECEMBER 2012

ANNUAL REPORT PROGRAM YEAR JANUARY - DECEMBER 2012 MARYLAND liealthinsuran PLAN Prescription Drug Assistance Program ANNUAL REPORT PROGRAM YEAR JANUARY - DECEMBER 2012 Presented June 15, 2013 MARYLAND fleallhinsurance PLAN INTRODUCTION The Maryland Health

More information

Overview of Medical Service Regime in Japan

Overview of Medical Service Regime in Japan Overview of Medical Service Regime in Japan 75 years or older 10% copayment (Those with income comparable to current workforce have a copayment of 30%) 70 to 74 years old 20% copayment* (Those with income

More information

EPOC Taxonomy topics list

EPOC Taxonomy topics list EPOC Taxonomy topics list Delivery Arrangements Changes in how, when and where healthcare is organized and delivered, and who delivers healthcare. How and when care is delivered Group versus individual

More information

Analysis of the Costs and Impact of Universal Health Care Coverage Under a Single Payer Model for the State of Vermont

Analysis of the Costs and Impact of Universal Health Care Coverage Under a Single Payer Model for the State of Vermont Analysis of the Costs and Impact of Universal Health Care Coverage Under a Single Payer Model for the State of Vermont Prepared for: The Vermont HRSA State Planning Grant, Office of Vermont Health Access

More information

Public Health Billing

Public Health Billing Public Health Billing SCOTT COLEY MS, MPH, CPH IMMUNIZATION BILLING COORDINATOR BUREAU OF IMMUNIZATION, NYSDOH SXC18@HEALTH.STATE.NY.US Objectives Convey the importance of public health billing Present

More information

Health and Life Insurance, Disability and Death Benefits

Health and Life Insurance, Disability and Death Benefits 3021595.G.P.1-2_07979_BenefitGuide 4/9/12 2:16 PM Page 1 A GUIDE TO BENEFITS FOR DEFINED CONTRIBUTION RETIREMENT PLAN PARTICIPANTS WITH THE GRADED PREMIUM SUBSIDY Health and Life Insurance, Disability

More information

Health Care Implementation Timeline

Health Care Implementation Timeline Health Care Implementation Timeline The massive healthcare (H.R. 3590) and its companion reconciliation bill (H.R. 4872) passed by the Senate and House in early 2010 will go into effect over several years.

More information

A DESCRIPTION OF THE PENSION SYSTEM IN UGANDA: NEED FOR REFORM

A DESCRIPTION OF THE PENSION SYSTEM IN UGANDA: NEED FOR REFORM A DESCRIPTION OF THE PENSION SYSTEM IN UGANDA: NEED FOR REFORM By David B Nyakundi 1, Retirement s Authority, Kenya Background The Republic of Uganda became a signatory of the International Covenant on

More information

!!!!!!!!!!!!!!!!!! Federal Health Reform: Impact on Small- and Medium-Sized Employers. Prepared by: Ashley Cohen, MPH September 16, 2010!!!!!

!!!!!!!!!!!!!!!!!! Federal Health Reform: Impact on Small- and Medium-Sized Employers. Prepared by: Ashley Cohen, MPH September 16, 2010!!!!! Federal Health Reform: Impact on Small- and Medium-Sized Employers Prepared by: Ashley Cohen, MPH September 16, 2010 Small- and Medium-Sized Employers 2 Background On March 23, 2010, President Barack Obama

More information

kaiser medicaid and the uninsured commission on EXPLAINING HEALTH REFORM The New Rules for Determining Income Under Medicaid in 2014

kaiser medicaid and the uninsured commission on EXPLAINING HEALTH REFORM The New Rules for Determining Income Under Medicaid in 2014 P O L I C Y B R I E F kaiser commission on medicaid and the uninsured EXPLAINING HEALTH REFORM The New Rules for Determining Income Under Medicaid in 2014 JUNE 2011 To provide individuals and families

More information

Health and Life Insurance, Disability and Death Benefits

Health and Life Insurance, Disability and Death Benefits A GUIDE TO BENEFITS FOR DEFINED CONTRIBUTION RETIREMENT PLAN PARTICIPANTS Health and Life Insurance, Disability and Death Benefits 2 4 5 5 Health Insurance Death Benefits Life Insurance Disability Protection

More information

Ronald Riner, MD. The Riner Group, Inc. 5811 Pelican Bay Blvd., Suite 210 Naples, FL 34108 800.965.8485 www.rinergroup.com

Ronald Riner, MD. The Riner Group, Inc. 5811 Pelican Bay Blvd., Suite 210 Naples, FL 34108 800.965.8485 www.rinergroup.com Impact of Healthcare Reform on Small Business January 12, 2011 Ronald Riner, MD The Riner Group, Inc. 5811 Pelican Bay Blvd., Suite 210 Naples, FL 34108 800.965.8485 www.rinergroup.com Healthcare Reform

More information

Patient Protection & Affordable Care Act Understanding Management Liability Exposures Created by the PPACA

Patient Protection & Affordable Care Act Understanding Management Liability Exposures Created by the PPACA Patient Protection & Affordable Care Act Understanding Management Liability Exposures Created by the PPACA May 7, 2015 Christopher Williams Travelers About PLUS PLUS is a nonprofit organization that provides

More information

Questions and Answers New Brunswick Drug Plan December 10, 2013

Questions and Answers New Brunswick Drug Plan December 10, 2013 Questions and Answers New Brunswick Drug Plan December 10, 2013 1) What is the New Brunswick Drug Plan? The New Brunswick Drug Plan is a prescription drug insurance plan that provides drug coverage for

More information

Health Care Reform Frequently Asked Questions

Health Care Reform Frequently Asked Questions Health Care Reform Frequently Asked Questions On March 23, 2010, President Obama signed federal health care reform into law, also known as the Patient Protection and Affordability Act. A second, or reconciliation

More information

CHAPTER 7. (Senate Bill 6) Working Families and Small Business Health Coverage Act

CHAPTER 7. (Senate Bill 6) Working Families and Small Business Health Coverage Act CHAPTER 7 (Senate Bill 6) AN ACT concerning Working Families and Small Business Health Coverage Act FOR the purpose of establishing a Small Employer Health Insurance Benefit Plan Premium Subsidy Program;

More information

The Progress of Policies on Rare Diseases in Taiwan

The Progress of Policies on Rare Diseases in Taiwan The Progress of Policies on Rare Diseases in Taiwan Min-Chieh Tseng, Ph.D. Associate Professor, Dept. of Social Work, National Taipei University, Taiwan Vice President, Taiwan Foundation for Rare Disorders,

More information

SENATE BUDGET AND APPROPRIATIONS COMMITTEE STATEMENT TO SENATE COMMITTEE SUBSTITUTE FOR. SENATE, No. 2236 STATE OF NEW JERSEY DATED: JUNE 23, 2005

SENATE BUDGET AND APPROPRIATIONS COMMITTEE STATEMENT TO SENATE COMMITTEE SUBSTITUTE FOR. SENATE, No. 2236 STATE OF NEW JERSEY DATED: JUNE 23, 2005 SENATE BUDGET AND APPROPRIATIONS COMMITTEE STATEMENT TO SENATE COMMITTEE SUBSTITUTE FOR SENATE, No. 2236 STATE OF NEW JERSEY DATED: JUNE 23, 2005 The Senate Budget and Appropriations Committee reports

More information

HOUSE OF REPRESENTATIVES

HOUSE OF REPRESENTATIVES HOUSE OF REPRESENTATIVES HB 2010 2013-2014; health; welfare; budget reconciliation. Sponsor: Representative Pratt DPA X Caucus and COW House Engrossed OVERVIEW HB 2010 includes provisions to health and

More information

Social Health Insurance in Viet Nam

Social Health Insurance in Viet Nam Social Health Insurance in Viet Nam Nghiem Tran Dung Health Insurance Dept, Ministry of Health Ha Noi,, 12 Oct. 2010 1 Outline of presentation Background information Development (summary) of SHI in Viet

More information

Health. Government of New Brunswick Questions and Answers. Page 1 of 8

Health. Government of New Brunswick Questions and Answers. Page 1 of 8 Page 1 of 8 Health Government of New Brunswick Questions and Answers 1) What is the New Brunswick Drug Plan? 2) The government s platform committed to a catastrophic drug plan. Is this the same thing?

More information

Private Health Insurance: Changes Made by the Reconciliation Act of 2010 to Senate-Passed H.R. 3590

Private Health Insurance: Changes Made by the Reconciliation Act of 2010 to Senate-Passed H.R. 3590 Private Health Insurance: Changes Made by the Reconciliation Act of 2010 to Senate-Passed H.R. 3590 Hinda Chaikind Specialist in Health Care Financing Bernadette Fernandez Analyst in Health Care Financing

More information

Summary of Social Security and Private Employee Benefits PHILIPPINES

Summary of Social Security and Private Employee Benefits PHILIPPINES Private Employee Benefits PHILIPPINES 2013 Your Local Link to IGP in the Philippines: Insular Life Assurance Company, Ltd. Established on November 25, 1910, Insular Life Assurance Company, Ltd. has withstood

More information

Health Care Reform Update

Health Care Reform Update Small Businesses No Financial Requirements for Small Businesses: The ACA imposes no financial requirements for small businesses to contribute to their employees health insurance. However, beginning in

More information

Q. My company already offers employee health coverage, how does the law impact me?

Q. My company already offers employee health coverage, how does the law impact me? Frequently Asked Questions Q. Will my business be required to provide employee health insurance under the health care law? A. The law does not mandate employers provide employees health care coverage.

More information

UNIVERSAL HEALTH COVERAGE II Mandated Insurance: Austria and Germany

UNIVERSAL HEALTH COVERAGE II Mandated Insurance: Austria and Germany COVERAGE II Mandated Insurance: and The first brief in this series introduced the concept of Universal Health Coverage, as defined by the World Health Organisation. It looked at how the NHI White Paper

More information

Comparison of Major Health Care Reform Proposals Using League of Women Voters of California Evaluation Criteria September 9, 2007

Comparison of Major Health Care Reform Proposals Using League of Women Voters of California Evaluation Criteria September 9, 2007 Comparison of Major Health Care Reform Proposals Using League of Women Voters of California Evaluation Criteria September 9, 2007 Section I: Elements Supported by the LWVC Elements SB 840 (Kuehl) AB 8

More information