philhealths indigent program :: essays research papers

CHAPTER I. RATIONALE foundation garmentThe Filipino Health Insurance Corporation was created by Republic symbolise No. 7875 to administer the National Health Insurance Program which is designed to provide wellness insurance coverage and ensure afford adequate to(p), acceptable and health services for all Filipinos.The Enhanced PCSO Greater Medicare Access (GMA) Program is a partnership forged by four important agencies of the governing body the Philippine Charity Sweepstakes Office (PCSO), the Local brass Unit (LGU), Department of cypher and Management (DBM), the Philippine Health Insurance Corporation (PhilHealth) and other field government agencies (NGAs) such as DILG, DSWD, DAR, DOH.The Enhanced PCSO GMA Program is a realization of the common goals of PCSO, PhilHealth, DBM and the LGUs of the intention to enroll 5 million indigent families across the nation institutionalizing an integrated health care financing and delivery mechanism that ensures accessible, affordable an d quality health care to all underprivileged Filipinos. The Program started its registration on February 2004 and ended on May 2004. The validity of this card is for a year and can be renewed with 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 birth By Fund approved by the PCSO Board. DBM, on the other hand, sensible 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 identify the qualified members2.To be able to crawl in 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 I II. SCOPE AND limitationThe 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 establishment of PhilHealth.In the secondary data, the researcher used the information from PhilHealth, news clippings from the newspapers and the Internet.CHAPTER V. data ANALYSISTable I. Number of Indigents Enrolled In Eastern SamarMunicipalityNo. Of Indigents Enrolled percentage 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 Polica rpo1,8885.41%Sulat1,3113.75%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.