Pagbabago sa ilang policy at benepisyo ng PhilHealth, alamin | Dapat Alam Mo!
#DapatAlamMo pinag-aralan ng PhilHealth ang paggawa ng benepisyo para sa emergency cases. Ang buong panayam natin kay PhilHealth spokesperson Senior Vice President Dr. Israel Pargas, panoorin sa video.
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00:00What does Peel Health have to say about their 24-hour confinement policy
00:03where there is a required minimum time for patients to be confined before they receive benefits?
00:10We will now welcome the Senior Vice President and spokesperson of Peel Health, Dr. Israel Francis Paragas.
00:17Dr. Paragas, welcome to Dapat Alam Mo and good evening to you.
00:23Good evening, good evening Ms. Susan and good evening to all of us.
00:27Doc, why was there a policy that a patient who is a member of Peel Health has to be admitted to the hospital for a day before they receive benefits?
00:38Well, that is written in the law, RA 10606.
00:42This is one of the reasons to make sure that a patient really needs to be treated
00:57to make sure that there is a quality of service that will be given to our patients.
01:03Why are there incidents in the past where a member lied to claim to Peel Health?
01:11Have we experienced that?
01:14Yes. There are a lot of instances where our patients just go to the hospital
01:21even if they don't need to be admitted.
01:32That's why we have put a 24-hour confinement other than following the law so that we can have cost maintenance measures.
01:42If the policy will be changed, will all kinds of diseases be admitted to the hospital and the benefits can be used from Peel Health?
01:53Will the emergency cases be included?
01:57Actually Ms. Luzan, what we are doing now and studying is the creation of benefits for emergency cases.
02:10We have primary care and we have benefits for confinement.
02:15But the gap is that we don't have benefits for emergency cases, those who are brought to the ER for emergency and urgent care.
02:27That's actually what we are doing, the benefits, so that if there are patients who are brought and they don't need to be confined,
02:36there will still be benefits in Peel Health.
02:40Because of the benefits that we are doing, our 24-hour confinement can be affected or can be amended.
02:49But the major benefit that we are doing is the benefit for emergency and urgent care.
02:58How can we ensure that this policy will not be abused?
03:05Of course, we will have enough control measures and we will have audit on those.
03:12We will make sure that we will follow the guidelines according to the emergency standards or standards of care for emergency care.
03:24So that if there are patients who need to be not admitted and are only needed in primary care,
03:33we will be able to give benefits there.
03:36Because you know Ms. Luzan, we have benefits in primary care, we have benefits in confinement and now in emergency care.
03:45In the new policy, Dr. Pargas, will this be applicable to all public hospitals and private hospitals where Peel Health is accredited?
03:57Yes.
03:58Ma'am Susan, let me clarify.
04:01That benefit is not yet there.
04:03We are just doing it.
04:05But of course, it will be effective to all our accredited public and private facilities.
04:12How soon can we expect this to be implemented Dr. Pargas?
04:16Like the benefits, like the eyeglasses benefits and other benefits that can be obtained from Peel Health.
04:26When can we expect this to be implemented?
04:28We expect that before the end of the year or by December, we can issue the policy to make it effective by the end of the year
04:39or at the start of the year, it can be effective and implemented.
04:44There you go. A lot of people are waiting for that.
04:46Anyway, thank you very much Ms. Oraz, Peel Health Senior Vice President and Spokesperson Dr. Israel Francis Pargas.
04:53Good evening to all of you. Happy weekend.