About this transcript: This is a full AI-generated transcript of House holds hearing on the implementation of the Universal Health Care Act — June 1 from INQUIRER.net, published June 1, 2026. The transcript contains 27,526 words with timestamps and was generated using Whisper AI.
"of Health and the Philippine Health Insurance Corporation shall be submitted to the JCOC. In its meeting last December 2025, there were 24 bills pending with the Committee on Health seeking to amend the Universal Health Care Act. During the initial deliberations from the manifestations of some..."
[0:00] of Health and the Philippine Health Insurance Corporation shall be submitted to the JCOC.
[0:05] In its meeting last December 2025, there were 24 bills pending with the Committee on Health
[0:14] seeking to amend the Universal Health Care Act. During the initial deliberations from
[0:19] the manifestations of some implementing agencies and civil society organizations, along with
[0:24] the persistence and prevalence of several issues in the implementation of the law, the
[0:28] Committee found it prudent to convene the JCOC first before approving any measure on ending
[0:34] the Act. Pending the convening of the JCOC, the House Committee on Health created a subcommittee
[0:41] on the Universal Health Care Act to conduct oversight and review and monitor the implementation
[0:47] of the Act, which is the first step towards addressing the challenges that hinder the full
[0:53] realization of the Universal Health Care Act. The subcommittee on the UHC Act shall be a formal
[1:01] venue to identify the strengths, weaknesses, opportunities, and threats to the implementation
[1:08] of the law. This subcommittee shall ensure that the law and its evaluation are human rights-based,
[1:14] equitable, and gender responsive. Further, in our conduct of oversight on the law, we shall
[1:20] identify policy and or implementation gaps. Lastly, the subcommittee shall also be a mechanism
[1:28] to ensure complementary legislation is passed to provide implementing agencies with the
[1:34] support they need, which will ultimately lead down to achieving the goals of the Universal Health
[1:39] Care Act. Seven years into the enactment of the law, we shall now see where we are in terms
[1:46] of its implementation. Today, we shall be having briefings by the main implementing agencies of
[1:52] the Republic Act number 11223, or the UHC Act, which are the Department of Health, the PhilHealth,
[2:02] and the UHC Interagency Evaluation Team, composed by DepDev, PSA, and the UP-NIA. We also invited
[2:12] resource persons from the Academe and the CSOs to ensure that the conduct of oversight is inclusive
[2:20] and participative. For today, we shall hear first the accomplishment reports of the Department of Health
[2:28] and PhilHealth on the implementation of the Universal Health Care Act before we proceed to more detailed
[2:33] discussions per thematic area in the succeeding meetings. The Chair shall now recognize the Department of
[2:41] Health to give us briefing on the status of the implementation of the Universal Health Care Act.
[2:46] Thereafter, we shall open the floor to questions. But before we proceed, we'd like to acknowledge
[2:54] the presence of the following members of the Committee. Honorable Henry Waminal Jr. of
[3:01] Ascento Pinoy Partili, our Vice Chair, Honorable Marlesa Doc Marley Hooper-Hassin of the Second
[3:08] District of San Buasibugay, Honorable Iris Marie de Mesa Montes of 4K Partili, Honorable Jose C. Alvarez
[3:18] of the Second District of Palawan, Honorable Maria Isabel Sagarbarria of the Second District of Negros
[3:24] Oriental and Honorable Antonio, Deputy Minority Leader of the Act Teachers Partili.
[3:35] We now recognize our Undersecretary of the Department of Health and Spokesperson,
[3:49] Musek Dr. Albert Domingo.
[3:52] Maraming salamat po, Mr. Chair. Good morning to the Honorable Chair and the members of this
[3:57] subcommittee and to all those present. On behalf of the Department of Health and
[4:02] Secretary Ted Urbosa, allow me please to present UHC implementation updates on the part of the
[4:09] Department of Health. And may I request for the slides to be shown please on screen
[4:14] para makita rin po ng ating mga principles. Mr. Chair, habang liniload po yung slides, this is a 19
[4:28] slide presentation touching on, as the Chair has mentioned, the broad themes of universal health care
[4:34] para po ma-frame natin yung ating discussion this morning. It will touch not only on the indicators but also,
[4:43] it will also identify ways forward, saying kung saan po yung ating mga areas of improvement.
[4:48] Well aware po kami doon sa ating last meeting. I think it was a meeting, Mr. Chair, hearing
[4:56] na this is a prelude to the Joint Congressional Oversight Committee on UHC.
[5:11] Thank you so much, Mr. Chair. So as mentioned, this is the universal health care app implementation
[5:18] status on the part of the Department of Health. Next slide, please. This presentation will focus on
[5:25] providing an overview of the UHC Act, the implementation updates as of this year, 2026,
[5:32] and the ways forward. Next slide, please. In the international community, UHC is known as
[5:40] universal health coverage, which basically means an intentional pursuit of population coverage,
[5:47] financial coverage, and service coverage of governments to ensure that every one of its citizens
[5:54] has access to quality health services. From preventive care to palliation without facing
[6:00] financial ruin when they get sick. Sa madaling silitaho, tatlong tanong niyan,
[6:05] sino ba ang nasasakupan, population coverage? Ano ba ang mga servisyong nasasakupan?
[6:11] Yun po yung ating service coverage. At hanggang magkano ba ang nababayaran? Yun po yung
[6:16] financial coverage. In the Philippines, we deliberately use the term care rather than coverage. This is
[6:23] deliberate po as recorded in the transcripts of the bicameral conference committee back in 2019,
[6:31] nung ginawa po yung ating UHC Act. Because we recognize that we cannot just fund care. We must
[6:38] actively build and improve the supply side, our facilities, equipment, and medical personnel. Next slide,
[6:45] please. Isa po sa mga madalas na pag-uusapan ng ating zero balance billing at kung paano
[6:51] ito nagagawa. This slide outlines a strategy to lower out-of-pocket medical costs in the Philippines
[6:57] by mapping Singapore's S plus 3M multi-payer framework onto the Philippine health financing system.
[7:04] Bakit po S plus 3M? S means subsidy sa kaliwa po, yung Singaporean model. Tapos yung 3M po, Medisave,
[7:12] MediShield, and Medifund. Wala po tayong Medisave sa Pilipinas. Yan po yung forced medical
[7:18] savings account for all individuals. Pero meron tayong katumbas nung MediShield tsaka nung Medifund.
[7:23] Yung ating subsidy po, the base layer, Singapore's direct public hospital subsidies map to the
[7:31] Philippine DOH Hospital Quantified Free Service, QFS, which is the term we use for retained income,
[7:37] and the MOOE budgets. These will ensure baseline funding to lower service costs for the marginalized.
[7:46] And then susunod po, meron tayong middle layer, yung kulay yellow, which is the equivalent of MediShield,
[7:51] ang ating PhilHealth. Singapore's Medisave and MediShield layers are combined into one,
[7:57] PhilHealth serving as the primary national health insurance coverage for medical expenses. At the
[8:03] pinakataas po yung ating safety net, meron pong ma-ifip sa Singapore. Ang tawag po nila is Medifund.
[8:09] This is a discretionary aid given for the poorest, and it maps directly to our own medical assistance to
[8:15] indigent and financially incapacitated patients, acting as the final government shield before a patient
[8:23] pays out of pocket. Next slide. Ultimately, it figures into Philippine financing by showing how
[8:31] ZBB policy can systematically stack DOH subsidies, PhilHealth, and MAEFIP to eliminate catastrophic
[8:39] health expenses. Gusto po natin balikta rin yung piramida sa kaliwa, or baguhin rather,
[8:44] na hindi dapat malaki yung out-of-pocket. Dapat mawala siya. At ang pinakamalaki ay
[8:50] papasanin ng gobyerno at pamamagitan ng mga subsidiya, yung ating kulay-pula na bloke,
[8:55] at susunod po yung ating PhilHealth or yung National Health Insurance System. By design, PhilHealth is
[9:02] supposed to be the largest, yung kulay-dilaw. That is still the dream, but I think everyone can
[9:07] arrive at consensus na hindi kayang single payer. Dominant payer pa siguro ang pwede nating gawin.
[9:14] Next slide. Since the UHC acts and act meant we have moved from policy to tangible progress across
[9:21] three critical dimensions. Yun pong ating population coverage, yung service coverage, at financial
[9:28] coverage. Una po, sa population coverage. Sa ngayon, kailangan lamang magiging Pilipino para magiging
[9:34] covered ng ating National Health Insurance Program, which is administered by the Philippine Health
[9:40] Insurance Corporation. Kaya lagi po napagpapalit yung NHIP at yung PhilHealth na term. Pero formally,
[9:46] NHIP is the program. PhilHealth is the administrator. We have reached 100% PhilHealth coverage,
[9:52] ensuring that no citizen is left outside the system. There still remains areas to improve
[9:58] PhilHealth coverage awareness. 100% po, Mr. Chair, dear members, ang ating coverage. Pero ang
[10:05] tanong, alam ba ng lahat ng Pilipino kung sila ay membro? At yan po, ang current percentage
[10:11] natin, based on the year 1 UHC survey 2024, ay nasa 74.5%. Ikalawa, sa financial protection,
[10:20] we are successfully shifting the burden away from the family. Kung dati po, noong 2019 ay halos
[10:27] 50% ng isang daang pisong singil sa ospital ang binabayaran ng ating mga pamilya. Na dati-dati,
[10:34] noong 2016 na on quick checking, nasa mga 52% po yan dati, napababa na po natin siya. Noong 2023,
[10:42] it was 44.4% at the start of the BBM administration. Bumaba po siya ng 1.7 percentage points noong
[10:51] 2024 to 42.7%. Ito po ay dahil pataas ng pataas ang gastos ng gobyerno na yun po naman ang
[11:00] gusto natin mangyari. At hindi yung mamamayang Pilipino na mga pamilya ang gumagastos. We are
[11:06] making sure that the state, not the patient, shoulders the cost of care. Finally, service
[11:11] coverage and access. This is the most dramatic gain in our primary benefit packages as Phil
[11:17] that will give details later. Dati, symbolic lang po, 800 pesos per family. Naalala ko pa
[11:23] personal experience, there was a deliberation in the board of directors. Alam niyo po ba na
[11:27] this is actually a new information for everyone. Yung original proposal sa gamot, 9,000 pesos
[11:33] lang yan. Sinabi ni Sekretary Erbosa at ang mga board members, bakit pa tayo mag-stop sa
[11:38] 9,000 kung kakayanin naman ng ating mga pondo? Kaya tumasya to 20,000. At hindi yun yung
[11:43] hangganan. Based on future studies, pwede pa nating ipataas po yan. Pagtilignan po natin ang
[11:50] total coverage, sama-sama na lahat, yung yakap, yung gamot, which are two distinct programs,
[11:56] by the way, although related, umaabot sa, pumigit ko mo lang, 50,000 per individual yung
[12:02] coverage pagdating sa primary care. Further, the DOH has given priority to ensuring the
[12:08] actual utilization of primary care health services through the Puro Kalusugan Initiative,
[12:13] which has reached 6.3 million Filipinos in a one-year period, covering 8,435 barangays.
[12:21] Ang policy basis po natin dito, Mr. Chair and dear committee members, is Section 17F, 17 Foxtrot
[12:27] of the Republic Act 7160 or the Local Government Code. Hindi po bawal na magtulungan. Definitely
[12:34] dapat magtulungan. At hindi na magtulungan pero sa mga lugar na hindi talaga kaya for various
[12:39] reasons ng LGUs. Pumapasok na po yung DOH. We call this augmentation. This isn't just
[12:46] incremental growth. It is a fundamental transformation of our safety net. Next slide, please.
[12:53] So, usapin naman po ng service delivery, we are solidifying the structural foundations
[12:57] of UHC. We now have 110 active UHC integration sites, synchronizing local health systems,
[13:06] backed by the successful completion of over 36,000 HPEP-funded infrastructure projects
[13:12] nationwide. We are modernizing our facilities from the barangay level up.
[13:18] Finally, we are decentralizing specialized healthcare so that Filipinos in the provinces
[13:23] no longer need to travel to Metro Manila for advanced medical care. We have operationalized
[13:29] 208 specialty centers nationwide. And crucially, to fulfill our promise of financial risk protection,
[13:36] all 83 of our DOH and GOCC specialty centers are strictly zero-balance billing compliant.
[13:44] The zero-balance bill policy is active, ensuring that specialized care does not equal financial ruin.
[13:53] Next slide, please.
[13:56] So, usapin po ng ating health workforce, the Department of Health has deployed over 20,900 DOH
[14:02] human resources for health medical personnel to underserved areas, ensuring that 469 LGUs now have
[14:10] dedicated and complete teams of primary care workers. To secure our future workforce pipeline,
[14:16] we are currently supporting over 4,000 DOH CHED scholars. Furthermore, we have demonstrated our
[14:24] commitment to our frontline heroes by successfully disbursing 108.8 billion pesos in health emergency
[14:31] allowances for COVID-19. Concurrently, sa health financing, we are strengthening financial risk protection.
[14:39] Through the MA-IFI program, we have provided the safety net, the final safety net, after subsidies and pill health,
[14:46] which will constitute direct medical assistance to 22.7 million patients,
[14:51] supplemented by the establishment of 167 Malasakit centers nationwide to act as one-stop shops for medical financial aid.
[14:59] Finally, to ensure long-term fiscal sustainability, 85% of our UHC integration sites have already established
[15:07] operational special health fund bank accounts. Next slide, please.
[15:12] So, usapin po ng health regulation, we have 63 DOH-approved clinical practice guidelines na na-rollout na po natin.
[15:22] Ang mga CPGs or clinical practice guidelines, sa pananaw ko po para masimplify, ito po yung parang recipe or shopping list.
[15:29] Ano ba ang mga kailangan gawin? Ano ba ang mga sangkap para pagalingin ang isang pasyente na may pulmonya?
[15:36] Para pagalingin ang isang pasyente na may acute gastroenteritis? At iba pa.
[15:40] Yan po yung sinusunod ng ating PhilHealth at ng iba pa ng mga ahensya para malaman kung ano ang mga cost-effective,
[15:49] yung mga sulit na bilhin at napondohan ng ating mga government resources.
[15:53] We are observing a decline in the median prices of essential medicines compared to international prices.
[16:03] Our task now, Mr. Chair, dear members, is to make this felt at scale and to narrow consumer experiences
[16:09] para lahat ay makakaramdam sa mas mababang presyo ng gamot.
[16:14] Mr. Chair, sa totoo lang, nung nireview ko po itong slides over the weekend,
[16:18] sabi ko, sigurado ba kayo? Sabi ko sa staff.
[16:20] At kaya lumabas, nakatingin po, nakangiti si Congresswoman Montez.
[16:24] Kasi alam ko po, kakampi niyo po ako na hindi ako basta-basta magbudenta, magpakatotoo tayo.
[16:29] Kaya yung term dito is median, yung kalagitna.
[16:32] Sa statistika, meron po tayong mga spread, may mas mababa pa, pero meron po mas mataas.
[16:37] Kaya hindi rin po ako magugulat kung makakapuha pa tayo ng una na may mga pasyente pa rin po
[16:43] na mataas yung bili sa gamot.
[16:44] At kaya ang pakay ng DOH, dapat lahat maramdaman ito.
[16:49] Yung spread na yun, dapat talaga hindi siya ganun kalawak.
[16:52] On health promotion, the healthy settings programs are now institutionalized
[16:57] with 121 province-wide and city-wide health systems.
[17:02] 73 province and city-wide health systems with 5,502 schools under healthy learning institutions.
[17:10] Over 1,300 healthy workplaces in both public and private sectors.
[17:15] And 126 healthy hospitals.
[17:18] So sa pinpo ng governance, we have improved the use of digital health technologies for UHC governance.
[17:26] This includes the triage endorsement and disposition bed system.
[17:30] At 96.61% of public health facilities, yung mga RHUs po and government hospitals
[17:36] have now installed electronic medical record systems.
[17:39] With 2,419 primary care facilities having access to iClinicSys and 582 hospitals having access to iHomis, iHomis Plus.
[17:51] Again, Mr. Chair of Scripps, speaking as the CIO of the DOH, sabi ko,
[17:55] eh ano ngayon kung naka-EMR sila ng interoperable kung di naman nag-uusap?
[17:58] Kaya meron po tayong mga provinces na pre-identified sila po yung ating mga ginagawang pilot sites for the Local Health Information Exchange.
[18:08] Just last Friday, we hosted Governor Miraflores of Aklan dahil sila po yung pinaka-nauuna.
[18:16] At ito po seryoso, merong enterprise architecture, makikita po yung interoperability layer,
[18:21] at yung pong mismong probinsya ng Aklan ay nag-commit rin na gumawa ng sarili nilang data centers para nag-uusap.
[18:28] Kasama rin po namin yung PhilHealth dito, na sila naman yung nagbubuo ng National Health Data Repository.
[18:35] Ang importante po kasi ay, sabi ko nga sa kanila, ang pinaka-pagsubok dito para malaman natin na talagang tumatalab yan.
[18:42] Dapat, pag merong isang Aklanon na nagpakuha ng dugo sa RHUA, sa isang munisipyo,
[18:47] at pinatawid siya papunta sa District Hospital na nasa siyudad,
[18:51] hindi na dapat siya uulit ng pagpuhan ng dugo na yun dahil yung resulta ay makikilala through the electronic medical record.
[18:59] So mahigpit po yung pagbabantay namin ng Sekretary Erbosa na ganun dapat hindi yung naka-install lang tapos hindi naman nag-uusap yung mga EMR.
[19:08] These accomplishments show that UHC is no longer just a promise that is being felt by Filipinos in their communities, workplaces, schools, and hospitals.
[19:17] Following the President's Directive on Expanding Access to Healthcare, the Department of Health has prioritized the following,
[19:26] guaranteeing universal access to health services so that no Filipino is left behind,
[19:31] attaining 95% immunization coverage to secure nationwide immunity,
[19:36] and promoting healthy nutrition to reduce childhood standing by half to safeguard the future of our Filipino children.
[19:43] Ngayong araw po, nagsimula ang measles rubella supplemental immunization activity or MRCA para sa Luzon and Visayas.
[19:53] Makikita niyo po yan ang ating regional director for NCR, si Dr. Lester Tan.
[19:57] As we speak, kasama si Yusek Balboa, naglo-launch.
[20:00] Symbolic launch, pero all health centers and all vaccination sites, Luzon and Visayas, are beginning today.
[20:07] Kasi kinakatch-up po natin, yung ginawa sa Mindanao, bali, earlier part of this year, gagawin po ngayon sa Luzon and Visayas.
[20:16] These are not merely targets.
[20:18] They are our social contract with the Filipino people.
[20:21] Next slide, please.
[20:25] The bagong urgent care and ambulatory service centers or bukas centers
[20:29] are a strategic DOH innovation designed to bridge the critical gap between primary care units and tertiary hospitals.
[20:37] By providing free outpatient consultations, advanced laboratory diagnostics, and minor surgeries,
[20:44] bukas centers effectively decongest our emergency rooms by managing non-life-threatening cases in a specialized setting.
[20:53] It is very comforting, Mr. Chair, to see there are also fellow physicians sitting in this committee,
[20:59] led by no less than the chair himself.
[21:01] Kasi naiintindihan po natin, ang laking porsyento nang pumupunta sa ER ay nagpupunta doon,
[21:07] hindi para sa nakakamatay, which is yung emergency definition,
[21:11] or nakakaputol ng kamay or paa, which is another emergency definition.
[21:16] Pero kasi hindi sila nakapunta sa outpatient department na nagsara ng 5pm,
[21:20] o kaya na malayo sa kanilang lugar.
[21:23] Yun po yung ginagawa nung bukas, inilalapit po sa kanila.
[21:26] And more critically, this is run by the Department of Health.
[21:30] So yung aming mga marinig po natin yung pagdating sa budget season, sa budget proposal,
[21:36] kaya po nag-propose na mas mataas na MOOE, yung mga DOH hospitals,
[21:40] kasi sila rin po yung pinagpupuhanan ng pagkondo ng mga bukas centers na ito.
[21:44] At ilan na sila?
[21:45] As of April 2026, we have established 62 bukas centers across 37 provinces and 7 highly urbanized cities.
[21:54] Kulang pa po.
[21:55] Kung kami po ang masusunod, dapat mas marami pa yan.
[21:58] Then again, budget and HR and infra ang ating constraints.
[22:03] This network has already provided high-quality, accessible medical care to 1.61 million Filipinos,
[22:09] ensuring that the right care is delivered at the right level of the health system.
[22:13] Next slide, please.
[22:14] At yung pag-uusapan po natin ng level, dapat pinakamalapit sa komunidad
[22:18] dahil doon talaga nangyayari ang kalusugan.
[22:21] Kaya yan po yung pinagmulan ng ating puro kalusugan initiative
[22:25] which redefines primary care by operationalizing the principle of decentralization.
[22:31] Yun talaga yung batas natin eh.
[22:33] Duralex sedlex.
[22:34] Kahit kung kami po tatunungin, I'll make it official.
[22:37] Sana po talaga mag-centralize.
[22:38] Yun naman po ang sinabi ng UHT Act.
[22:40] Mag-re-centralize at the level of provinces.
[22:43] Kaso hindi po nabuo kasi buhay pa rin po yung Section 17
[22:47] ng local government code.
[22:48] So this is the halfway point.
[22:50] Puro kalusugan, bukas centers.
[22:52] Because rather than waiting for patients to seek care at the rural health units,
[22:57] our health care teams, integrating DOH-Hired Human Resources for Health
[23:01] with local barangay workers and officials,
[23:03] take essential services directly to people through house-to-house interventions.
[23:08] Huwag nating antayin sila'y lumapit sa atin.
[23:11] Tayo ang lumapit sa kanila.
[23:13] To date, these DOH-led teams have successfully reached 8,435 barangays
[23:18] delivering vital health care services to 6.3 million Filipinos in their own communities.
[23:26] Next slide, please.
[23:29] Sabi nga ng ating Pangulo, payad na ang bill mo.
[23:32] The Zero Balance Billing Policy serves as a cornerstone of this administration's universal health care agenda,
[23:39] ensuring that patients in basic accommodations at DOH hospitals,
[23:43] kailangan pong ulit-ulitin natin yun,
[23:45] patients in basic accommodations at DOH hospitals,
[23:49] and I beg your indulgence one more time,
[23:51] patients in basic accommodations at DOH hospitals.
[23:55] Kaya ako po drinamatize, Mr. Chair,
[23:57] kasi ang dami po namin nakikita ang points of confusion,
[24:00] no less than the President himself.
[24:02] We do not need to play the SONA video and the transcript.
[24:05] Pero nakakaroon po kasi ng misinterpretations.
[24:08] Misinterpretation number one, kasama ang private, hindi po.
[24:12] Misinterpretation number two, kasama ang LGU hospital,
[24:15] maybe, depende sa LGU,
[24:17] hindi po natin tinatatuan na mayroong mga LGU na gumagawa.
[24:20] In fact, inspiration po namin sila.
[24:22] Pero para mamanage ang expectations ng ating mga kababayan,
[24:27] ito yung realistic na pangako talaga
[24:29] na sinimulan na 83 muna sa ngayon.
[24:32] Ngayon, pagdating po ng budget season,
[24:34] maririnding nyo po kami,
[24:36] pinipitch po namin.
[24:38] This year, actually, pinayagan 1 billion.
[24:40] Kaya lang po natin doon yung mga 6 or 7 LGUs na pre-identified,
[24:45] kasama po yung Quezon.
[24:46] Sino yung mga yun?
[24:47] Sarangani, Laguna, Aklan, Benguet, Batangas,
[24:52] Queson.
[24:53] Bakit ko siya memorized?
[24:54] Kasi meron po yung mga indicators
[24:56] sa local health systems maturity levels.
[24:58] Binet po siya.
[25:00] Nag-antay po sila yung HCPN contracting sa PhilHealth
[25:03] na hanggang ngayon naka-standby po.
[25:04] Sabi namin, sige, habang ginagawa po yun,
[25:06] pasok muna tayo doon sa zero balance billing expansion.
[25:10] But 1 billion pesos is not enough,
[25:12] even for these 6 provinces.
[25:14] So we are actually going to propose,
[25:16] when the budget season comes at the right forum,
[25:18] for around 15 billion pesos.
[25:20] Marami na po kami mga requests na nakukuha,
[25:23] documented,
[25:24] sa lahat po ng ating mga Kong
[25:25] na nakausap ang kanilang mga governors or mayors
[25:28] na nag-request for that assistance.
[25:30] We keep track,
[25:31] Diba, Dr. Bellio?
[25:32] We keep track of all of the letters
[25:33] para pagdating po sa budget proposal,
[25:36] nasabihin po namin,
[25:36] Kong,
[25:37] ito po yung request ninyo.
[25:38] Ito na po yung pagkakataon
[25:40] kapag pinag-usapan natin
[25:41] yung budget ng DOH
[25:43] para sa zero balance billing for LGUs.
[25:45] This mandate,
[25:47] as already emphasized,
[25:48] is fully operational
[25:49] across all 83 DOH-retained hospitals
[25:52] and GOCC specialty centers.
[25:55] To date,
[25:55] the policy has successfully protected
[25:57] 1.84 million Filipinos
[25:59] from medical indigency,
[26:01] fulfilling our promise
[26:02] of genuine financial risk protection
[26:04] for that population subgroup.
[26:06] Next slide, please.
[26:09] Nabanggit na rin po natin
[26:10] ang bakunahan
[26:11] sa ating pong next slide.
[26:14] Nabanggit na po natin
[26:15] ang ating immunization efforts.
[26:16] The DOH has launched
[26:18] a decisive offensive
[26:19] against vaccine-preventable diseases
[26:22] through high-intensity
[26:23] safety net operations.
[26:26] By targeting zero-dose children
[26:27] and those missed by routine services,
[26:29] we are rapidly closing
[26:30] the immunity gaps
[26:32] that threaten
[26:33] our public health security.
[26:35] Noon pong February 24, 2026,
[26:37] ito po yung nabanggit natin
[26:38] sa Mindanao,
[26:39] yung ating measles rubella,
[26:41] Supplemental Immunization Activity,
[26:43] or MRCIA,
[26:44] or Mr. CIA as we call it,
[26:45] In one month,
[26:47] nakarating po sa 2.35 million
[26:49] na mga bata,
[26:50] 82% of the eligible population
[26:53] ang nabakunahan,
[26:55] providing a critical shield
[26:56] for our most vulnerable age groups.
[26:59] Through a fortified partnership
[27:01] with the Department of Education,
[27:03] our 2024 to 2025 school-based drives
[27:06] also successfully vaccinated
[27:08] 1.4 million students.
[27:11] By bringing life-saving vaccines
[27:13] directly to the classroom,
[27:14] we are ensuring that
[27:15] the next generation
[27:16] remains protected,
[27:17] healthy,
[27:18] and in school.
[27:19] Next slide, please.
[27:21] Maliban sa pagbakuna,
[27:22] kailangan rin po
[27:22] ng ating nutrition interventions.
[27:25] So,
[27:26] the Department of Health
[27:26] has also launched
[27:27] a decisive,
[27:28] bakit laging decisive offensive?
[27:30] Sorry,
[27:31] binabasa ko kasi yung script eh.
[27:32] Ayoko rin po na masyado
[27:33] mabulaklak,
[27:34] pero sige,
[27:34] nakasulat eh.
[27:35] Decisive offensive
[27:36] against vaccine-preventable
[27:38] diseases
[27:38] through high-intensity
[27:40] safety net operations.
[27:41] By targeting zero-dose children
[27:43] and those missed
[27:44] by routine services,
[27:46] we are rapidly closing
[27:47] immunity gaps.
[27:49] On February 24,
[27:50] 2026,
[27:51] na-launch nga po yung
[27:52] sorry,
[27:53] mali ang ating script.
[27:55] Tingin na lang tayo
[27:56] sa slide.
[27:57] So,
[27:57] yung ating stunting rate po
[27:58] ay napababa na po natin
[28:00] na 57% na po
[28:01] dahil ginamit natin
[28:03] yung ating
[28:03] Philippine Multisectoral
[28:05] Nutrition Project Sites
[28:06] or PMNP.
[28:08] Ito po ay isang loan
[28:10] from the World Bank.
[28:11] Kaya kung nabanggit po,
[28:13] importantly po ito,
[28:14] parang pitch na rin po namin
[28:15] for budget
[28:15] kasi yung
[28:16] Foreign Assisted Project
[28:17] counterparts
[28:18] na I think
[28:19] mas maliit naman
[28:20] ng dihama
[28:20] ka dun sa loan
[28:21] na nakuha,
[28:22] important po
[28:23] na masama dun sa
[28:24] tier 1 at mapondohan
[28:25] para ma-unlock
[28:26] yung resources
[28:27] parang ating
[28:28] stunting rate
[28:29] ay maayos po natin.
[28:31] Next slide please.
[28:33] So,
[28:34] let us now look
[28:35] at our ways forward.
[28:36] Next slide.
[28:39] To fully realize
[28:40] universal health care,
[28:41] our current legal
[28:43] frameworks must evolve.
[28:45] The health executive
[28:46] agenda for legislation
[28:47] targets our most
[28:48] critical structural
[28:49] legislative vulnerabilities.
[28:53] First,
[28:53] we must amend
[28:54] the UHC Act itself
[28:56] to fix operational
[28:57] bottlenecks
[28:58] and ensure smoother
[28:59] fund utilization
[29:00] at the LGU level.
[29:03] Second,
[29:03] our population
[29:04] is changing.
[29:06] We urgently need
[29:07] the National Center
[29:08] for Geriatric Health Act
[29:09] to formalize specialized care
[29:11] for our aging senior citizens.
[29:15] Third,
[29:15] prevention is paramount.
[29:17] Legislative backing
[29:18] for the reduction
[29:19] of salt consumption
[29:20] is a direct,
[29:21] cost-effective attack
[29:22] on the cardiovascular diseases
[29:24] plaguing our nation.
[29:27] Fourth,
[29:27] mental health
[29:28] can no longer wait.
[29:30] Strengthening
[29:30] the National Center
[29:31] for Mental Health Charter
[29:33] gives us
[29:34] the key
[29:34] to institutionalize
[29:36] psychiatric care
[29:37] nationwide.
[29:37] And finally,
[29:39] we must protect
[29:40] those who protect us.
[29:41] Amending
[29:42] the Magna Carta
[29:43] of public health workers
[29:44] and enacting
[29:45] the Magna Carta
[29:46] of barangay health workers
[29:48] ensures fair compensation
[29:50] and security
[29:51] for our frontline heroes.
[29:54] Next slide, please.
[29:55] Malapit na po tayo matapos.
[29:57] Ito po,
[29:57] this bears
[29:58] a state restatement
[30:00] ang ating proposed
[30:01] amendments
[30:01] to the UHC Act.
[30:03] On Section 10,
[30:05] naway maging
[30:06] actuarially adjusted po
[30:08] ang ating premium rates.
[30:10] Sa Section 11,
[30:12] yung ating
[30:12] program reserve funds
[30:14] para ma-unlock
[30:15] yung paggamit
[30:16] ng excess funds
[30:17] either,
[30:18] again,
[30:18] following the Supreme Court ruling,
[30:20] only for increased benefits
[30:22] or reduced contributions
[30:23] and giving
[30:24] a mechanism
[30:25] on how to do
[30:26] yung reduced contributions.
[30:27] Kasi,
[30:28] nakita na po natin yan
[30:29] na parang
[30:29] nagkaroon ng deadlock
[30:31] kasi hindi rin
[30:31] ma-operationalize
[30:32] yung language.
[30:33] Sa Section 12,
[30:35] yung admin expenses,
[30:36] ilipat na po natin
[30:37] yung base
[30:38] ng PhilHealth
[30:38] administrative expenses
[30:40] sa benefit payments
[30:41] imbis na premium collections
[30:43] para ma-drive
[30:44] ang PhilHealth
[30:45] para ma-institutionalize
[30:46] kung gano'ng kagaling
[30:47] ang paggawa ngayon
[30:48] nila CEO Mercado
[30:49] na talagang benefits
[30:50] yung pinaprioritize.
[30:51] E para pag wala na
[30:52] sa CEO Mercado
[30:53] tapos sa revenue collection
[30:54] pa rin yung base
[30:55] ng admin expenses.
[30:56] So,
[30:56] gawin na natin po
[30:57] na benefit payments
[30:59] yung base
[30:59] ng admin expenses.
[31:01] Sa Section 20,
[31:02] ito po,
[31:03] meron po kasing
[31:04] nagkaroon ng
[31:04] overly stringent interpretation
[31:06] nung use
[31:07] ng special health fund.
[31:09] Hindi namin maintindihan
[31:10] pero yung word
[31:11] na additional.
[31:12] Sabi,
[31:13] ang paggamit lang daw
[31:14] ng special health fund
[31:16] ay para sa
[31:17] additional,
[31:18] dagdag na hire
[31:19] at hindi daw pwedeng
[31:20] gamitin sa pangsweldo
[31:21] nung existing
[31:23] health workers.
[31:24] So,
[31:24] kaya po namin
[31:25] pinupush talaga
[31:26] yung amendment
[31:26] sa UHC Act
[31:27] kasi may mga
[31:28] ganong naging
[31:29] operational interpretations
[31:30] para matapos na
[31:31] yung mga ganong
[31:32] misinterpretations.
[31:33] And then,
[31:34] Section 21,
[31:35] Preserve Income
[31:36] Retention Mechanisms
[31:37] for Local Economic
[31:38] Enterprises.
[31:39] Yun pong mga
[31:40] LGU
[31:41] na may LEE
[31:42] in briefing
[31:43] with the DOF,
[31:45] I'm not sure
[31:46] kung nandito
[31:46] sa sayang,
[31:47] wala po yata sila.
[31:48] Pero sila yung
[31:49] makaka-explain
[31:50] at saka yung BBM
[31:51] na hindi
[31:51] magamit
[31:52] ng maayos
[31:53] yung special health fund
[31:54] para sa LEE
[31:55] dahil meron
[31:56] yung operational block
[31:57] dun sa mismong
[31:58] language
[31:58] nung batas.
[32:00] Section 36,
[32:01] yung health
[32:01] information system.
[32:03] Dapat rin po
[32:04] mapalakas natin
[32:05] dun sa National
[32:05] Electronic Health
[32:06] Record Systems
[32:07] na one patient,
[32:08] one record principle
[32:09] para talagang
[32:10] dire-diretsyo yun.
[32:12] And finally,
[32:13] we recommend
[32:13] the creation
[32:14] of a new section
[32:15] on the UHC
[32:16] Coordinating Council.
[32:17] I remember po
[32:18] dun sa huling
[32:19] pag-uusap natin dito,
[32:20] there are pros
[32:21] and cons.
[32:21] We are very flexible
[32:22] and open to
[32:23] discussing it further.
[32:24] But one thing
[32:25] is for sure,
[32:26] the DOH
[32:26] cannot leave this alone
[32:28] because LGU's
[32:29] led probably
[32:30] coordinated by the
[32:31] Department of Interior
[32:32] and local government
[32:33] will have to
[32:34] take charge.
[32:36] And I think
[32:37] ito na po yung
[32:37] huling slide natin.
[32:38] Next slide.
[32:39] Maraming salamat po,
[32:40] Mr. Chair.
[32:40] Kung meron po tayong
[32:41] mga details
[32:42] na gusto hingin,
[32:42] yan po yung
[32:43] ating technical email,
[32:44] pmsmd at doh.gov.ph.
[32:47] Maraming salamat po
[32:48] at magandang ubaga.
[32:49] Thank you,
[32:51] Yusek Domingo.
[32:53] Before we recognize
[32:54] President Dr. Mercado,
[32:57] I'd like to acknowledge
[32:58] the presence
[32:59] of Honorable
[33:01] Dr. Philip
[33:03] Conrado Acop,
[33:05] the 2nd District
[33:06] of City,
[33:09] and Vice Chair,
[33:11] Honorable Dr.
[33:13] Giselle Mary Maceda
[33:14] of the 4th District
[33:15] of the City.
[33:19] So we now recognize
[33:21] the Chief Executive
[33:29] Officer,
[33:30] President of the
[33:31] Philip Steel Health,
[33:32] Dr. Edwin Mercado.
[33:34] Pleasant.
[33:35] Good morning,
[33:36] Chairman Dr.
[33:37] Jun Gato
[33:38] and all the members
[33:39] of the subcommittee
[33:40] on the UHC Act.
[33:42] I'm here to present
[33:43] what we call
[33:47] full circle health financing
[33:49] to, again,
[33:53] jump off from
[33:54] the presentation
[33:55] of Dr.
[33:57] Yusek Domingo.
[33:59] So,
[34:00] next slide, please.
[34:05] So as the
[34:06] Universal Health Care Act
[34:07] mandates,
[34:08] the state has to provide
[34:09] all Filipinos
[34:10] with equitable access
[34:11] to quality health care
[34:12] without financial hardship.
[34:14] So this is along
[34:15] the three-dimensional box
[34:17] that Yusek Domingo
[34:18] earlier presented.
[34:21] But the key here
[34:21] is access,
[34:23] and access would depend
[34:24] on the supply side.
[34:26] So that is what
[34:26] we have focused
[34:27] in the past year,
[34:28] making sure
[34:29] that the supply side
[34:30] and engagement
[34:31] of the supply side,
[34:32] mostly primary care
[34:33] clinics and also
[34:35] our hospitals,
[34:36] are done.
[34:37] Next slide.
[34:39] So our strategies
[34:41] and initiatives,
[34:42] next slide,
[34:43] are based on
[34:44] what we presented
[34:47] as our 30-month agenda,
[34:49] which is the RISE mission,
[34:51] where we are looking
[34:54] at three critical
[34:55] result areas.
[34:56] Number one is
[34:56] Mabilis,
[34:57] such that hospitals
[34:58] and providers
[34:59] are paid on time.
[35:00] Patas,
[35:01] such that providers
[35:02] should deliver better
[35:03] and appropriate care,
[35:05] so we're making sure
[35:06] that what we engage
[35:07] the hospital for
[35:08] in terms of the
[35:09] service level agreement
[35:10] is also delivered.
[35:12] And number three,
[35:13] that the Filipinos
[35:14] feel secure
[35:15] in their health
[35:15] insurance quality.
[35:17] Next slide.
[35:18] So as a result,
[35:20] ito po yung aming
[35:21] mga na-achieve,
[35:23] yung graph
[35:25] on the middle,
[35:26] upper portion,
[35:28] shows the average
[35:29] turnaround time
[35:30] performance
[35:30] of our claims payment.
[35:33] This covers
[35:35] once the claims
[35:36] are already submitted
[35:37] to us.
[35:38] But we're also
[35:38] working with the hospitals
[35:39] on how to make sure
[35:41] that their claims
[35:42] are also filed
[35:43] on time
[35:44] and also that
[35:44] the quality
[35:45] is there
[35:46] such that
[35:46] the return to hospital
[35:48] or the denied claims
[35:49] goes down.
[35:50] So we should see,
[35:51] apart from the
[35:52] overall turnaround time
[35:54] being reduced
[35:55] by 46%
[35:56] from 34.44 days
[35:59] to now,
[35:59] we're tracking
[36:00] towards 18 days.
[36:01] Our target is
[36:02] go down to 15 days
[36:03] for this year.
[36:05] The shaded area,
[36:06] although medyo malabo,
[36:18] medyo nagnanaro down,
[36:19] the shaded area
[36:20] is the variant
[36:20] ability
[36:21] and not just
[36:22] the absolute mean
[36:23] of the average
[36:24] turnaround time.
[36:26] In terms of
[36:26] total beneficiaries,
[36:28] this may include
[36:29] global claims,
[36:31] but it's a proxy
[36:32] for the number
[36:33] of Filipinos
[36:35] that are currently
[36:36] being served.
[36:37] We have grown
[36:38] 65%.
[36:39] We're tracking
[36:40] to see about
[36:41] 22 million
[36:42] or receive
[36:43] 22 million claims
[36:44] this year.
[36:45] So that's a significant
[36:46] jump from
[36:47] 13.4 million
[36:48] in 2023.
[36:50] And then in total,
[36:51] in terms of
[36:52] total payment
[36:53] claims,
[36:54] we are tracking
[36:55] to have a total
[36:57] 369 billion
[36:59] for our benefit
[37:00] payment,
[37:02] which means
[37:02] these are the
[37:03] accrued claims
[37:05] that are received
[37:06] by Philharp.
[37:07] But we're tracking
[37:08] or we're expecting
[37:09] to exceed
[37:10] or almost
[37:10] approximate
[37:11] 400 billion
[37:12] in terms of
[37:13] benefit payment,
[37:14] which is the cash
[37:15] payout
[37:16] of the actual
[37:16] claims.
[37:17] As I may
[37:18] roll over
[37:18] po yung benefit
[37:19] payment
[37:20] from previous
[37:21] years.
[37:22] So ito po yung
[37:22] what we are now
[37:24] servicing the
[37:25] first quarters
[37:26] are carry over
[37:27] mostly from
[37:28] the previous
[37:29] year's last quarter.
[37:31] Next slide.
[37:31] So in terms of
[37:34] our other
[37:34] key programs,
[37:37] especially for
[37:38] expanded access,
[37:39] which we think
[37:40] universality
[37:41] is first and
[37:44] foremost a
[37:45] primary care
[37:45] program,
[37:48] we have done
[37:49] about 3.81 million
[37:51] new FPE
[37:52] this year alone.
[37:54] And our total
[37:55] number,
[37:56] if you add
[37:57] 29.46,
[37:58] we already have
[37:59] about 33 million
[38:00] first patient
[38:01] encounter.
[38:02] At an approximate
[38:03] rate of 60%
[38:04] of all the
[38:05] empaneled or
[38:06] assigned patients
[38:07] having an
[38:07] FPE,
[38:08] that means
[38:09] almost about
[38:09] 55 million
[38:10] Filipino are
[38:12] already assigned
[38:13] to their
[38:14] primary care
[38:14] providers.
[38:15] These are
[38:16] serviced by
[38:16] 4,287
[38:18] yakap clinics,
[38:19] of which
[38:20] 71.38%
[38:22] or 3,060
[38:24] are government
[38:25] run,
[38:26] and 1,227
[38:28] or 28.62%
[38:30] are privately
[38:31] run.
[38:31] Ito po yung
[38:32] finopus namin
[38:33] the last
[38:33] years really
[38:34] engaged the
[38:34] private sector
[38:35] to also
[38:36] deliver care
[38:37] because these
[38:37] are the
[38:38] access point
[38:39] mostly of
[38:40] our direct
[38:40] contributors.
[38:41] For our
[38:42] gamot providers,
[38:43] we already
[38:43] have 2,026
[38:44] and for
[38:45] cancer screening,
[38:46] we have
[38:47] 499.
[38:48] For our
[38:49] expanded
[38:49] enhanced
[38:50] benefits,
[38:51] in 2025,
[38:53] as you would
[38:53] see,
[38:54] we have
[38:54] really rolled
[38:55] out to
[38:56] complete the
[38:57] spectrum of
[38:57] care,
[38:58] from primary
[38:58] care to
[38:59] outpatient
[38:59] ER benefit
[39:00] packages to
[39:01] inpatient
[39:01] care,
[39:02] and even
[39:03] post-hospital
[39:06] care like
[39:07] the post-KT
[39:08] Z-BEN.
[39:09] And in
[39:09] 2026,
[39:10] we already
[39:11] launched our
[39:11] maternity care
[39:12] and the
[39:13] board already
[39:13] approved the
[39:14] animal bite and
[39:15] leptospirosis
[39:15] care, which
[39:16] we will be
[39:16] launching within
[39:17] the month.
[39:18] next.
[39:21] And part of
[39:22] delivering our
[39:25] presidential
[39:25] directive is
[39:26] really
[39:27] strategically
[39:29] shifting the
[39:30] narrative from
[39:31] PhilHealth being
[39:32] a symbol of
[39:32] governance failure
[39:33] to a benchmark
[39:34] for the
[39:34] government sector
[39:35] in one.
[39:36] So we're
[39:37] very happy that
[39:37] we were
[39:38] featured in a
[39:38] lot of
[39:39] initiatives by
[39:40] the presidential
[39:41] communications
[39:42] office, an
[39:43] indication of
[39:43] the trust
[39:44] given to
[39:45] PhilHealth
[39:45] right now.
[39:47] Next slide.
[39:48] And how we
[39:50] translate the
[39:50] mandate into
[39:51] tangible gains.
[39:53] Number one is
[39:54] the Yakov
[39:55] Gamot and
[39:55] outpatient
[39:56] cancer screening
[39:57] program, which
[39:58] we hope at
[39:59] the end of
[39:59] the year we
[40:00] will be
[40:00] enrolling or
[40:01] at least
[40:01] assigning up
[40:02] to 70 to
[40:03] 80 million
[40:04] Filipinos or
[40:05] more than
[40:05] 50% of the
[40:07] whole population.
[40:09] Sustained
[40:09] reform, benefit
[40:10] design, instead
[40:11] of what used
[40:12] to be a
[40:13] launch and
[40:14] leave type of
[40:15] benefit rollout,
[40:16] we're now
[40:16] tracking the
[40:18] actual outcome
[40:19] and impact
[40:20] of our
[40:20] benefit, new
[40:22] benefits, and
[40:23] making sure
[40:24] that it is
[40:25] really accepted
[40:28] and also
[40:29] implemented on
[40:30] the ground.
[40:31] So in fact, the
[40:32] board already
[40:32] approved about
[40:33] 220 additional
[40:34] boots on
[40:35] ground to
[40:36] make sure that
[40:36] the benefits
[40:37] are being
[40:38] given and
[40:39] also being
[40:40] delivered by
[40:41] our accredited
[40:43] facilities based
[40:45] on our service
[40:45] level.
[40:47] And of course,
[40:47] our expanded
[40:48] coverage, which
[40:49] I will
[40:49] discuss in
[40:51] more details
[40:52] in the next
[40:52] slide.
[40:54] Next slide.
[40:56] So this is
[40:57] again an
[40:59] impact of
[41:00] what we call
[41:02] the impact
[41:02] of the
[41:04] immediate
[41:04] eligibility
[41:05] availability.
[41:06] Because of
[41:07] the immediate
[41:08] availment of
[41:10] benefit, even
[41:11] without any
[41:12] premium payment,
[41:13] we're really
[41:14] having difficulty
[41:15] in terms of
[41:16] our additional
[41:17] collection.
[41:17] Although we
[41:18] are focusing
[41:19] on collection
[41:20] efficiencies,
[41:22] we're limited
[41:22] really by the
[41:24] number of people
[41:25] contributing,
[41:26] especially from
[41:27] the direct
[41:27] contributors.
[41:28] source.
[41:29] But we're
[41:30] doing a lot
[41:31] of initiatives
[41:31] right now.
[41:32] We are
[41:32] going to
[41:33] approve a
[41:35] waiver for
[41:35] penalties and
[41:36] interest for
[41:37] the corporate
[41:38] accounts and
[41:39] even for the
[41:40] individual paying
[41:41] members.
[41:42] And we will
[41:42] implement this
[41:43] coming June and
[41:44] July,
[41:45] effectively.
[41:46] Although it was
[41:46] already announced
[41:47] previously, we
[41:49] are looking at
[41:50] really implementing
[41:51] and marketing it
[41:52] and communicating
[41:53] it to our
[41:53] members within
[41:54] the next couple
[41:55] of months.
[41:56] And then for
[41:57] the indirect
[41:58] contributor,
[42:00] it's really
[42:01] very important
[42:02] to note that
[42:02] the new
[42:03] normal now
[42:04] entails really
[42:05] additional
[42:06] subsidy coming
[42:07] from the GA.
[42:08] The previous
[42:10] notion that
[42:11] the syntaxes
[42:13] is enough to
[42:14] cover indirect
[42:15] contributors'
[42:16] benefit payment
[42:17] is already
[42:17] disputed.
[42:19] Because right
[42:20] now, as you
[42:21] would see in
[42:22] the next slide,
[42:22] please,
[42:24] next slide,
[42:25] please,
[42:26] the benefit
[42:27] payment who
[42:28] talaga far
[42:29] outweigh,
[42:30] far outstrip
[42:31] the benefit
[42:32] payment and
[42:34] the premium
[42:34] payment.
[42:35] More so in
[42:36] the indirect
[42:37] contributor,
[42:37] because in
[42:38] the indirect
[42:38] contributor,
[42:39] we're already
[42:40] experiencing
[42:41] almost 400%
[42:43] medical loss
[42:44] ratio.
[42:45] Meaning the
[42:46] GAA
[42:46] given,
[42:47] a subsidy
[42:48] given,
[42:49] benefit
[42:51] payment or
[42:51] utilization
[42:52] is almost
[42:53] four times.
[42:56] And right
[42:56] now,
[42:57] the process
[42:58] subsidization
[42:59] usually,
[43:00] which happened
[43:00] before,
[43:01] is
[43:02] even the
[43:05] direct
[43:06] members
[43:06] are now
[43:07] slightly
[43:08] exceeding or
[43:09] at least
[43:10] almost breaking
[43:10] even with
[43:11] their premium
[43:12] contribution.
[43:13] Which is good
[43:14] because there's
[43:14] already consciousness
[43:15] among all
[43:16] Filipinos that
[43:17] they have
[43:18] field health
[43:18] coverage.
[43:19] Whereas before,
[43:20] they thought,
[43:20] if I don't have
[43:21] any contribution,
[43:22] I don't have
[43:22] any field
[43:23] health coverage.
[43:24] Right now,
[43:25] it's an indication
[43:26] and we take
[43:26] it positively.
[43:28] But the
[43:28] case is,
[43:29] we really
[43:30] need a
[43:30] change of
[43:31] our concept
[43:32] that the
[43:33] existing
[43:33] syntaxes can
[43:34] cover the
[43:35] further expansion
[43:36] of our
[43:36] benefit
[43:37] payment.
[43:39] Next slide.
[43:41] So where
[43:42] did the
[43:43] benefit
[43:43] payouts
[43:44] really
[43:44] sumipa
[43:47] or where
[43:47] it really
[43:48] came?
[43:49] For number
[43:50] one,
[43:50] the expanded
[43:50] access because
[43:52] of the
[43:52] immediate
[43:53] eligibility
[43:53] rule
[43:56] where you
[43:58] cannot
[43:58] forgo
[43:59] access to
[44:00] the
[44:00] field health
[44:01] program
[44:01] without any
[44:02] qualifying
[44:03] contributions
[44:03] from before.
[44:05] Number two
[44:05] is really
[44:06] the compounded
[44:08] impact of
[44:09] the enhanced
[44:10] benefit across
[44:11] the board,
[44:12] 30% in
[44:14] 2024 and
[44:15] 50% in
[44:16] 2025,
[44:16] which
[44:17] redounded
[44:17] to at least
[44:19] 95%
[44:20] increase
[44:21] for 2025
[44:22] and 2026.
[44:25] And
[44:25] presently,
[44:26] our annual
[44:26] funding now
[44:27] exceeds
[44:28] pre-reform
[44:28] projections
[44:29] such that
[44:29] we really
[44:30] need to
[44:31] make it
[44:31] clear that
[44:32] there should
[44:32] be additional
[44:33] funding and
[44:34] which
[44:34] Domingo also
[44:36] mentioned earlier
[44:37] that there
[44:37] should be
[44:37] other sources
[44:38] of revenues
[44:39] moving forward.
[44:41] Now,
[44:42] the new
[44:42] normal is
[44:43] clear,
[44:43] both claims
[44:44] volume and
[44:44] benefit payouts
[44:45] have permanently
[44:47] shifted its
[44:48] baseline and
[44:49] I don't
[44:49] think our
[44:50] population
[44:51] will be,
[44:53] the only
[44:54] impact probably
[44:55] that will
[44:56] lessen our
[44:56] benefit payment
[44:57] is the
[44:57] impact of
[44:58] primary care.
[44:59] But we
[45:00] won't see
[45:00] it and
[45:00] maybe until
[45:01] the next
[45:02] three years
[45:02] because the
[45:03] first three
[45:03] years,
[45:04] because we're
[45:04] providing access,
[45:05] it's the tip
[45:06] of the iceberg,
[45:07] we're seeing
[45:08] talaga the
[45:08] utilization is
[45:09] increasing.
[45:10] But hopefully
[45:10] in three years
[45:11] time,
[45:12] it will go
[45:12] down subsidized
[45:13] because we
[45:14] projected that
[45:15] about 33 to
[45:16] 35% of
[45:17] inpatient care
[45:18] are ambulatory
[45:19] care sensitive,
[45:20] would have been
[45:21] prevented if they
[45:22] were treated
[45:22] earlier as
[45:23] primary care.
[45:24] So ito po yung
[45:25] hindi namin nakikita
[45:26] pa at this point
[45:27] kasi nga may
[45:27] time lag yung
[45:28] immediate impact
[45:29] natin, yung
[45:29] primary care.
[45:31] Next, next
[45:34] slide po.
[45:34] So this is our
[45:35] financial standing
[45:37] and budget
[45:38] proposal which
[45:39] we presented to
[45:40] the DBM last
[45:41] May 18.
[45:42] If we go by
[45:44] our projected
[45:47] decrease in
[45:48] out-of-pocket
[45:48] expenditure,
[45:50] as Dr.
[45:51] Domingo
[45:51] shared earlier,
[45:52] 42.7 na po tayo
[45:54] nun 2024.
[45:56] We got a
[45:57] preliminary
[45:57] computation from
[45:58] the DepDev,
[45:59] we're now down
[46:00] to 41.2
[46:02] to be validated
[46:03] by June.
[46:04] Conservatively,
[46:05] they said it may
[46:05] even be 40%,
[46:07] so it's a range
[46:07] of 40 to 41.2.
[46:09] And if the trend
[46:11] continues,
[46:12] we're on track
[46:13] of hitting about
[46:14] 37.8,
[46:15] maybe 35%
[46:16] by 2028.
[46:18] At that point,
[46:19] you would see in the
[46:20] boxes,
[46:21] these are the
[46:22] additional funding
[46:23] we will be needing
[46:24] to cover
[46:26] mostly the
[46:27] indirect members.
[46:29] So ito po yung
[46:29] coverage natin
[46:31] on the basis of
[46:32] what we project
[46:33] as a trend.
[46:35] But if we go
[46:36] by the
[46:36] medium-term
[46:37] plan,
[46:38] the PDP,
[46:38] the Philippine
[46:39] Development Plan,
[46:40] ang pinata-target po
[46:42] ng DepDev is
[46:43] 28.1,
[46:45] which will
[46:46] definitely need
[46:47] more funding.
[46:48] Precisely why
[46:48] the figures
[46:50] in the yellow
[46:50] box indicates
[46:52] it's an additional
[46:53] maybe 200 billion
[46:55] for every year
[46:56] if we target
[46:56] the DepDev
[46:57] numbers.
[46:59] The 25%
[47:00] out-of-pocket
[47:01] is what we
[47:02] consider usually
[47:03] a standard
[47:04] for most
[47:05] countries
[47:05] because at
[47:06] 25%,
[47:07] the risk of
[47:08] catastrophic
[47:09] financial spending
[47:10] significantly
[47:11] goes down.
[47:12] So 25%
[47:13] out-of-pocket,
[47:14] significantly
[47:15] an additional
[47:16] 100 to
[47:17] 150
[47:17] per year
[47:19] billion.
[47:20] And the
[47:20] WHO
[47:21] suggested
[47:23] benchmark
[47:23] is at
[47:24] 15%.
[47:25] So definitely
[47:26] we cannot
[47:27] reach this
[47:28] 15%
[47:29] benchmark.
[47:29] So target
[47:30] po natin
[47:31] based on
[47:32] DepDev
[47:32] is at
[47:33] least 28.3
[47:34] to 35%,
[47:35] which we
[47:36] think
[47:36] the current
[47:37] trend
[47:37] we may
[47:38] be able
[47:38] to do.
[47:40] Next slide.
[47:42] For the
[47:45] first quarter
[47:47] or at
[47:47] least
[47:47] January 1
[47:48] to May 8,
[47:49] we will
[47:50] see already
[47:50] that we
[47:51] spent
[47:51] 152
[47:52] billion
[47:53] in benefit
[47:53] payment,
[47:55] 60%
[47:55] of which
[47:56] or 91.3
[47:57] billion
[47:57] are for
[47:58] the indirect
[47:58] contributor
[47:59] and 60.9
[48:01] billion
[48:01] is from
[48:01] the direct
[48:02] contributor.
[48:03] So by
[48:03] our GA
[48:04] alone,
[48:05] which we're
[48:05] given $53.7
[48:07] billion and
[48:07] another $16
[48:08] billion for
[48:09] benefit
[48:10] expansion,
[48:11] the $70
[48:12] billion
[48:12] that we've
[48:12] given
[48:13] the first
[48:16] four months
[48:16] of the
[48:17] year just
[48:18] to cover
[48:18] the indirect
[48:19] contributor.
[48:20] So we're
[48:23] already
[48:23] dipping into
[48:24] our
[48:24] retained
[48:25] earnings
[48:26] to really
[48:27] sustain
[48:27] and really
[48:28] doing a
[48:29] lot of
[48:29] initiatives
[48:30] to have
[48:32] some
[48:32] additional
[48:33] revenues
[48:33] from
[48:34] collection
[48:34] of our
[48:35] direct
[48:35] members.
[48:36] So far
[48:37] for this
[48:37] year,
[48:38] we already
[48:38] have a
[48:38] 10%
[48:39] increase
[48:40] of premium
[48:41] collection
[48:41] from our
[48:42] direct
[48:42] members
[48:43] compared to
[48:43] last year.
[48:44] But we
[48:44] have a
[48:44] very hefty
[48:45] target
[48:45] for Dr.
[48:46] Joseph,
[48:47] our MMG
[48:47] vice
[48:48] president,
[48:49] to put
[48:50] it up
[48:50] to 20%.
[48:51] So we're
[48:52] really working
[48:53] on making
[48:53] it.
[48:53] But because
[48:54] of the
[48:54] current
[48:55] financial
[48:56] situation
[48:56] of the
[48:57] crisis,
[48:58] we're
[48:58] looking at
[49:00] other ways
[49:01] to really
[49:02] maximize
[49:04] the direct
[49:05] contributor's
[49:06] contribution
[49:07] by becoming
[49:08] more efficient.
[49:09] And I
[49:09] would show
[49:09] you by
[49:10] doing
[49:11] negotiated
[49:13] contracts
[49:14] with private
[49:14] providers.
[49:16] Next slide,
[49:17] please.
[49:18] So ito
[49:18] po yung
[49:19] breakdown
[49:19] ng
[49:20] 376
[49:24] billion.
[49:25] 300
[49:26] billion is
[49:26] really from
[49:27] IC premium
[49:28] subsidies.
[49:28] because
[49:29] this is
[49:30] the
[49:30] projected
[49:31] benefit
[49:32] payment
[49:33] of
[49:33] our
[49:34] 53
[49:35] million,
[49:36] sorry,
[49:36] 53
[49:37] million
[49:38] ID,
[49:39] 54.2
[49:40] million
[49:40] indirect
[49:40] members
[49:41] in our
[49:42] data,
[49:43] which has
[49:44] been
[49:44] validated
[49:46] by
[49:46] our
[49:47] benchmarking
[49:49] with
[49:50] DSWD
[49:52] and
[49:52] also
[49:53] the
[49:53] PSA.
[49:55] So ito
[49:55] po,
[49:55] kasama yung
[49:56] mga
[49:56] 4Ps,
[49:57] senior
[49:57] citizen,
[49:58] point of
[49:59] service
[49:59] members,
[50:00] yung
[50:00] mga
[50:00] hindi
[50:01] naman
[50:01] nakapag
[50:01] contribute,
[50:02] but because
[50:02] of the
[50:03] eligibility,
[50:05] hindi po
[50:05] natin
[50:05] pwede
[50:06] withholding
[50:06] services.
[50:08] PWD,
[50:08] solo
[50:09] parents,
[50:10] and all
[50:10] other
[50:10] special
[50:11] coverage
[50:11] by
[50:12] legislation.
[50:14] Yung
[50:14] 75.897
[50:16] billion
[50:16] po is
[50:17] still
[50:17] the
[50:18] unsettled
[50:19] and
[50:19] unremitted
[50:20] statutory
[50:20] shares,
[50:23] which
[50:23] were
[50:23] based on
[50:24] the
[50:24] reports
[50:25] of
[50:26] PAGPOR
[50:26] and
[50:26] PCSO
[50:27] to
[50:28] the
[50:28] Bureau
[50:28] of
[50:28] Treasury.
[50:29] So ito
[50:30] po yung
[50:30] inihingi
[50:31] pa
[50:31] namin.
[50:32] But
[50:32] we are
[50:33] getting
[50:34] good
[50:34] feedback
[50:34] din po
[50:35] from
[50:35] the
[50:36] Department
[50:37] of
[50:37] Budget
[50:38] and
[50:38] the
[50:38] Treasury
[50:38] that
[50:39] they're
[50:39] able
[50:40] to,
[50:40] they're
[50:41] looking
[50:42] at
[50:42] already
[50:42] releasing
[50:44] some
[50:44] of the
[50:44] previous
[50:45] SAROs
[50:46] that
[50:47] were
[50:47] not yet
[50:47] released
[50:48] to
[50:48] us.
[50:48] Wala
[50:49] pa
[50:49] pong
[50:49] NCA
[50:50] that
[50:51] is
[50:51] to
[50:51] the
[50:51] tune
[50:52] of
[50:52] 42.30
[50:53] to
[50:53] 4
[50:53] billion
[50:54] and
[50:54] then
[50:55] another
[50:55] 58.55
[50:57] unreleased
[50:58] from
[50:58] previous
[50:59] GEA
[50:59] na
[51:00] partially
[51:01] po
[51:01] na
[51:01] released
[51:02] kami
[51:02] ng
[51:02] cash
[51:02] pero
[51:03] hindi
[51:03] pa
[51:03] po
[51:03] na
[51:03] released
[51:04] yung
[51:04] full
[51:04] amount.
[51:05] So ito
[51:05] pa
[51:05] po
[51:06] yung
[51:06] hinahabol
[51:07] at
[51:07] nirequest
[51:08] po
[51:08] na.
[51:09] Next
[51:10] slide.
[51:12] So what
[51:12] we also
[51:13] did
[51:13] was
[51:13] do
[51:13] a
[51:14] benefit
[51:14] roadmap
[51:15] which
[51:16] I
[51:16] presented
[51:16] in
[51:16] several
[51:17] of our
[51:17] meetings
[51:18] based
[51:18] on
[51:18] this
[51:19] roadmap.
[51:19] We
[51:20] already
[51:20] figured
[51:21] the
[51:21] different
[51:22] diseases
[51:23] that we
[51:23] will
[51:23] focus
[51:23] on
[51:24] using
[51:24] an
[51:25] algorithm
[51:25] that
[51:26] includes
[51:27] which
[51:27] are
[51:27] the
[51:27] most
[51:27] dreaded
[51:28] which
[51:28] are
[51:28] the
[51:28] most
[51:29] financially
[51:30] crippling
[51:32] and
[51:32] also
[51:33] which
[51:33] has
[51:33] already
[51:34] an
[51:34] approved
[51:35] treatment
[51:36] protocol
[51:37] based
[51:37] on
[51:37] what
[51:38] again
[51:38] Yusek
[51:38] Domingo
[51:39] said
[51:39] as a
[51:39] CPG
[51:40] under
[51:41] the
[51:41] DOH.
[51:42] And
[51:42] based
[51:43] on
[51:43] that
[51:43] we
[51:43] also
[51:43] projected
[51:44] now
[51:44] moving
[51:45] forward
[51:45] in
[51:46] the
[51:46] next
[51:46] three
[51:46] years
[51:47] how
[51:47] much
[51:48] we
[51:48] will
[51:48] be
[51:48] needing.
[51:49] Next
[51:49] slide.
[51:51] So
[51:51] this
[51:52] is
[51:52] an
[51:52] example
[51:52] we
[51:53] did
[51:53] look
[51:54] at
[51:55] 28
[51:55] diseases
[51:56] that
[51:56] we're
[51:57] looking
[51:57] at
[51:57] covering
[51:57] and
[51:58] then
[51:59] we
[51:59] did
[51:59] a
[51:59] very
[52:01] simple
[52:01] computation
[52:02] of
[52:02] the
[52:02] difference
[52:03] between
[52:03] our
[52:04] SOA
[52:06] average
[52:06] SOA
[52:07] for
[52:07] all
[52:08] the
[52:08] ward
[52:09] cases
[52:10] meaning
[52:10] mix
[52:10] of
[52:11] private
[52:11] and
[52:11] public
[52:12] wards
[52:12] and
[52:13] how
[52:13] much
[52:13] our
[52:13] support
[52:14] value
[52:14] is.
[52:15] So
[52:15] the
[52:15] difference
[52:15] between
[52:16] SOA
[52:16] and
[52:16] support
[52:17] value
[52:17] is
[52:17] what
[52:18] we
[52:18] predicted
[52:18] to be
[52:19] our
[52:19] additional
[52:20] benefit
[52:20] payment
[52:21] and
[52:21] then
[52:21] we
[52:22] plotted
[52:22] it
[52:22] over
[52:23] the
[52:23] next
[52:23] three
[52:23] years
[52:24] and
[52:24] precisely
[52:25] why
[52:26] we
[52:27] showed
[52:27] if we
[52:28] want to
[52:28] really
[52:29] lower
[52:29] our
[52:29] out-of-pocket
[52:30] spending
[52:31] to the
[52:31] 27 or
[52:32] 37,
[52:34] 38%
[52:34] that we're
[52:35] looking at
[52:36] substantial.
[52:37] Otherwise
[52:38] we'll
[52:39] not
[52:40] roll
[52:40] out
[52:40] additional
[52:41] programs
[52:42] because
[52:43] we will
[52:44] be
[52:44] matching
[52:45] our
[52:46] benefit
[52:47] payment
[52:47] with
[52:48] what
[52:48] we
[52:48] are
[52:48] collecting
[52:49] for
[52:49] our
[52:49] revenue.
[52:51] Next
[52:51] slide.
[52:53] Another
[52:55] thing
[52:55] that
[52:55] we
[52:55] are
[52:56] espousing
[52:58] and
[52:58] also
[52:59] advocating
[53:00] to
[53:01] all our
[53:01] policymakers
[53:02] is
[53:03] also
[53:03] provide
[53:05] budget
[53:05] for
[53:06] the
[53:06] public
[53:06] health
[53:06] intervention.
[53:08] We're
[53:08] already
[53:09] mapping
[53:09] our
[53:10] roadmap
[53:10] curative
[53:11] benefits
[53:11] to our
[53:12] primary
[53:12] care
[53:12] entry
[53:13] points.
[53:13] Meaning
[53:14] if
[53:14] there's
[53:14] liver
[53:14] cancer
[53:15] benefit
[53:17] for
[53:17] example
[53:17] for
[53:18] curative.
[53:19] We're
[53:19] looking at
[53:19] the
[53:19] primary
[53:20] care.
[53:20] It should
[53:20] have
[53:20] hepatitis
[53:22] vaccine,
[53:23] hepatitis
[53:24] screening,
[53:24] etc.
[53:25] But
[53:26] moving
[53:26] back to
[53:27] the
[53:27] public
[53:27] health
[53:27] intervention,
[53:29] of course
[53:29] it's
[53:29] not a
[53:31] purview of
[53:31] field
[53:31] health,
[53:32] but it
[53:32] should
[53:32] also be
[53:33] looked
[53:33] at.
[53:34] For
[53:34] example,
[53:34] we're
[53:34] looking
[53:35] at
[53:35] expanding
[53:37] our
[53:38] animal
[53:38] bite
[53:38] treatment
[53:39] to
[53:39] include
[53:39] CAT2,
[53:40] which
[53:41] is
[53:41] the
[53:41] request
[53:41] of
[53:41] most
[53:41] LGUs.
[53:43] But
[53:43] absent
[53:43] vaccination
[53:44] program
[53:45] of
[53:45] stray
[53:46] dogs
[53:46] and
[53:46] pets,
[53:46] it's
[53:47] going to
[53:47] be
[53:48] very
[53:48] expensive.
[53:49] But if
[53:50] there's
[53:50] really
[53:51] budgeting
[53:53] for the
[53:54] LGUs and
[53:54] the Department
[53:55] of Agriculture,
[53:56] for example,
[53:56] to do
[53:57] tagging and
[53:58] also an
[53:59] RFD
[53:59] figure of
[54:00] the dogs,
[54:00] so make
[54:01] sure that
[54:01] the dogs
[54:02] and cats,
[54:03] then our
[54:04] benefit payment
[54:06] will go down
[54:06] because instead
[54:07] of giving
[54:08] the full
[54:08] course of
[54:09] five to
[54:09] six
[54:09] vaccines,
[54:10] we'll
[54:10] just
[54:10] give
[54:11] a booster.
[54:15] So those
[54:15] are things
[54:15] that should
[54:16] come hand
[54:17] in hand,
[54:17] the public
[54:18] health
[54:18] intervention,
[54:19] while we're
[54:20] fixing the
[54:21] primary care
[54:21] and the
[54:22] curative
[54:22] aspect of
[54:24] the whole
[54:24] treatment
[54:25] spectrum.
[54:27] Next.
[54:28] So these
[54:29] are other
[54:30] what we call
[54:32] public health
[54:33] force multiplier
[54:34] that we
[54:35] will be
[54:35] suggesting,
[54:37] it covers
[54:37] HIV,
[54:39] mentioned
[54:39] animal
[54:39] bite,
[54:40] leptospirosis,
[54:41] mental health,
[54:42] and we're
[54:43] advocating and
[54:44] we're coordinating
[54:44] with the
[54:45] respective
[54:46] agencies,
[54:47] and also,
[54:48] again,
[54:48] this is a
[54:49] proper venue
[54:50] to advocate
[54:50] budgeting for
[54:51] these activities
[54:53] to the
[54:55] legislators.
[54:57] Because as I
[54:58] mentioned
[54:59] earlier,
[54:59] we don't
[55:00] factor in
[55:00] our budget
[55:02] for the
[55:03] next three
[55:03] years.
[55:04] It's the
[55:04] impact of
[55:04] this
[55:05] public
[55:05] health
[55:05] intervention
[55:06] and the
[55:07] impact of
[55:07] our
[55:08] primary
[55:08] care.
[55:09] Next.
[55:12] So key
[55:13] takeaways,
[55:14] recognize now
[55:14] the new
[55:15] baseline
[55:15] budget for
[55:16] field health,
[55:17] hindi na po
[55:17] talaga
[55:17] maibabalik
[55:18] dun sa
[55:19] datihang
[55:21] ano na,
[55:21] hindi,
[55:21] sapat na yung
[55:22] syntaxes.
[55:24] Hindi pa nga po
[55:24] nabibigay yung
[55:25] kabuan ng
[55:25] syntaxes in
[55:26] certain instances
[55:27] because of the
[55:29] across-the-board
[55:29] increase mostly
[55:30] in 2024
[55:31] and 2025.
[55:32] And then
[55:33] rationalize the
[55:34] budget streams
[55:35] funding the
[55:36] same item.
[55:36] So meron pa rin
[55:37] pong issues
[55:38] ng double
[55:39] financing,
[55:40] so we really
[55:41] need to
[55:41] delineate
[55:42] if the
[55:43] DOH
[55:43] already will
[55:44] be already
[55:45] rolling out
[55:46] this,
[55:47] tingnan natin
[55:48] maibawas dun
[55:49] sa mga
[55:50] i-co-cover
[55:51] ng field
[55:51] health.
[55:52] And again,
[55:53] deliberately
[55:54] fund the
[55:55] public health
[55:55] intervention.
[55:57] Next.
[55:59] So there
[55:59] are a lot
[56:00] of
[56:01] birthing
[56:02] issues
[56:03] regarding
[56:04] yakap.
[56:04] Next slide.
[56:05] So as
[56:07] we are
[56:07] fine-tuning
[56:09] the process,
[56:10] we're already
[56:11] looking at
[56:11] expanding
[56:12] gamot.
[56:12] We're also
[56:14] institutionalizing
[56:17] the SDG
[56:19] benefits to be
[56:20] really part of
[56:21] the yakap
[56:22] program.
[56:23] For example,
[56:23] our newly
[56:24] launched maternal
[56:25] care package,
[56:26] which we
[56:26] incorporated in
[56:27] yakap,
[56:28] and also
[56:28] required patient
[56:29] coordinator to
[56:30] oversee.
[56:31] we're talking
[56:32] with also
[56:33] the DSWT
[56:36] through
[56:36] Secretary Rex
[56:37] Katchalyan
[56:38] on how to
[56:39] help the
[56:39] OH implement
[56:40] the first
[56:40] 1,000 days
[56:41] under the
[56:42] yakap program,
[56:44] which we are
[56:44] looking at,
[56:45] for example,
[56:46] paying for
[56:46] vaccination
[56:47] fees,
[56:48] which will
[56:49] be providing
[56:49] the vaccines
[56:50] para.
[56:51] It's also
[56:51] being
[56:52] incentivized,
[56:54] the yakap
[56:54] clinics are
[56:55] being
[56:55] incentivized.
[56:57] Next slide.
[57:00] So the other
[57:00] things is we're
[57:01] really using
[57:02] biometrics.
[57:03] We have
[57:04] the PSA
[57:05] already
[57:05] collocating
[57:06] in some
[57:06] of our
[57:07] LEOS.
[57:08] The intent
[57:08] is to
[57:08] collocate
[57:09] in major
[57:10] LEOS,
[57:11] since we
[57:11] are the
[57:12] government
[57:12] agency with
[57:13] the most
[57:13] members.
[57:16] And even
[57:16] the PSA
[57:17] will go
[57:18] with the
[57:18] field health
[57:19] team in
[57:19] doing
[57:20] caravans
[57:21] in Dida
[57:21] areas to
[57:22] actually get
[57:23] the biometrics
[57:24] of our
[57:24] members.
[57:28] And then
[57:28] service
[57:29] legitimacy
[57:30] validation,
[57:31] where,
[57:31] as I
[57:32] mentioned,
[57:32] boots on
[57:32] ground,
[57:33] to also
[57:33] look at
[57:34] the actual
[57:36] service level
[57:36] agreement
[57:37] based on
[57:38] a checklist
[57:38] and also
[57:39] do pre- and
[57:40] post-audit
[57:41] based on
[57:41] their
[57:41] submissions.
[57:43] Besides,
[57:43] why,
[57:44] very timely
[57:44] which eventually
[57:47] will also be
[57:48] the basis
[57:48] for our
[57:49] post-audit.
[57:51] And post-delivery
[57:52] confirmation,
[57:53] again,
[57:54] we are doing
[57:54] text blasts
[57:55] of our
[57:55] members to
[57:56] ensure,
[57:57] did you
[57:57] really
[57:57] impanel yourself
[57:59] to this
[58:00] clinic,
[58:00] or did
[58:01] you
[58:01] avail
[58:01] of
[58:01] these
[58:01] services
[58:02] so that
[58:03] we are
[58:03] making
[58:03] sure
[58:03] that
[58:04] there
[58:04] are
[58:04] no
[58:04] ghost
[58:05] patients
[58:06] and
[58:06] other
[58:07] services
[58:07] that
[58:08] are
[58:08] not
[58:09] being
[58:09] claimed
[58:10] but
[58:10] it's
[58:10] being
[58:10] claimed
[58:11] from
[58:11] us.
[58:12] Next
[58:12] slide,
[58:15] please.
[58:15] And also,
[58:16] we're
[58:16] looking at
[58:17] what we
[58:17] call
[58:17] our
[58:17] four
[58:18] gates,
[58:18] the
[58:19] gates
[58:19] to
[58:19] ensure
[58:20] that
[58:20] really
[58:21] quality
[58:22] assurance
[58:22] is in
[58:23] place
[58:23] and
[58:23] that
[58:24] we're
[58:24] paying
[58:24] for
[58:24] the
[58:24] right
[58:25] services.
[58:26] So,
[58:26] we're
[58:26] strengthening
[58:27] our
[58:27] pre-authorization.
[58:28] we will
[58:29] soon
[58:29] launch
[58:30] an
[58:30] upfront
[58:30] validation
[58:31] where
[58:32] before
[58:32] the
[58:33] claims
[58:33] are
[58:33] submitted
[58:33] to us
[58:34] there
[58:34] will
[58:34] already
[58:35] be
[58:35] sort
[58:36] of
[58:36] an
[58:36] AI
[58:37] component
[58:38] that
[58:38] would
[58:38] check
[58:39] if
[58:39] the
[58:40] documents
[58:41] attached
[58:41] are
[58:42] really
[58:42] valid
[58:43] and
[58:43] matches
[58:43] the
[58:44] diagnosis
[58:44] for
[58:45] example.
[58:46] And
[58:46] then
[58:46] the
[58:46] medical
[58:47] prepayment
[58:47] review
[58:48] before
[58:48] actual
[58:49] payment
[58:49] again
[58:50] hopefully
[58:50] with
[58:50] the
[58:51] use
[58:51] of
[58:51] AI.
[58:51] We're
[58:52] working
[58:52] with
[58:52] the
[58:52] ADB
[58:53] and
[58:54] we
[58:54] already
[58:54] have
[58:55] a
[58:55] TA
[58:56] from
[58:56] ADB
[58:57] that
[58:58] looking
[58:58] at
[58:59] also
[59:00] improving
[59:00] our
[59:00] end
[59:01] claims.
[59:02] And
[59:02] then
[59:02] the
[59:02] post
[59:02] audit
[59:03] is
[59:03] more
[59:03] to
[59:03] validate
[59:05] the
[59:05] standard
[59:05] of
[59:05] care
[59:06] and
[59:06] change
[59:08] the
[59:08] standard
[59:08] of
[59:08] care
[59:09] such
[59:09] that
[59:09] it's
[59:09] more
[59:09] clear
[59:10] that
[59:11] the
[59:11] service
[59:12] level
[59:12] agreement
[59:13] is
[59:13] adjusted
[59:14] to
[59:14] make
[59:16] sure
[59:16] that
[59:16] the
[59:16] standard
[59:17] of
[59:17] care
[59:17] is
[59:17] being
[59:17] followed.
[59:19] Next.
[59:21] So
[59:21] ito
[59:22] po
[59:22] yung
[59:22] aming
[59:23] ginagawang
[59:24] pagbabago
[59:24] yung
[59:25] pong
[59:25] global
[59:26] payment
[59:26] ay
[59:26] pinag-aaralan
[59:28] na po
[59:28] namin
[59:29] meaning
[59:29] shifting
[59:30] to
[59:30] bultuhan
[59:32] ating
[59:33] pagbabayad
[59:34] at least
[59:35] dun
[59:35] sa mga
[59:36] balanced
[59:36] bill
[59:36] beds
[59:37] gatekeeping
[59:38] which I
[59:39] mentioned
[59:39] earlier
[59:39] IT
[59:40] infrastructure
[59:41] where
[59:41] we're
[59:42] already
[59:42] working
[59:43] with
[59:43] DBP
[59:45] risk
[59:45] stratification
[59:46] where
[59:47] we will
[59:47] have
[59:48] algorithms
[59:49] to also
[59:50] ensure
[59:51] that
[59:51] the
[59:52] proper
[59:52] risks
[59:53] and the
[59:53] proper
[59:53] tagging
[59:54] and the
[59:54] proper
[59:55] red
[59:56] flagging
[59:56] is done
[59:56] and the
[59:57] audit
[59:57] timing
[59:58] hopefully
[59:58] with
[59:59] our
[59:59] enhanced
[1:00:00] IT
[1:00:01] we can
[1:00:01] already
[1:00:02] do
[1:00:02] more
[1:00:03] immediate
[1:00:04] audit
[1:00:05] rather than
[1:00:06] doing
[1:00:06] post-audit
[1:00:07] six months
[1:00:08] down the
[1:00:08] line
[1:00:08] next slide
[1:00:09] so our
[1:00:12] maturing
[1:00:12] priorities
[1:00:13] next slide
[1:00:14] please
[1:00:14] so we're
[1:00:16] addressing
[1:00:18] inefficiencies
[1:00:18] again as
[1:00:19] mentioned
[1:00:19] through robust
[1:00:20] utilization
[1:00:21] reviews
[1:00:21] and
[1:00:22] hopefully
[1:00:23] the use
[1:00:24] of AI
[1:00:24] we're
[1:00:25] already
[1:00:25] working
[1:00:26] with the
[1:00:26] HMOs
[1:00:27] for HMO
[1:00:27] complementation
[1:00:28] because HMOs
[1:00:30] are already
[1:00:30] asking us
[1:00:31] if they can
[1:00:32] avail of
[1:00:32] YACAP
[1:00:33] which we
[1:00:34] said yes
[1:00:34] but since
[1:00:35] it's already
[1:00:36] paid for
[1:00:36] in the
[1:00:36] premium
[1:00:37] of your
[1:00:37] members
[1:00:38] there should
[1:00:39] be
[1:00:39] complementation
[1:00:40] of what
[1:00:41] we are
[1:00:41] covering
[1:00:41] and HMOs
[1:00:43] are very
[1:00:43] open to
[1:00:45] that
[1:00:45] so we're
[1:00:46] finalizing
[1:00:47] our standard
[1:00:47] complementation
[1:00:48] improving
[1:00:50] NBB
[1:00:50] compliance
[1:00:51] through
[1:00:51] again
[1:00:52] negotiations
[1:00:52] so this
[1:00:53] is a
[1:00:54] picture of
[1:00:54] two big
[1:00:55] hospitals
[1:00:56] in Manila
[1:00:56] that already
[1:00:57] opened
[1:00:58] their NBB
[1:00:58] ward
[1:00:59] one is
[1:01:00] TMC
[1:01:00] which
[1:01:01] the
[1:01:02] president
[1:01:02] actually
[1:01:03] visited
[1:01:03] the 51
[1:01:04] bed
[1:01:05] Alfredo
[1:01:06] B.
[1:01:06] RA
[1:01:07] Bengson
[1:01:07] patient
[1:01:08] access
[1:01:08] ward
[1:01:08] the other
[1:01:09] is
[1:01:09] Asian
[1:01:09] hospital
[1:01:10] I just
[1:01:11] talked
[1:01:11] to
[1:01:11] Chinese
[1:01:13] Jen
[1:01:13] and they
[1:01:13] said
[1:01:13] they're
[1:01:13] willing
[1:01:14] to put
[1:01:14] up
[1:01:14] 100
[1:01:14] bed
[1:01:15] NBB
[1:01:15] so
[1:01:16] it's
[1:01:16] basically
[1:01:20] like a
[1:01:21] cash
[1:01:21] payment
[1:01:21] so just
[1:01:22] shifting
[1:01:23] to
[1:01:23] a
[1:01:24] prepayment
[1:01:25] or
[1:01:25] semblance
[1:01:26] of a
[1:01:26] prepayment
[1:01:27] they're
[1:01:27] even
[1:01:27] willing to
[1:01:28] add more
[1:01:29] plus some
[1:01:30] incentives
[1:01:31] we said
[1:01:31] we will
[1:01:32] incentivize
[1:01:33] you if
[1:01:33] the case
[1:01:33] mix is
[1:01:34] more
[1:01:34] surgical
[1:01:36] or more
[1:01:37] dreaded
[1:01:38] cases
[1:01:38] then probably
[1:01:39] we can
[1:01:39] top it
[1:01:39] off
[1:01:40] and that's
[1:01:40] permitted
[1:01:41] and that's
[1:01:41] allowed by
[1:01:42] the universal
[1:01:42] healthcare
[1:01:43] next
[1:01:44] we are
[1:01:46] affirming
[1:01:46] the role
[1:01:46] of the
[1:01:47] LGU
[1:01:47] next
[1:01:48] so we
[1:01:49] got a
[1:01:49] grant
[1:01:49] from the
[1:01:50] global
[1:01:51] fund
[1:01:51] where we
[1:01:52] will be
[1:01:53] deploying
[1:01:53] some
[1:01:54] additional
[1:01:54] people on
[1:01:56] the ground
[1:01:56] to
[1:01:57] actually
[1:01:57] teach
[1:01:58] LGU
[1:01:58] how to
[1:01:59] really
[1:01:59] implement
[1:02:00] the
[1:02:00] UHC
[1:02:01] so one
[1:02:01] is
[1:02:01] before
[1:02:02] traditional
[1:02:03] approach
[1:02:03] is
[1:02:03] two more
[1:02:05] you have
[1:02:06] to
[1:02:06] analyze
[1:02:06] what is
[1:02:07] the
[1:02:07] needs
[1:02:07] of your
[1:02:07] whole
[1:02:08] community
[1:02:09] and not
[1:02:10] just you
[1:02:10] but also
[1:02:10] engage
[1:02:11] the
[1:02:11] private
[1:02:11] sector
[1:02:12] from
[1:02:13] reach out
[1:02:13] every
[1:02:14] family
[1:02:14] strategically
[1:02:15] portion
[1:02:15] of the
[1:02:16] budgets
[1:02:16] directed
[1:02:16] towards
[1:02:17] maintaining
[1:02:17] RHU
[1:02:18] to
[1:02:18] strategically
[1:02:19] existing
[1:02:20] where the
[1:02:20] gaps
[1:02:21] are
[1:02:21] so there
[1:02:21] will be
[1:02:21] gap
[1:02:22] analysis
[1:02:22] in terms
[1:02:23] of the
[1:02:23] total
[1:02:23] health
[1:02:24] care
[1:02:24] delivery
[1:02:24] system
[1:02:25] of the
[1:02:25] LGU
[1:02:25] and then
[1:02:27] use
[1:02:27] our
[1:02:27] power
[1:02:28] of the
[1:02:29] purse
[1:02:29] to somehow
[1:02:30] push
[1:02:30] the LGU
[1:02:31] to align
[1:02:31] number
[1:02:32] three
[1:02:33] is
[1:02:33] partner
[1:02:34] and
[1:02:34] accredited
[1:02:35] we are
[1:02:36] looking at
[1:02:37] really
[1:02:37] seeking out
[1:02:38] and negotiating
[1:02:38] with private
[1:02:39] partners
[1:02:39] to fill
[1:02:40] service
[1:02:41] gaps
[1:02:41] across
[1:02:42] the
[1:02:42] jurisdiction
[1:02:42] so
[1:02:43] we
[1:02:44] had
[1:02:44] actually
[1:02:45] this
[1:02:45] discussion
[1:02:46] in
[1:02:46] the
[1:02:46] PISAC
[1:02:46] with
[1:02:47] USEC
[1:02:48] Domingo
[1:02:48] there
[1:02:48] and
[1:02:49] we
[1:02:50] already
[1:02:50] agreed
[1:02:51] and
[1:02:51] Secretary
[1:02:52] Ted
[1:02:52] that we
[1:02:53] will
[1:02:54] engage
[1:02:54] private
[1:02:54] sector
[1:02:55] to match
[1:02:55] the needs
[1:02:56] of the
[1:02:57] local
[1:02:57] government
[1:02:57] unit
[1:02:58] especially
[1:02:58] for
[1:02:59] those
[1:02:59] assets
[1:03:00] that
[1:03:00] are
[1:03:01] non-performing
[1:03:01] which
[1:03:02] can
[1:03:02] probably
[1:03:02] be
[1:03:03] converted
[1:03:03] into
[1:03:04] a
[1:03:04] more
[1:03:04] usable
[1:03:06] facility
[1:03:06] through
[1:03:07] a
[1:03:07] PIP
[1:03:07] next
[1:03:08] so
[1:03:10] the
[1:03:10] InVision
[1:03:11] package
[1:03:11] pathways
[1:03:12] is
[1:03:12] really
[1:03:12] connect
[1:03:13] from
[1:03:13] primary
[1:03:14] care
[1:03:14] to
[1:03:15] inpatient
[1:03:15] care
[1:03:16] and
[1:03:16] hopefully
[1:03:16] even
[1:03:17] the
[1:03:17] outpatient
[1:03:17] and
[1:03:18] follow-up
[1:03:18] care
[1:03:19] and
[1:03:19] measuring
[1:03:20] health
[1:03:20] outcomes
[1:03:20] by
[1:03:21] population
[1:03:22] based
[1:03:22] outcomes
[1:03:23] that's
[1:03:23] why
[1:03:23] we
[1:03:23] need to
[1:03:24] develop
[1:03:25] the
[1:03:25] EHR
[1:03:26] and
[1:03:26] the
[1:03:27] NHDR
[1:03:27] is to
[1:03:28] already
[1:03:28] track
[1:03:29] outcomes
[1:03:29] more than
[1:03:30] the
[1:03:30] outputs
[1:03:30] or
[1:03:31] the
[1:03:31] input
[1:03:31] next
[1:03:32] so
[1:03:34] what
[1:03:34] we
[1:03:35] would
[1:03:35] be
[1:03:35] asking
[1:03:35] as
[1:03:36] legislative
[1:03:37] support
[1:03:37] is
[1:03:37] really
[1:03:38] support
[1:03:39] our
[1:03:39] evidence
[1:03:40] based
[1:03:40] benefit
[1:03:41] expansion
[1:03:41] and
[1:03:42] less
[1:03:43] more
[1:03:43] on
[1:03:44] hopefully
[1:03:44] legislation
[1:03:45] because
[1:03:46] we
[1:03:46] already
[1:03:46] all
[1:03:46] projected
[1:03:47] based
[1:03:47] on
[1:03:48] very
[1:03:49] sound
[1:03:50] evidence
[1:03:51] based
[1:03:51] algorithm
[1:03:52] on
[1:03:52] what
[1:03:52] the
[1:03:53] benefit
[1:03:53] expansion
[1:03:54] should
[1:03:54] be
[1:03:54] alignment
[1:03:55] of
[1:03:55] the
[1:03:56] out
[1:03:56] of
[1:03:56] pocket
[1:03:56] targets
[1:03:57] with
[1:03:57] the
[1:03:57] budget
[1:03:58] so
[1:03:58] if
[1:03:59] we
[1:03:59] want
[1:03:59] really
[1:03:59] our
[1:04:00] out
[1:04:00] of
[1:04:00] pocket
[1:04:00] to be
[1:04:01] lowered
[1:04:01] down
[1:04:01] to
[1:04:01] the
[1:04:02] Philippine
[1:04:03] development
[1:04:03] plan
[1:04:04] and
[1:04:04] even
[1:04:04] the
[1:04:05] projections
[1:04:07] revenue
[1:04:11] diversification
[1:04:12] as was
[1:04:13] mentioned
[1:04:13] also
[1:04:13] by
[1:04:14] USEC
[1:04:14] Domingo
[1:04:14] really
[1:04:16] developed
[1:04:16] some
[1:04:17] other
[1:04:17] progressive
[1:04:17] funding
[1:04:18] mechanisms
[1:04:19] supply
[1:04:20] side
[1:04:20] post
[1:04:20] containment
[1:04:21] so
[1:04:21] ito
[1:04:21] na
[1:04:22] po
[1:04:22] yung
[1:04:22] aming
[1:04:23] ginagawa
[1:04:23] na
[1:04:24] negotiations
[1:04:24] with
[1:04:25] the
[1:04:25] private
[1:04:25] sectors
[1:04:26] to
[1:04:26] really
[1:04:27] align
[1:04:27] them
[1:04:28] in terms
[1:04:28] of
[1:04:28] efficiencies
[1:04:29] and
[1:04:30] really
[1:04:30] make
[1:04:31] do
[1:04:31] with
[1:04:31] our
[1:04:32] leverage
[1:04:32] our
[1:04:33] power
[1:04:33] of
[1:04:33] the
[1:04:33] first
[1:04:34] to
[1:04:34] align
[1:04:35] them
[1:04:35] through
[1:04:36] incentives
[1:04:37] and
[1:04:37] then
[1:04:38] ito
[1:04:38] yung
[1:04:38] mandatory
[1:04:39] contribution
[1:04:40] talaga
[1:04:41] pong
[1:04:41] we need
[1:04:42] to
[1:04:42] also
[1:04:42] look
[1:04:43] at
[1:04:43] ways
[1:04:43] on
[1:04:44] how
[1:04:44] we
[1:04:45] can
[1:04:45] entice
[1:04:46] people
[1:04:47] who
[1:04:47] have
[1:04:47] capability
[1:04:48] to
[1:04:48] pay
[1:04:49] their
[1:04:49] premiums
[1:04:49] to
[1:04:50] really
[1:04:50] pay
[1:04:50] their
[1:04:50] premiums
[1:04:52] next
[1:04:52] so
[1:04:53] I think
[1:04:53] that's
[1:04:53] my
[1:04:54] last
[1:04:54] slide
[1:04:54] these
[1:04:55] are
[1:04:55] all
[1:04:55] thank
[1:04:59] you
[1:04:59] Dr.
[1:05:01] Mercado
[1:05:02] before
[1:05:02] we
[1:05:02] proceed
[1:05:03] we'd
[1:05:03] like to
[1:05:03] acknowledge
[1:05:04] our
[1:05:04] Vice
[1:05:04] Chair
[1:05:04] Honorable
[1:05:05] Gurley
[1:05:06] Viloso
[1:05:06] of
[1:05:06] Malasakit
[1:05:07] Bayanihan
[1:05:08] Part
[1:05:08] Before
[1:05:11] we
[1:05:12] start
[1:05:12] with
[1:05:12] the
[1:05:12] open
[1:05:12] forum
[1:05:13] may
[1:05:15] ask
[1:05:15] our
[1:05:16] ComSec
[1:05:16] to
[1:05:17] please
[1:05:17] introduce
[1:05:17] our
[1:05:18] other
[1:05:18] resource
[1:05:18] persons
[1:05:19] here
[1:05:25] Honorable
[1:05:25] Members
[1:05:26] of
[1:05:26] the
[1:05:26] Committee
[1:05:26] with us
[1:05:27] this
[1:05:28] morning
[1:05:28] as
[1:05:28] resource
[1:05:29] persons
[1:05:29] are
[1:05:29] the
[1:05:29] following
[1:05:30] we
[1:05:30] already
[1:05:31] heard
[1:05:31] from
[1:05:31] the
[1:05:31] Department
[1:05:32] of
[1:05:32] Health
[1:05:32] Domingo
[1:05:34] and
[1:05:34] Domingo
[1:05:36] and
[1:05:39] director
[1:05:40] and
[1:05:42] Marwin
[1:05:42] Pelo
[1:05:43] from
[1:05:44] the
[1:05:44] field
[1:05:46] health
[1:05:46] the
[1:05:48] honorable
[1:05:49] Edwin
[1:05:50] Mercado
[1:05:50] with him
[1:05:52] are
[1:05:52] Dr.
[1:05:53] Joseph
[1:05:53] Anthony
[1:05:54] Dacica
[1:05:55] the
[1:05:55] Vice
[1:05:55] President
[1:05:55] Member
[1:05:56] Management
[1:05:56] Group
[1:05:57] Phil
[1:05:57] Health
[1:05:57] Mr.
[1:05:59] Dennis
[1:05:59] Formadero
[1:06:01] the
[1:06:01] acting
[1:06:01] senior
[1:06:02] manager
[1:06:03] corporate
[1:06:04] planning
[1:06:04] department
[1:06:05] of
[1:06:05] Phil
[1:06:05] Health
[1:06:05] and
[1:06:06] Miss
[1:06:06] Laura
[1:06:07] Saison
[1:06:09] Garcia
[1:06:10] the
[1:06:10] head
[1:06:10] executive
[1:06:11] assistant
[1:06:11] of
[1:06:12] Phil
[1:06:13] Health
[1:06:13] from
[1:06:15] the
[1:06:16] Philippine
[1:06:16] Statistics
[1:06:17] Authority
[1:06:17] Mr.
[1:06:18] Bernard
[1:06:19] Corrales
[1:06:21] are
[1:06:22] you
[1:06:23] around
[1:06:23] sir
[1:06:23] yeah
[1:06:24] morning
[1:06:25] from
[1:06:26] the
[1:06:27] National
[1:06:28] Institute
[1:06:28] of
[1:06:28] Health
[1:06:29] University
[1:06:29] of
[1:06:29] the
[1:06:30] Philippines
[1:06:30] Dr.
[1:06:30] Marisa
[1:06:31] Alejandria
[1:06:32] executive
[1:06:33] director
[1:06:34] of
[1:06:34] NIH
[1:06:34] from
[1:06:36] the
[1:06:36] action
[1:06:36] for
[1:06:37] economic
[1:06:37] reforms
[1:06:38] Miss
[1:06:39] Rochette
[1:06:40] Sims
[1:06:40] and
[1:06:42] attorney
[1:06:42] Paula
[1:06:43] May
[1:06:43] Dantieng
[1:06:44] from
[1:06:46] the
[1:06:46] Philippine
[1:06:49] Alliance
[1:06:50] of
[1:06:50] patient
[1:06:50] organizations
[1:06:51] Miss
[1:06:52] Marimel
[1:06:52] Ransim
[1:06:53] and
[1:06:56] from
[1:06:56] the
[1:06:56] Social
[1:06:57] Watch
[1:06:57] Philippines
[1:06:58] Miss
[1:06:58] Maria
[1:06:59] Farima
[1:06:59] Billian
[1:07:00] also
[1:07:03] from
[1:07:03] the
[1:07:03] Health
[1:07:04] Professional
[1:07:04] Alliance
[1:07:05] after
[1:07:05] COVID-19
[1:07:06] Dr.
[1:07:07] Alberto
[1:07:08] Ong
[1:07:09] Jr.
[1:07:11] That
[1:07:11] would be
[1:07:11] all for
[1:07:12] now
[1:07:12] here
[1:07:13] thank you
[1:07:14] first
[1:07:31] is
[1:07:33] the
[1:07:34] Honorable
[1:07:34] Wominal
[1:07:36] thank you
[1:07:38] Mr.
[1:07:38] Chair
[1:07:38] good
[1:07:39] morning
[1:07:39] and
[1:07:39] good
[1:07:39] morning
[1:07:40] to
[1:07:40] all
[1:07:41] our
[1:07:41] colleagues
[1:07:41] in
[1:07:41] government
[1:07:42] who are
[1:07:42] present
[1:07:42] today
[1:07:42] Mr.
[1:07:44] Chair
[1:07:44] with
[1:07:44] your
[1:07:44] indulgence
[1:07:45] those
[1:07:45] were
[1:07:45] two
[1:07:46] quite
[1:07:46] substantial
[1:07:46] presentations
[1:07:48] give my
[1:07:49] hats off
[1:07:49] to both
[1:07:50] Domingo
[1:07:52] and
[1:07:53] President
[1:07:53] Mercado
[1:07:53] for
[1:07:54] those
[1:07:56] reports
[1:07:56] Mr.
[1:07:56] Chair
[1:07:56] I have
[1:07:58] several
[1:07:58] questions
[1:07:58] throughout
[1:07:59] my
[1:08:00] notes
[1:08:00] so
[1:08:01] just
[1:08:02] allow
[1:08:03] me to
[1:08:03] proceed
[1:08:03] one by
[1:08:04] one
[1:08:04] Mr.
[1:08:04] Chair
[1:08:04] first
[1:08:06] I was
[1:08:07] quite
[1:08:07] curious
[1:08:08] about
[1:08:08] the
[1:08:09] Medifun
[1:08:11] that
[1:08:11] Domingo
[1:08:12] talked
[1:08:12] about
[1:08:13] which
[1:08:14] is
[1:08:14] in a
[1:08:15] sense
[1:08:16] a
[1:08:16] model
[1:08:16] for
[1:08:16] our
[1:08:16] system
[1:08:17] in
[1:08:18] the
[1:08:18] country
[1:08:19] if
[1:08:20] you
[1:08:21] said
[1:08:21] Domingo
[1:08:22] is aware
[1:08:23] Mr.
[1:08:23] Chair
[1:08:23] in
[1:08:25] Singapore
[1:08:25] he
[1:08:27] described
[1:08:27] the
[1:08:28] Medifun
[1:08:28] as a
[1:08:29] discretionary
[1:08:30] fund
[1:08:30] to
[1:08:31] assist
[1:08:31] those
[1:08:31] who
[1:08:31] are
[1:08:32] the
[1:08:32] poor
[1:08:32] who
[1:08:34] manages
[1:08:34] the
[1:08:34] Medifun
[1:08:35] in
[1:08:35] Singapore
[1:08:36] it
[1:08:36] being
[1:08:36] a
[1:08:37] discretionary
[1:08:37] fund
[1:08:38] Domingo
[1:08:41] Thank you
[1:08:42] Mr.
[1:08:42] Chair
[1:08:43] to my
[1:08:43] quick
[1:08:44] recall
[1:08:44] but I
[1:08:44] will
[1:08:45] verify
[1:08:45] it is
[1:08:45] under
[1:08:46] the
[1:08:46] Ministry
[1:08:46] of
[1:08:46] Health
[1:08:47] so
[1:08:48] it's
[1:08:50] a
[1:08:51] centralized
[1:08:51] management
[1:08:52] system
[1:08:52] meaning
[1:08:53] it's
[1:08:53] just
[1:08:54] the
[1:08:54] Ministry
[1:08:54] of
[1:08:54] Health
[1:08:55] who
[1:08:55] decides
[1:08:56] who
[1:08:56] gets
[1:08:56] to
[1:08:57] avail
[1:08:57] of
[1:08:57] the
[1:08:57] Medifun
[1:08:58] Mr.
[1:08:58] Chair
[1:08:58] also
[1:09:01] in
[1:09:01] the
[1:09:01] context
[1:09:01] of
[1:09:02] Singapore
[1:09:02] which
[1:09:02] is
[1:09:02] just
[1:09:02] 3
[1:09:03] million
[1:09:03] people
[1:09:03] but
[1:09:05] that's
[1:09:06] still
[1:09:06] quite
[1:09:06] a
[1:09:06] lot
[1:09:06] for
[1:09:07] a
[1:09:08] single
[1:09:09] office
[1:09:09] to
[1:09:09] decide
[1:09:10] who
[1:09:11] among
[1:09:11] the
[1:09:11] 3
[1:09:11] million
[1:09:12] people
[1:09:12] get
[1:09:13] to
[1:09:13] avail
[1:09:13] of
[1:09:13] this
[1:09:14] program
[1:09:14] and
[1:09:15] would
[1:09:16] Yusek
[1:09:17] Domingo
[1:09:17] be
[1:09:18] aware
[1:09:18] Mr.
[1:09:18] Chair
[1:09:18] how
[1:09:20] many
[1:09:20] percent
[1:09:21] of
[1:09:22] their
[1:09:22] health
[1:09:25] expenses
[1:09:26] are
[1:09:27] covered
[1:09:27] by the
[1:09:27] Medifun
[1:09:28] Mr.
[1:09:30] Chair
[1:09:30] I
[1:09:31] do
[1:09:31] not
[1:09:31] have
[1:09:31] the
[1:09:31] number
[1:09:31] readily
[1:09:32] I
[1:09:32] will
[1:09:32] get
[1:09:33] back
[1:09:33] Thank
[1:09:34] you
[1:09:34] Mr.
[1:09:34] Chair
[1:09:34] because
[1:09:34] I'm
[1:09:35] just
[1:09:35] quite
[1:09:35] curious
[1:09:35] Mr.
[1:09:36] Chair
[1:09:36] because
[1:09:36] Singapore
[1:09:37] is known
[1:09:37] for
[1:09:38] being
[1:09:40] one
[1:09:41] of
[1:09:41] the
[1:09:41] best
[1:09:41] government
[1:09:44] who's
[1:09:44] able
[1:09:44] to
[1:09:45] efficiently
[1:09:46] provide
[1:09:46] for the
[1:09:47] health
[1:09:47] benefits
[1:09:48] of
[1:09:48] its
[1:09:48] constituents
[1:09:49] and
[1:09:51] if
[1:09:52] MyFIP
[1:09:53] is
[1:09:53] similar
[1:09:53] to
[1:09:54] Medifun
[1:09:54] then
[1:09:55] maybe
[1:09:55] we
[1:09:55] can
[1:09:55] learn
[1:09:55] from
[1:09:56] their
[1:09:56] best
[1:09:56] practices
[1:09:57] in
[1:09:57] managing
[1:09:57] that
[1:09:58] fund
[1:09:58] how
[1:09:58] to
[1:09:59] more
[1:10:00] efficiently
[1:10:00] manage
[1:10:01] our
[1:10:01] own
[1:10:01] version
[1:10:02] here
[1:10:02] moving
[1:10:03] on
[1:10:03] Mr.
[1:10:04] Chair
[1:10:04] again
[1:10:08] to
[1:10:08] Yusek
[1:10:08] Domingo
[1:10:09] of the
[1:10:09] DO8
[1:10:09] he talked
[1:10:11] about
[1:10:11] the
[1:10:11] perils
[1:10:12] of
[1:10:12] decentralization
[1:10:13] and
[1:10:14] talked
[1:10:15] about
[1:10:15] what
[1:10:16] the
[1:10:16] DOH
[1:10:17] view
[1:10:17] is
[1:10:17] they
[1:10:18] believe
[1:10:18] that
[1:10:19] it
[1:10:21] should
[1:10:21] be
[1:10:21] centralized
[1:10:22] but
[1:10:22] did I
[1:10:23] hear
[1:10:23] that
[1:10:23] correctly
[1:10:23] at
[1:10:24] least
[1:10:24] on
[1:10:24] a
[1:10:24] provincial
[1:10:25] level
[1:10:25] yes
[1:10:27] Mr.
[1:10:27] Chair
[1:10:27] as
[1:10:27] mandated
[1:10:28] by
[1:10:28] the
[1:10:28] UHC
[1:10:28] act
[1:10:29] and
[1:10:31] how
[1:10:31] do
[1:10:31] they
[1:10:32] envision
[1:10:33] a
[1:10:34] provincial
[1:10:34] level
[1:10:35] centralization
[1:10:37] of health
[1:10:37] services
[1:10:37] Mr.
[1:10:38] Chair
[1:10:38] in
[1:10:39] terms
[1:10:39] of
[1:10:40] um
[1:10:42] what
[1:10:42] the
[1:10:42] challenges
[1:10:43] that
[1:10:43] that
[1:10:44] system
[1:10:45] they're
[1:10:45] envisioning
[1:10:46] are
[1:10:46] that's
[1:10:46] currently
[1:10:47] facing
[1:10:48] so that
[1:10:49] we may
[1:10:49] look
[1:10:49] into
[1:10:50] the
[1:10:51] legislative
[1:10:51] roadblock
[1:10:53] the
[1:10:53] legal
[1:10:53] roadblock
[1:10:54] that are
[1:10:54] causing
[1:10:55] those
[1:10:55] challenges
[1:10:55] so that
[1:10:55] we can
[1:10:56] propose
[1:10:57] the
[1:10:57] necessary
[1:10:57] amendments
[1:10:58] Thank
[1:10:59] you
[1:10:59] Mr.
[1:11:00] Chair
[1:11:00] these
[1:11:00] are
[1:11:00] very
[1:11:01] helpful
[1:11:01] questions
[1:11:02] by the
[1:11:02] Honorable
[1:11:02] O.
[1:11:03] Aminal
[1:11:03] in
[1:11:04] brief
[1:11:04] the
[1:11:05] largest
[1:11:06] block
[1:11:06] that
[1:11:06] we
[1:11:07] can
[1:11:07] see
[1:11:07] is
[1:11:08] the
[1:11:08] contentious
[1:11:10] tagalog
[1:11:11] tagalog
[1:11:11] hatian
[1:11:12] the
[1:11:13] split
[1:11:13] in
[1:11:14] terms
[1:11:14] of
[1:11:14] the
[1:11:15] allocation
[1:11:16] of
[1:11:16] the
[1:11:16] special
[1:11:17] health
[1:11:17] fund
[1:11:17] because
[1:11:18] there
[1:11:18] are
[1:11:18] three
[1:11:19] integrations
[1:11:19] under
[1:11:20] the
[1:11:20] UHC
[1:11:20] Act
[1:11:20] technical
[1:11:21] financial
[1:11:22] and
[1:11:22] managerial
[1:11:23] often
[1:11:24] it is
[1:11:25] said
[1:11:25] people
[1:11:26] think
[1:11:26] that
[1:11:26] the
[1:11:27] technical
[1:11:27] is
[1:11:27] the
[1:11:27] hardest
[1:11:27] but
[1:11:28] in
[1:11:28] truth
[1:11:28] it's
[1:11:29] actually
[1:11:29] the
[1:11:29] financial
[1:11:30] integration
[1:11:30] sa
[1:11:31] Tagalog
[1:11:32] kasi
[1:11:32] ang
[1:11:33] mandato
[1:11:34] ng
[1:11:34] ating
[1:11:35] UHC
[1:11:35] Act
[1:11:35] is
[1:11:36] kukunin
[1:11:37] yung
[1:11:37] all
[1:11:37] PhilHealth
[1:11:37] payments
[1:11:38] shall
[1:11:38] be
[1:11:39] placed
[1:11:39] in
[1:11:39] the
[1:11:39] special
[1:11:40] health
[1:11:40] fund
[1:11:40] which
[1:11:41] the
[1:11:41] local
[1:11:41] health
[1:11:42] board
[1:11:42] will
[1:11:42] recommend
[1:11:43] for
[1:11:43] appropriation
[1:11:44] by the
[1:11:44] provincial
[1:11:45] government
[1:11:46] the
[1:11:47] difficulty
[1:11:47] here
[1:11:48] is
[1:11:48] and
[1:11:48] we
[1:11:48] do
[1:11:49] hear
[1:11:49] this
[1:11:49] a lot
[1:11:50] and
[1:11:50] somehow
[1:11:50] understand
[1:11:51] where
[1:11:51] they
[1:11:51] are
[1:11:52] coming
[1:11:52] from
[1:11:52] sa
[1:11:53] sabihin
[1:11:53] po
[1:11:53] ng
[1:11:53] mga
[1:11:54] health
[1:11:54] facilities
[1:11:54] rinabaho
[1:11:55] nila
[1:11:56] yung
[1:11:56] reimbursements
[1:11:57] meaning
[1:11:58] they
[1:11:58] set up
[1:11:59] accreditation
[1:11:59] pasyente
[1:12:00] nila yun
[1:12:01] tapos
[1:12:01] pupunta
[1:12:02] and again
[1:12:02] this is
[1:12:03] just the
[1:12:03] report
[1:12:03] we do
[1:12:04] not
[1:12:04] necessarily
[1:12:05] agree
[1:12:05] with it
[1:12:05] but
[1:12:05] this is
[1:12:06] the
[1:12:06] report
[1:12:06] pupunta
[1:12:07] yun
[1:12:07] dun sa
[1:12:08] special
[1:12:08] health
[1:12:08] fund
[1:12:09] na
[1:12:09] di
[1:12:09] umano
[1:12:10] hindi
[1:12:10] nila
[1:12:10] ma
[1:12:11] mabideside
[1:12:12] dan
[1:12:13] kung saan
[1:12:13] pupunta
[1:12:13] this is
[1:12:14] the reason
[1:12:15] why
[1:12:15] the
[1:12:16] DOH
[1:12:16] has been
[1:12:16] recommending
[1:12:17] the
[1:12:17] UHC
[1:12:18] Coordinating
[1:12:19] Council
[1:12:19] madalas
[1:12:20] po
[1:12:20] hinihingi
[1:12:21] sa amin
[1:12:22] at saka
[1:12:22] sa
[1:12:22] PhilHealth
[1:12:22] rin
[1:12:23] pakihati
[1:12:24] na daw
[1:12:24] pakisabi
[1:12:25] kung
[1:12:25] magkanong
[1:12:25] percent
[1:12:26] ang pupunta
[1:12:26] sa
[1:12:26] province
[1:12:27] magkanong
[1:12:27] percent
[1:12:28] pupunta
[1:12:28] sa
[1:12:28] municipality
[1:12:29] it's
[1:12:30] difficult
[1:12:31] po
[1:12:31] kasi
[1:12:31] Mr.
[1:12:32] Chair
[1:12:32] when the
[1:12:33] UHC
[1:12:33] Act
[1:12:33] was
[1:12:34] being
[1:12:34] legislated
[1:12:34] the
[1:12:35] decision
[1:12:35] was
[1:12:35] explicit
[1:12:36] don't
[1:12:37] let
[1:12:37] PhilHealth
[1:12:37] split
[1:12:38] yung
[1:12:39] at least
[1:12:40] yung
[1:12:40] PF
[1:12:40] muna
[1:12:41] yung
[1:12:41] PF
[1:12:41] at yung
[1:12:41] facility
[1:12:42] kaya
[1:12:42] makikita
[1:12:43] po
[1:12:43] natin
[1:12:43] sa UHC
[1:12:44] Act
[1:12:44] yun
[1:12:44] pagdating
[1:12:45] naman
[1:12:45] po
[1:12:45] dito
[1:12:46] sa
[1:12:46] Hatiyana
[1:12:46] Special
[1:12:47] Health
[1:12:47] Fund
[1:12:47] the
[1:12:47] law
[1:12:48] is
[1:12:48] silent
[1:12:48] but
[1:12:49] the
[1:12:55] Act
[1:12:55] is
[1:12:56] ang
[1:12:56] local
[1:12:56] health
[1:12:57] board
[1:12:57] ay dapat
[1:12:58] may
[1:12:58] member
[1:12:58] ng
[1:12:59] bawat
[1:12:59] constituent
[1:13:01] unit
[1:13:01] of the
[1:13:02] province
[1:13:02] it
[1:13:03] sounds
[1:13:04] elegant
[1:13:05] it is
[1:13:05] written
[1:13:06] well
[1:13:06] but
[1:13:07] in
[1:13:07] practice
[1:13:08] ang
[1:13:08] hira
[1:13:08] po
[1:13:08] kaya
[1:13:09] yun
[1:13:09] yung
[1:13:09] aming
[1:13:10] strong
[1:13:10] push
[1:13:11] for
[1:13:11] the
[1:13:12] coordinating
[1:13:12] council
[1:13:13] para
[1:13:13] si
[1:13:13] DILG
[1:13:14] in its
[1:13:14] leadership
[1:13:15] role
[1:13:15] as
[1:13:15] the
[1:13:16] shall
[1:13:16] I
[1:13:16] say
[1:13:17] coordinator
[1:13:17] of
[1:13:18] LG
[1:13:18] with
[1:13:18] supervisory
[1:13:19] powers
[1:13:19] under
[1:13:20] the
[1:13:20] constitution
[1:13:20] for that
[1:13:21] matter
[1:13:21] and
[1:13:21] the
[1:13:21] RA
[1:13:22] 7-160
[1:13:22] na
[1:13:23] magsabi
[1:13:24] kung
[1:13:24] ano
[1:13:24] yung
[1:13:24] hatian
[1:13:25] kasi
[1:13:25] pwede
[1:13:25] naman
[1:13:26] nilang
[1:13:26] makausap
[1:13:26] yung
[1:13:27] mga
[1:13:27] leagues
[1:13:27] of
[1:13:27] provinces
[1:13:28] Mr.
[1:13:28] Chair
[1:13:29] follow-up
[1:13:30] question
[1:13:30] to that
[1:13:30] Mr.
[1:13:31] Chair
[1:13:31] but
[1:13:31] thank you
[1:13:32] for
[1:13:32] thank you
[1:13:33] Mr.
[1:13:33] Chair
[1:13:33] thank you
[1:13:33] for the
[1:13:33] respond
[1:13:34] music
[1:13:34] Domingo
[1:13:34] so
[1:13:35] what
[1:13:35] the
[1:13:36] DOH
[1:13:37] is
[1:13:37] calling
[1:13:37] for
[1:13:38] is
[1:13:38] more
[1:13:38] of
[1:13:38] a
[1:13:38] financial
[1:13:39] centralization
[1:13:40] Mr.
[1:13:40] Chair
[1:13:40] did I
[1:13:41] understand
[1:13:41] that
[1:13:41] correctly
[1:13:42] principally
[1:13:43] Mr.
[1:13:43] Chair
[1:13:43] yes
[1:13:44] so
[1:13:44] financial
[1:13:45] decentralization
[1:13:46] wouldn't
[1:13:47] really call
[1:13:47] for an
[1:13:47] amendment
[1:13:48] to the
[1:13:48] local
[1:13:48] government
[1:13:48] code
[1:13:49] Mr.
[1:13:49] Chair
[1:13:49] but
[1:13:50] rather
[1:13:50] just
[1:13:51] perhaps
[1:13:51] an
[1:13:51] amendment
[1:13:52] to the
[1:13:52] UHT
[1:13:52] which
[1:13:53] clearly
[1:13:54] specifies
[1:13:56] how
[1:13:57] the
[1:13:57] still health
[1:13:58] collection
[1:13:58] still health
[1:13:59] reimbursement
[1:13:59] would be
[1:14:00] distributed
[1:14:00] a
[1:14:01] long
[1:14:01] percent
[1:14:01] sa
[1:14:02] province
[1:14:02] a
[1:14:02] long
[1:14:02] percent
[1:14:03] sa
[1:14:03] city
[1:14:03] is
[1:14:03] that
[1:14:03] correct
[1:14:04] Mr.
[1:14:04] Chair
[1:14:04] Yusek
[1:14:05] Domingo
[1:14:05] thank you
[1:14:06] Mr.
[1:14:06] Chair
[1:14:06] that
[1:14:07] is
[1:14:07] correct
[1:14:07] on
[1:14:07] the
[1:14:08] spectrum
[1:14:08] of
[1:14:08] interventions
[1:14:09] that
[1:14:09] is
[1:14:09] the
[1:14:09] strongest
[1:14:10] by
[1:14:10] Republic
[1:14:10] yes
[1:14:11] yes
[1:14:13] Mr.
[1:14:18] Chair
[1:14:18] just
[1:14:18] to
[1:14:19] follow-up
[1:14:19] on
[1:14:19] that
[1:14:20] question
[1:14:21] Yusek
[1:14:23] I
[1:14:23] remember
[1:14:23] when we
[1:14:24] were
[1:14:24] when we
[1:14:25] were
[1:14:25] crafting
[1:14:25] the
[1:14:26] UHC
[1:14:26] the
[1:14:27] version
[1:14:27] of
[1:14:28] the
[1:14:28] house
[1:14:28] then
[1:14:29] was
[1:14:30] for
[1:14:30] income
[1:14:31] retention
[1:14:31] if I
[1:14:32] remember
[1:14:33] correctly
[1:14:33] the
[1:14:34] house
[1:14:34] version
[1:14:34] called
[1:14:35] for
[1:14:35] income
[1:14:35] retention
[1:14:36] of
[1:14:37] facilities
[1:14:38] and
[1:14:39] it
[1:14:39] was
[1:14:39] during
[1:14:39] the
[1:14:40] buy
[1:14:40] cam
[1:14:40] that
[1:14:41] we
[1:14:41] came
[1:14:41] up
[1:14:42] with
[1:14:42] the
[1:14:42] senate
[1:14:42] suggestion
[1:14:43] of
[1:14:43] the
[1:14:44] special
[1:14:44] health
[1:14:44] fund
[1:14:45] if I
[1:14:45] remember
[1:14:45] correctly
[1:14:46] considering
[1:14:48] the
[1:14:49] challenges
[1:14:50] that
[1:14:50] we
[1:14:51] are
[1:14:51] we
[1:14:51] are
[1:14:52] facing
[1:14:52] right
[1:14:52] now
[1:14:53] I
[1:14:54] don't
[1:14:55] know
[1:14:55] if
[1:14:55] we
[1:14:55] have
[1:14:55] the
[1:14:55] DBM
[1:14:56] here
[1:14:56] today
[1:14:57] I
[1:14:59] just
[1:15:00] want
[1:15:00] to
[1:15:00] float
[1:15:01] the
[1:15:01] idea
[1:15:02] because
[1:15:03] you
[1:15:03] said
[1:15:04] earlier
[1:15:05] the
[1:15:05] facility
[1:15:06] was
[1:15:06] not
[1:15:06] going to
[1:15:08] go
[1:15:09] and
[1:15:10] besides
[1:15:11] the
[1:15:11] intention
[1:15:12] was
[1:15:13] the
[1:15:14] income
[1:15:14] from
[1:15:14] PhilHealth
[1:15:15] to
[1:15:15] improve
[1:15:17] their
[1:15:18] services
[1:15:19] their
[1:15:19] equipment
[1:15:21] and
[1:15:23] the
[1:15:23] human
[1:15:23] resource
[1:15:24] for
[1:15:24] them
[1:15:24] so
[1:15:25] do
[1:15:25] you
[1:15:26] think
[1:15:26] if
[1:15:26] we
[1:15:26] revisit
[1:15:27] would
[1:15:27] it
[1:15:27] be
[1:15:27] still
[1:15:28] prudent
[1:15:28] to
[1:15:28] push
[1:15:28] for
[1:15:29] something
[1:15:29] like
[1:15:30] majority
[1:15:32] of the
[1:15:33] income
[1:15:33] should
[1:15:33] go back
[1:15:34] to the
[1:15:36] facility
[1:15:37] after all
[1:15:38] incentive
[1:15:39] that
[1:15:40] we
[1:15:40] want
[1:15:40] to
[1:15:41] do
[1:15:41] it
[1:15:43] Mr.
[1:15:43] Chair
[1:15:44] agree
[1:15:45] as to
[1:15:46] the
[1:15:47] exact
[1:15:47] percentage
[1:15:48] yun
[1:15:48] po
[1:15:48] yung
[1:15:48] gusto
[1:15:49] namin
[1:15:49] ipasa
[1:15:50] to
[1:15:50] a
[1:15:50] council
[1:15:51] or
[1:15:51] someone
[1:15:52] who
[1:15:52] will
[1:15:52] determine
[1:15:52] kasi
[1:15:53] if
[1:15:53] we
[1:15:53] prescribe
[1:15:54] by
[1:15:55] law
[1:15:55] lalo
[1:15:55] na
[1:15:55] kung
[1:15:56] naka
[1:15:56] republic
[1:15:56] act
[1:15:57] yun
[1:15:57] tapos
[1:15:58] biglang
[1:15:58] mag
[1:15:58] change
[1:15:58] yung
[1:15:58] economic
[1:15:59] conditions
[1:16:00] or
[1:16:00] mag
[1:16:00] change
[1:16:00] yung
[1:16:01] benefit
[1:16:01] payouts
[1:16:01] ng
[1:16:01] PhilHealth
[1:16:02] then
[1:16:02] mahirap
[1:16:03] siyang
[1:16:03] i-adjust
[1:16:04] Just a
[1:16:07] follow-up
[1:16:08] question
[1:16:08] Are you
[1:16:09] suggesting
[1:16:12] we amend
[1:16:13] section
[1:16:14] 20
[1:16:14] by
[1:16:15] making
[1:16:16] it
[1:16:17] more
[1:16:17] specific
[1:16:18] yung
[1:16:18] distribution
[1:16:19] ng
[1:16:19] special
[1:16:20] health
[1:16:20] because
[1:16:22] it is
[1:16:22] now
[1:16:22] it's
[1:16:23] really
[1:16:23] the
[1:16:23] governor
[1:16:24] who
[1:16:25] has
[1:16:25] the
[1:16:26] discretion
[1:16:26] to
[1:16:26] decide
[1:16:27] how
[1:16:27] much
[1:16:27] goes
[1:16:30] to
[1:16:30] the
[1:16:31] city
[1:16:31] to
[1:16:31] the
[1:16:32] municipality
[1:16:32] That is
[1:16:34] correct
[1:16:34] Mr.
[1:16:35] Chair
[1:16:35] if you
[1:16:35] would
[1:16:36] have
[1:16:36] asked
[1:16:36] me
[1:16:36] five
[1:16:37] years
[1:16:37] ago
[1:16:37] and
[1:16:38] I
[1:16:38] was
[1:16:38] not
[1:16:39] yet
[1:16:39] DOH
[1:16:39] I
[1:16:39] would
[1:16:40] actually
[1:16:40] say
[1:16:40] go
[1:16:41] full
[1:16:41] autonomy
[1:16:42] as
[1:16:43] what
[1:16:43] the
[1:16:43] Honorable
[1:16:44] Montez
[1:16:44] has
[1:16:44] pointed
[1:16:45] out
[1:16:45] but
[1:16:47] as
[1:16:47] experience
[1:16:47] has
[1:16:48] shown
[1:16:48] and
[1:16:48] even
[1:16:48] local
[1:16:48] government
[1:16:49] units
[1:16:49] have
[1:16:49] been
[1:16:50] appealing
[1:16:50] to
[1:16:50] the
[1:16:50] DOH
[1:16:51] repeatedly
[1:16:51] they
[1:16:52] say
[1:16:52] they
[1:16:52] say
[1:16:53] how
[1:16:53] how
[1:16:54] can
[1:16:54] do
[1:16:54] to
[1:16:55] the
[1:16:55] stalemate
[1:16:56] may
[1:16:56] resolve
[1:16:57] now
[1:16:57] again
[1:16:58] this
[1:16:59] is
[1:16:59] still
[1:16:59] in
[1:16:59] recognition
[1:16:59] of
[1:17:00] autonomy
[1:17:00] and
[1:17:00] in
[1:17:01] the
[1:17:01] paternal
[1:17:03] supervision
[1:17:04] by the
[1:17:04] national
[1:17:05] government
[1:17:05] if
[1:17:05] the
[1:17:06] percentage
[1:17:06] is
[1:17:06] set
[1:17:07] we
[1:17:07] would
[1:17:08] recommend
[1:17:08] do
[1:17:08] by
[1:17:09] republic
[1:17:09] act
[1:17:10] so
[1:17:10] may
[1:17:10] conting
[1:17:11] flexibility
[1:17:11] so
[1:17:12] if
[1:17:12] you
[1:17:12] need
[1:17:12] adjust
[1:17:13] at
[1:17:13] executive
[1:17:14] level
[1:17:14] with
[1:17:15] oversight
[1:17:16] committee
[1:17:17] or
[1:17:17] something
[1:17:17] like
[1:17:18] that
[1:17:18] doon
[1:17:19] papasok
[1:17:19] pero
[1:17:20] huwag
[1:17:20] na
[1:17:20] nating
[1:17:20] hayaan
[1:17:21] na
[1:17:21] free
[1:17:21] totally
[1:17:22] free
[1:17:22] decision
[1:17:22] kasi
[1:17:23] either
[1:17:24] nakakahiyaan
[1:17:25] or
[1:17:26] nagkakaroon
[1:17:26] ng
[1:17:26] conflict
[1:17:27] nag-aagawan
[1:17:27] yun po
[1:17:28] yung
[1:17:28] nakikita
[1:17:28] namin
[1:17:29] sa range
[1:17:29] of
[1:17:29] operational
[1:17:30] difficulties
[1:17:31] Is
[1:17:32] Phil
[1:17:33] health
[1:17:33] in
[1:17:33] agreement
[1:17:34] with
[1:17:34] the
[1:17:34] recommendation
[1:17:35] of
[1:17:35] Adiway
[1:17:36] on
[1:17:37] Section
[1:17:37] 20?
[1:17:39] Thank
[1:17:40] you Mr.
[1:17:40] Chair
[1:17:40] Actually
[1:17:41] we had
[1:17:41] an alignment
[1:17:42] meeting
[1:17:43] a couple
[1:17:43] of weeks
[1:17:44] ago
[1:17:44] and agreed
[1:17:45] that at
[1:17:45] least for
[1:17:46] freestanding
[1:17:47] na hindi
[1:17:47] pa naka-SHF
[1:17:48] maglalabas
[1:17:49] na po
[1:17:49] kami
[1:17:50] ng
[1:17:50] guidelines
[1:17:51] basic
[1:17:52] premise
[1:17:52] po
[1:17:53] is
[1:17:53] auditing
[1:17:54] from
[1:17:55] all the
[1:17:56] money
[1:17:56] that is
[1:17:57] downloaded
[1:17:57] whether
[1:17:58] it's
[1:17:58] for now
[1:17:58] it's
[1:17:59] for us
[1:17:59] it's
[1:17:59] it's
[1:17:59] the
[1:18:00] trust
[1:18:00] fund
[1:18:00] specific
[1:18:01] for
[1:18:01] healthcare
[1:18:01] they
[1:18:03] have
[1:18:03] to
[1:18:03] be
[1:18:03] very
[1:18:04] transparent
[1:18:04] on
[1:18:05] their
[1:18:06] usage
[1:18:06] which
[1:18:07] apparently
[1:18:08] also
[1:18:08] the
[1:18:08] DILG
[1:18:11] is
[1:18:11] even
[1:18:11] amenable
[1:18:12] na
[1:18:12] alisin na
[1:18:13] yung PS
[1:18:14] limitation
[1:18:14] dun sa
[1:18:15] money
[1:18:16] na makukuha
[1:18:16] so they
[1:18:17] can hire
[1:18:17] more
[1:18:18] employees
[1:18:19] now
[1:18:19] but for
[1:18:20] us
[1:18:20] we said
[1:18:21] only if
[1:18:21] you have
[1:18:22] retained
[1:18:22] earnings
[1:18:23] of
[1:18:23] X percent
[1:18:24] of your
[1:18:25] total
[1:18:25] revenue
[1:18:26] can you
[1:18:27] upstream
[1:18:27] so somehow
[1:18:28] po
[1:18:29] we don't
[1:18:30] we will
[1:18:30] give them
[1:18:31] autonomy
[1:18:31] how to
[1:18:32] decide
[1:18:32] upstreaming
[1:18:33] but we
[1:18:33] will
[1:18:33] set
[1:18:34] dapat
[1:18:34] i-cover
[1:18:35] muna
[1:18:35] yung
[1:18:35] cost
[1:18:35] ng
[1:18:36] delivery
[1:18:36] because
[1:18:37] as
[1:18:37] honorable
[1:18:38] Montez
[1:18:38] stated
[1:18:39] ano yung
[1:18:40] capital
[1:18:40] expenditure
[1:18:40] nyo
[1:18:41] to buy
[1:18:42] more
[1:18:42] equipment
[1:18:43] before
[1:18:43] nyo
[1:18:44] paghatian
[1:18:45] nyo
[1:18:45] natitira
[1:18:45] so yun
[1:18:46] po yung
[1:18:46] ilalabas
[1:18:47] namin
[1:18:47] at least
[1:18:48] for the
[1:18:49] individual
[1:18:50] facility
[1:18:52] yes
[1:18:53] po
[1:18:54] may konting
[1:18:54] ano lang
[1:18:55] but
[1:18:56] thank you
[1:18:57] Mr. Chair
[1:18:59] dagdag ko
[1:18:59] na lang
[1:19:00] po
[1:19:00] yun po
[1:19:01] talaga
[1:19:01] yung
[1:19:01] pinaka
[1:19:02] concern
[1:19:02] ko
[1:19:02] ibalik
[1:19:03] muna
[1:19:03] natin
[1:19:04] yung
[1:19:04] pinaka
[1:19:05] basic
[1:19:05] that's
[1:19:06] why
[1:19:06] kung
[1:19:07] sakali
[1:19:07] po
[1:19:07] tayong
[1:19:08] magkakaroon
[1:19:09] ng
[1:19:09] proposal
[1:19:09] natin
[1:19:10] na
[1:19:10] parang
[1:19:10] committed
[1:19:11] to
[1:19:11] determine
[1:19:12] the
[1:19:12] percentage
[1:19:13] ako
[1:19:14] po
[1:19:14] ang
[1:19:14] suggestion
[1:19:14] ko
[1:19:15] Mr. Chair
[1:19:15] yung
[1:19:16] pinaka
[1:19:16] basic
[1:19:17] dapat
[1:19:17] ma-define
[1:19:18] hindi
[1:19:18] mapupunta
[1:19:19] kasi
[1:19:19] pag
[1:19:19] sinabi
[1:19:20] nyo
[1:19:20] mapupunta
[1:19:20] sa
[1:19:21] LGU
[1:19:21] the
[1:19:22] LGU
[1:19:22] now
[1:19:22] has
[1:19:23] also
[1:19:23] the
[1:19:24] free
[1:19:28] will
[1:19:29] na
[1:19:30] gamitin
[1:19:30] kung
[1:19:30] saan
[1:19:31] ang
[1:19:31] sa akin
[1:19:31] lang
[1:19:32] po
[1:19:32] ibalik
[1:19:33] sa
[1:19:33] facility
[1:19:34] na
[1:19:34] nagbigay
[1:19:35] ng
[1:19:35] servisyo
[1:19:36] yung
[1:19:36] pinaka
[1:19:36] basic
[1:19:37] and
[1:19:37] all
[1:19:37] others
[1:19:38] pwedeng
[1:19:39] yun
[1:19:39] na
[1:19:39] gamitin
[1:19:40] sa
[1:19:40] iba
[1:19:40] para
[1:19:41] hindi
[1:19:41] po
[1:19:41] dadating
[1:19:42] ang
[1:19:42] puntong
[1:19:42] hindi
[1:19:43] na
[1:19:43] makakapag
[1:19:44] deliver
[1:19:44] kasi
[1:19:44] may
[1:19:44] mga
[1:19:44] instances
[1:19:45] na
[1:19:46] hindi
[1:19:46] po
[1:19:46] talaga
[1:19:46] na
[1:19:46] ibabalik
[1:19:47] ultimo
[1:19:47] pambili
[1:19:48] ng
[1:19:48] cotton
[1:19:48] nag
[1:19:50] spend
[1:19:50] ka
[1:19:50] ng
[1:19:50] cotton
[1:19:51] sa
[1:19:51] isang
[1:19:51] pasyente
[1:19:52] hindi
[1:19:52] na
[1:19:53] ibalik
[1:19:53] sa
[1:19:53] facility
[1:19:54] yung
[1:19:54] pinambili
[1:19:54] mo
[1:19:55] ng
[1:19:55] cotton
[1:19:55] susunod
[1:19:56] na
[1:19:56] pasyente
[1:19:56] wala
[1:19:57] na
[1:19:57] kong
[1:19:57] cotton
[1:19:58] so
[1:19:58] para
[1:19:58] pong
[1:19:59] gana
[1:19:59] thank you
[1:20:00] mr
[1:20:00] thank you
[1:20:02] mr
[1:20:02] chair
[1:20:02] yes
[1:20:03] just
[1:20:04] to clarify
[1:20:05] because
[1:20:05] there
[1:20:06] seem
[1:20:07] to have
[1:20:07] been
[1:20:07] two
[1:20:08] conflicting
[1:20:08] recommendations
[1:20:09] on the
[1:20:10] one hand
[1:20:10] the
[1:20:10] recommendation
[1:20:11] to
[1:20:12] make
[1:20:13] a
[1:20:13] specific
[1:20:13] determination
[1:20:14] on how
[1:20:14] the
[1:20:14] division
[1:20:15] should
[1:20:15] be
[1:20:16] is
[1:20:16] being
[1:20:16] advocated
[1:20:17] for
[1:20:18] but
[1:20:18] at
[1:20:18] the
[1:20:18] same
[1:20:18] time
[1:20:19] it
[1:20:20] is
[1:20:20] being
[1:20:21] recommended
[1:20:22] that
[1:20:22] it
[1:20:23] shouldn't
[1:20:23] be
[1:20:23] done
[1:20:23] through
[1:20:24] a
[1:20:24] republic
[1:20:25] act
[1:20:25] because
[1:20:26] when
[1:20:26] times
[1:20:27] change
[1:20:28] it
[1:20:29] may
[1:20:29] not
[1:20:29] be
[1:20:30] as
[1:20:31] feasible
[1:20:31] anymore
[1:20:32] so
[1:20:32] to
[1:20:33] address
[1:20:33] those
[1:20:34] two
[1:20:34] conflicting
[1:20:34] concerns
[1:20:35] mr.
[1:20:35] chair
[1:20:35] may
[1:20:36] ask
[1:20:36] you
[1:20:36] say
[1:20:36] domingo
[1:20:37] and
[1:20:37] president
[1:20:38] mercado
[1:20:38] if
[1:20:38] they
[1:20:41] believe
[1:20:41] it
[1:20:41] would
[1:20:41] be
[1:20:42] it
[1:20:43] would
[1:20:43] address
[1:20:43] the
[1:20:44] concern
[1:20:44] if
[1:20:45] what
[1:20:45] we
[1:20:46] include
[1:20:46] as
[1:20:47] an
[1:20:47] amendment
[1:20:47] instead
[1:20:48] would
[1:20:49] be
[1:20:49] they're
[1:20:49] proposing
[1:20:50] for
[1:20:50] a
[1:20:51] UHC
[1:20:51] council
[1:20:52] to
[1:20:53] include
[1:20:53] as one
[1:20:54] of the
[1:20:54] powers
[1:20:54] of the
[1:20:54] UHC
[1:20:55] council
[1:20:55] to
[1:20:56] determine
[1:20:56] what
[1:20:57] that
[1:20:57] delineation
[1:20:58] distribution
[1:20:59] of the
[1:21:00] PhilHealth
[1:21:00] chairs
[1:21:01] would be
[1:21:01] so instead
[1:21:02] of putting
[1:21:03] a specific
[1:21:03] number
[1:21:04] in the
[1:21:04] law
[1:21:04] mr.
[1:21:04] chair
[1:21:05] we will
[1:21:05] now
[1:21:05] leave it
[1:21:06] to the
[1:21:06] UHC
[1:21:07] council
[1:21:07] and they
[1:21:09] can
[1:21:09] determine
[1:21:09] by
[1:21:10] issuance
[1:21:10] or
[1:21:10] whatever
[1:21:11] how
[1:21:12] that
[1:21:12] distribution
[1:21:13] will be
[1:21:13] mr.
[1:21:14] chair
[1:21:14] my
[1:21:15] understanding
[1:21:15] honorable
[1:21:16] woman
[1:21:16] is not
[1:21:17] really
[1:21:17] conflicting
[1:21:18] just
[1:21:19] a little
[1:21:20] tweaking
[1:21:20] maybe
[1:21:22] maybe
[1:21:23] you
[1:21:24] sec
[1:21:24] domingo
[1:21:25] can
[1:21:25] elucidate
[1:21:27] mr.
[1:21:27] chair
[1:21:28] there can
[1:21:28] be no
[1:21:28] better
[1:21:29] formulation
[1:21:30] than what
[1:21:30] the
[1:21:31] honorable
[1:21:31] henry
[1:21:31] oaminal
[1:21:32] just
[1:21:32] said
[1:21:32] and we
[1:21:33] strongly
[1:21:33] support
[1:21:34] thank
[1:21:35] you
[1:21:35] mr.
[1:21:35] chair
[1:21:36] will
[1:21:37] empower
[1:21:38] the
[1:21:38] council
[1:21:38] to
[1:21:39] determine
[1:21:39] mr.
[1:21:47] chair
[1:21:48] yes
[1:21:49] in
[1:21:49] our
[1:21:50] next
[1:21:50] hearings
[1:21:50] i think
[1:21:51] we
[1:21:51] also
[1:21:51] need
[1:21:52] to get
[1:21:52] the
[1:21:52] sense
[1:21:52] of
[1:21:53] the
[1:21:53] LG
[1:21:54] news
[1:21:54] so
[1:21:55] that
[1:21:55] we
[1:21:55] can
[1:21:55] come
[1:21:56] up
[1:21:56] with
[1:21:57] something
[1:21:58] agreeable
[1:21:59] to
[1:22:00] the
[1:22:01] DOH
[1:22:02] Phil
[1:22:02] Health
[1:22:02] and
[1:22:02] LG
[1:22:03] use
[1:22:03] in
[1:22:04] the
[1:22:04] meantime
[1:22:05] we
[1:22:05] will
[1:22:05] consider
[1:22:06] the
[1:22:06] position
[1:22:07] of
[1:22:07] the
[1:22:07] DOH
[1:22:08] and
[1:22:08] the
[1:22:08] Phil
[1:22:09] Health
[1:22:09] and
[1:22:09] ibangga
[1:22:10] po
[1:22:10] natin
[1:22:10] sa
[1:22:10] position
[1:22:11] ng
[1:22:12] LG
[1:22:12] and
[1:22:12] also
[1:22:13] yung
[1:22:13] sa
[1:22:13] council
[1:22:14] how
[1:22:15] we
[1:22:15] go
[1:22:15] about
[1:22:15] it
[1:22:16] yung
[1:22:16] operationalization
[1:22:17] Thank you
[1:22:18] Mr.
[1:22:19] Chair
[1:22:19] I agree
[1:22:20] with that
[1:22:20] with your
[1:22:24] indulgence
[1:22:25] a few
[1:22:26] more
[1:22:27] questions
[1:22:27] this one
[1:22:27] to
[1:22:28] Phil
[1:22:28] Health
[1:22:28] of course
[1:22:32] if
[1:22:32] you
[1:22:33] said
[1:22:33] Domingo
[1:22:33] President
[1:22:37] Mercado
[1:22:38] talked
[1:22:38] about
[1:22:41] and
[1:22:41] correct
[1:22:42] me
[1:22:43] if
[1:22:43] I'm
[1:22:43] wrong
[1:22:43] the
[1:22:44] current
[1:22:44] practice
[1:22:44] regardless
[1:22:47] if
[1:22:47] the
[1:22:47] patient
[1:22:48] has
[1:22:48] an
[1:22:49] HMO
[1:22:50] coverage
[1:22:50] or
[1:22:50] insurance
[1:22:51] coverage
[1:22:51] is
[1:22:54] yung
[1:22:54] Phil
[1:22:54] Health
[1:22:55] so
[1:22:56] which
[1:22:57] means
[1:22:57] even
[1:22:59] if
[1:22:59] kaya
[1:23:00] naman
[1:23:00] talaga
[1:23:00] shoulder
[1:23:01] ng
[1:23:01] HMO
[1:23:02] yung
[1:23:03] hospital
[1:23:04] bill
[1:23:04] na
[1:23:05] isang
[1:23:05] patient
[1:23:05] pinapabayad
[1:23:07] rin
[1:23:07] Phil
[1:23:08] Health
[1:23:08] now
[1:23:09] Mr.
[1:23:11] Chair
[1:23:11] is
[1:23:11] Phil
[1:23:12] capable
[1:23:12] of
[1:23:14] enacting
[1:23:16] a policy
[1:23:17] that
[1:23:17] will
[1:23:18] require
[1:23:19] hospitals
[1:23:20] to charge
[1:23:22] first to
[1:23:22] the HMO
[1:23:23] before
[1:23:23] they charge
[1:23:24] to
[1:23:24] the
[1:23:24] in order
[1:23:25] to preserve
[1:23:26] the
[1:23:26] health
[1:23:27] of the
[1:23:27] fund
[1:23:27] because
[1:23:28] as
[1:23:28] I talked
[1:23:30] about
[1:23:30] earlier
[1:23:31] we really
[1:23:32] need to
[1:23:32] do more
[1:23:32] to protect
[1:23:34] the
[1:23:34] integrity
[1:23:35] and
[1:23:35] health
[1:23:35] of the
[1:23:35] fund
[1:23:35] and
[1:23:36] it
[1:23:36] is
[1:23:36] really
[1:23:37] if
[1:23:38] there are
[1:23:40] HMOs
[1:23:41] you feel
[1:23:42] health
[1:23:42] what
[1:23:42] we can
[1:23:43] answer
[1:23:43] first
[1:23:44] we'll let
[1:23:49] Dr. Mercado
[1:23:50] first and
[1:23:51] then
[1:23:51] Mr.
[1:23:52] Domingo
[1:23:52] Dr. Mercado
[1:23:53] Thank you
[1:23:54] Mr.
[1:23:55] Chair
[1:23:55] So
[1:23:56] what
[1:23:57] our
[1:23:58] Honorable
[1:23:58] Guaminal
[1:24:01] is saying
[1:24:02] is the
[1:24:02] free rider
[1:24:03] provision
[1:24:04] parang
[1:24:05] nakiki
[1:24:05] free ride
[1:24:06] lang
[1:24:06] yung HMO
[1:24:07] so
[1:24:07] actually
[1:24:08] yung
[1:24:10] regulatory
[1:24:10] po
[1:24:11] ng
[1:24:11] HMO
[1:24:12] is actually
[1:24:13] under the
[1:24:13] insurance
[1:24:14] commission
[1:24:14] it's not
[1:24:15] under us
[1:24:15] so
[1:24:16] what
[1:24:16] we are
[1:24:16] how we
[1:24:18] are
[1:24:18] dealing
[1:24:18] with them
[1:24:18] is more
[1:24:19] on a
[1:24:20] contractual
[1:24:22] and
[1:24:22] commercial
[1:24:23] terms
[1:24:24] so
[1:24:24] since
[1:24:25] they're
[1:24:25] asking
[1:24:25] their
[1:24:26] members
[1:24:26] to be
[1:24:26] impaneled
[1:24:27] with
[1:24:27] YACAP
[1:24:28] and
[1:24:28] their
[1:24:29] different
[1:24:30] brick and
[1:24:30] mortar
[1:24:31] clinics
[1:24:31] to be
[1:24:32] accredited
[1:24:33] as
[1:24:33] YACAP
[1:24:33] clinics
[1:24:33] it's in
[1:24:34] our
[1:24:34] purview
[1:24:34] to say
[1:24:35] yes
[1:24:35] we will
[1:24:36] but
[1:24:36] please
[1:24:36] give
[1:24:37] supplementation
[1:24:38] yung
[1:24:39] po
[1:24:39] a
[1:24:40] commercial
[1:24:40] and
[1:24:41] part
[1:24:41] of
[1:24:42] our
[1:24:42] purview
[1:24:42] to do
[1:24:43] negotiated
[1:24:44] contracts
[1:24:44] part
[1:24:46] of our
[1:24:47] engagement
[1:24:48] with the
[1:24:48] LGU
[1:24:49] is to
[1:24:49] really
[1:24:49] emphasize
[1:24:50] that
[1:24:50] the
[1:24:52] field
[1:24:52] health
[1:24:52] is a
[1:24:53] vital
[1:24:53] component
[1:24:53] of their
[1:24:54] service
[1:24:54] delivery
[1:24:55] and that
[1:24:55] should
[1:24:55] be
[1:24:56] clear
[1:24:56] with
[1:24:56] the
[1:24:57] members
[1:24:57] the
[1:24:59] other
[1:24:59] thing
[1:24:59] is
[1:25:00] and
[1:25:00] we're
[1:25:00] still
[1:25:01] discussing
[1:25:02] with
[1:25:02] the
[1:25:02] HMO
[1:25:02] members
[1:25:07] that
[1:25:08] don't
[1:25:08] have
[1:25:08] paid
[1:25:08] premium
[1:25:09] of
[1:25:09] field
[1:25:09] health
[1:25:09] but
[1:25:10] could there
[1:25:12] be a
[1:25:13] provision
[1:25:13] that
[1:25:14] before
[1:25:14] they can
[1:25:15] engage
[1:25:15] or enroll
[1:25:16] the
[1:25:17] direct
[1:25:18] contributors
[1:25:18] as
[1:25:19] members
[1:25:19] can
[1:25:19] pay
[1:25:19] to
[1:25:20] the
[1:25:20] field
[1:25:20] health
[1:25:20] contribution
[1:25:21] so
[1:25:22] those
[1:25:22] are
[1:25:23] within
[1:25:23] the
[1:25:23] purview
[1:25:23] because
[1:25:24] it's
[1:25:24] part
[1:25:24] of
[1:25:24] our
[1:25:24] contracting
[1:25:25] application
[1:25:25] but
[1:25:26] all the
[1:25:26] rest
[1:25:26] I think
[1:25:27] it's
[1:25:27] an IC
[1:25:28] purview
[1:25:30] regulator
[1:25:30] authority
[1:25:42] over
[1:25:42] HMO
[1:25:43] is
[1:25:43] concerned
[1:25:43] that's
[1:25:44] also
[1:25:44] a
[1:25:44] legislative
[1:25:45] item
[1:25:46] for
[1:25:46] consideration
[1:25:46] if I
[1:25:48] may
[1:25:48] informally
[1:25:49] use
[1:25:49] the
[1:25:49] term
[1:25:49] there
[1:25:50] was
[1:25:50] a
[1:25:51] time
[1:25:52] it
[1:25:54] was
[1:25:54] under
[1:25:55] DOH
[1:25:55] so
[1:25:55] there
[1:25:56] was
[1:25:58] also
[1:25:59] a
[1:25:59] Supreme
[1:25:59] Court
[1:25:59] ruling
[1:26:00] that
[1:26:00] actually
[1:26:00] said
[1:26:00] I forgot
[1:26:03] the exact
[1:26:04] case
[1:26:04] but
[1:26:04] by the
[1:26:07] power
[1:26:07] of
[1:26:07] legislation
[1:26:07] it can
[1:26:08] be
[1:26:08] finally
[1:26:08] delineated
[1:26:09] sino
[1:26:09] ba
[1:26:09] talaga
[1:26:10] mag
[1:26:10] regulate
[1:26:11] that's
[1:26:11] number
[1:26:11] one
[1:26:12] dun
[1:26:12] po
[1:26:12] sa
[1:26:12] tanong
[1:26:13] ni
[1:26:13] Honorable
[1:26:14] Uwaminal
[1:26:14] which
[1:26:15] I
[1:26:15] really
[1:26:16] am
[1:26:17] appreciating
[1:26:18] it
[1:26:19] becomes
[1:26:19] a
[1:26:19] question
[1:26:20] of
[1:26:20] the
[1:26:20] risk
[1:26:20] pool
[1:26:21] so
[1:26:21] yun
[1:26:21] pong
[1:26:22] sinabi
[1:26:22] ni
[1:26:22] President
[1:26:23] Mercado
[1:26:23] is
[1:26:24] correct
[1:26:24] na
[1:26:25] dapat
[1:26:25] hindi
[1:26:26] natin
[1:26:26] payagan
[1:26:26] yung
[1:26:27] HMO
[1:26:27] na
[1:26:28] may
[1:26:28] sarili
[1:26:28] siyang
[1:26:29] risk
[1:26:29] pool
[1:26:29] nakakalas
[1:26:30] siya
[1:26:30] dun sa
[1:26:31] PhilHealth
[1:26:31] pero
[1:26:32] dapat
[1:26:32] rin
[1:26:32] po
[1:26:33] huwag
[1:26:33] natin
[1:26:33] payagan
[1:26:34] yung
[1:26:34] HMO
[1:26:34] na
[1:26:34] para
[1:26:35] bang
[1:26:35] pinagmamalaki
[1:26:36] niya
[1:26:36] na siya
[1:26:37] yung
[1:26:37] sumasagot
[1:26:38] dahil
[1:26:38] hindi
[1:26:39] siya
[1:26:39] ang
[1:26:39] sumasagot
[1:26:39] dun
[1:26:40] sa
[1:26:40] buong
[1:26:40] kabayaran
[1:26:41] siguro
[1:26:42] sinasagot
[1:26:42] niya
[1:26:43] yung
[1:26:43] maliit
[1:26:43] na
[1:26:43] bahagi
[1:26:44] yung
[1:26:44] magandang
[1:26:45] kwarto
[1:26:45] yung
[1:26:46] magandang
[1:26:46] TV
[1:26:47] etc
[1:26:48] which
[1:26:48] is
[1:26:48] the
[1:26:48] amenity
[1:26:49] pero
[1:26:50] dapat
[1:26:51] may
[1:26:51] bakas
[1:26:51] pa
[1:26:51] rin
[1:26:52] dun
[1:26:52] sa
[1:26:52] general
[1:26:53] risk
[1:26:53] pool
[1:26:54] which
[1:26:54] is
[1:26:54] yung
[1:26:54] ating
[1:26:55] PhilHealth
[1:26:55] Thank you
[1:26:56] Mr.
[1:26:56] Chair
[1:26:56] In short
[1:26:59] alin
[1:26:59] ang
[1:26:59] mauna
[1:27:00] dapat
[1:27:00] bawasan
[1:27:01] PhilHealth
[1:27:01] o
[1:27:02] yung
[1:27:02] HMO
[1:27:02] Mr.
[1:27:03] Chair
[1:27:03] para sa
[1:27:04] DOH
[1:27:04] PhilHealth
[1:27:05] pa rin
[1:27:05] po
[1:27:05] We
[1:27:09] cannot
[1:27:09] force
[1:27:10] the
[1:27:11] HMO
[1:27:13] to
[1:27:14] pay
[1:27:15] first
[1:27:15] Mr.
[1:27:17] Chair
[1:27:17] yung benefit
[1:27:20] ng
[1:27:20] pasyente
[1:27:21] ay
[1:27:21] kayang
[1:27:22] bayaran
[1:27:22] ng
[1:27:23] HMO
[1:27:23] Might
[1:27:24] as well
[1:27:24] free
[1:27:28] patients
[1:27:29] from
[1:27:29] a
[1:27:29] billing
[1:27:30] of
[1:27:30] the
[1:27:30] PhilHealth
[1:27:30] benefit
[1:27:31] para
[1:27:31] ma-preserve
[1:27:32] yung
[1:27:32] span
[1:27:32] ng
[1:27:33] PhilHealth
[1:27:33] I don't
[1:27:34] know
[1:27:34] if
[1:27:35] that
[1:27:35] is
[1:27:35] allowable
[1:27:36] by
[1:27:36] Mr.
[1:27:37] Chair
[1:27:37] Mr.
[1:27:40] Chair
[1:27:40] The
[1:27:42] computation
[1:27:43] of the
[1:27:43] premium
[1:27:43] of the
[1:27:44] HMO
[1:27:44] already
[1:27:45] considers
[1:27:46] PhilHealth
[1:27:46] as
[1:27:46] first
[1:27:47] pay
[1:27:47] If
[1:27:48] we
[1:27:48] do
[1:27:50] it
[1:27:50] outside
[1:27:50] of
[1:27:50] PhilHealth
[1:27:51] the
[1:27:51] premium
[1:27:51] rates
[1:27:52] would
[1:27:52] really
[1:27:52] go up
[1:27:53] Mr.
[1:27:54] Chair
[1:27:54] So
[1:27:54] to
[1:27:56] answer
[1:27:56] the
[1:27:57] question
[1:27:57] of
[1:27:57] Honorable
[1:27:58] Wamin
[1:27:59] Al
[1:27:59] Hindi
[1:28:00] pwede
[1:28:00] yung
[1:28:01] pwede bang
[1:28:02] HMO
[1:28:03] muna
[1:28:04] bago
[1:28:05] PhilHealth
[1:28:06] The answer
[1:28:07] is
[1:28:08] hindi pwede
[1:28:09] at
[1:28:10] yung
[1:28:10] UH
[1:28:10] It's
[1:28:14] a right
[1:28:15] Mr.
[1:28:17] Chair
[1:28:17] Idagdag
[1:28:20] ko lang
[1:28:20] po
[1:28:21] dyan
[1:28:21] sa
[1:28:21] usapan
[1:28:22] na
[1:28:22] yan
[1:28:22] ng
[1:28:23] PhilHealth
[1:28:23] and
[1:28:24] HMO
[1:28:24] Ang
[1:28:25] gusto
[1:28:26] ko
[1:28:26] po
[1:28:26] na
[1:28:26] muna
[1:28:26] tignan
[1:28:27] natin
[1:28:27] sino
[1:28:28] ba
[1:28:28] ang
[1:28:28] may
[1:28:29] mga
[1:28:29] HMOs
[1:28:30] Karamihan
[1:28:31] po
[1:28:31] dyan
[1:28:32] yan
[1:28:32] yung
[1:28:32] mga
[1:28:32] middle
[1:28:33] income
[1:28:33] earners
[1:28:34] natin
[1:28:35] na
[1:28:35] may
[1:28:35] mga
[1:28:35] trabaho
[1:28:36] as
[1:28:36] part
[1:28:37] ng
[1:28:37] kanilang
[1:28:38] mga
[1:28:38] bilipiso
[1:28:39] sino
[1:28:40] po
[1:28:40] ang
[1:28:41] nagbabayad
[1:28:41] ng
[1:28:42] bulk
[1:28:42] ng
[1:28:42] pondo
[1:28:43] sa
[1:28:43] premium
[1:28:44] kundi
[1:28:44] yung
[1:28:45] mga
[1:28:45] middle
[1:28:46] income
[1:28:46] earners
[1:28:47] na
[1:28:47] sa
[1:28:47] Lain
[1:28:48] Ang
[1:28:49] akin
[1:28:49] lang
[1:28:49] pong
[1:28:49] takeaway
[1:28:50] dyan
[1:28:50] sa
[1:28:52] current
[1:28:52] setup
[1:28:53] unang
[1:28:54] binabawas
[1:28:55] ang
[1:28:55] PhilHealth
[1:28:56] alam
[1:28:56] naman
[1:28:56] po
[1:28:56] natin
[1:28:57] kung
[1:28:57] magkano
[1:28:58] lang
[1:28:58] ang
[1:28:59] coverage
[1:28:59] ng
[1:28:59] PhilHealth
[1:29:00] and
[1:29:00] more
[1:29:00] often
[1:29:01] than
[1:29:01] not
[1:29:01] yung
[1:29:02] ating
[1:29:02] mga
[1:29:03] middle
[1:29:03] income
[1:29:03] earners
[1:29:04] nag
[1:29:05] rely
[1:29:05] sa
[1:29:06] HMO
[1:29:06] to
[1:29:07] cover
[1:29:07] part
[1:29:09] of
[1:29:09] yung
[1:29:10] hindi
[1:29:10] na
[1:29:10] cover
[1:29:11] ng
[1:29:11] PhilHealth
[1:29:12] and
[1:29:12] then
[1:29:13] if
[1:29:13] we
[1:29:13] deny
[1:29:13] them
[1:29:14] that
[1:29:14] again
[1:29:14] nauunahin
[1:29:16] natin
[1:29:16] yung
[1:29:16] HMO
[1:29:17] bago
[1:29:19] paano
[1:29:20] po
[1:29:20] kung
[1:29:20] sumobra
[1:29:21] na
[1:29:22] sa
[1:29:22] coverage
[1:29:23] ng
[1:29:23] HMO
[1:29:24] sino
[1:29:25] na
[1:29:25] po
[1:29:25] ang
[1:29:25] sasagot
[1:29:26] nun
[1:29:26] out
[1:29:26] of
[1:29:27] pocket
[1:29:27] na
[1:29:27] po
[1:29:28] ba
[1:29:28] yun
[1:29:28] ng
[1:29:28] middle
[1:29:29] income
[1:29:29] earners
[1:29:30] so
[1:29:31] yun
[1:29:31] naman
[1:29:32] po
[1:29:32] ang
[1:29:32] aking
[1:29:33] konsiderasyon
[1:29:34] na
[1:29:35] inilalatag
[1:29:36] sa
[1:29:37] sa
[1:29:37] usaping
[1:29:38] ito
[1:29:39] kasi
[1:29:40] kawawa
[1:29:40] na po
[1:29:41] sila
[1:29:41] sila
[1:29:41] na po
[1:29:42] talaga
[1:29:42] yung
[1:29:42] burden
[1:29:43] kasi
[1:29:43] universal
[1:29:44] healthcare
[1:29:45] meron
[1:29:45] tayong
[1:29:46] social
[1:29:46] solidarity
[1:29:47] principles
[1:29:48] sila
[1:29:48] po
[1:29:48] ang
[1:29:48] nagkocontribute
[1:29:49] more
[1:29:50] so
[1:29:50] I guess
[1:29:50] we also
[1:29:51] have to
[1:29:51] look at
[1:29:52] where
[1:29:52] they
[1:29:52] stand
[1:29:53] and
[1:29:53] this is
[1:29:56] more
[1:29:56] also
[1:29:57] issue
[1:29:57] of
[1:29:57] equity
[1:29:58] and
[1:29:58] justice
[1:29:59] thank
[1:29:59] you
[1:29:59] Mr.
[1:29:59] Chair
[1:30:00] in
[1:30:02] response
[1:30:04] to
[1:30:05] the
[1:30:05] comment
[1:30:06] of
[1:30:06] the
[1:30:06] Honorable
[1:30:06] Montez
[1:30:07] what
[1:30:08] I was
[1:30:08] proposing
[1:30:09] or
[1:30:09] asking
[1:30:09] about
[1:30:10] I was
[1:30:11] not
[1:30:11] telling
[1:30:12] PhilHealth
[1:30:13] or the
[1:30:13] DOA
[1:30:13] to
[1:30:14] disqualify
[1:30:14] HMO
[1:30:15] holders
[1:30:16] from
[1:30:16] PhilHealth
[1:30:17] coverage
[1:30:18] but rather
[1:30:18] I was
[1:30:19] just
[1:30:19] recommending
[1:30:20] asking
[1:30:20] if
[1:30:21] they
[1:30:21] could
[1:30:21] first
[1:30:22] charge
[1:30:22] it
[1:30:22] to
[1:30:22] the
[1:30:23] HMO
[1:30:23] before
[1:30:24] they
[1:30:24] charge
[1:30:24] it
[1:30:24] because
[1:30:26] currently
[1:30:26] the
[1:30:27] HMO
[1:30:29] is
[1:30:29] more
[1:30:29] I
[1:30:31] think
[1:30:31] it
[1:30:31] would
[1:30:31] be
[1:30:32] more
[1:30:32] beneficial
[1:30:33] to
[1:30:33] the
[1:30:33] fund
[1:30:34] if
[1:30:34] what
[1:30:35] PhilHealth
[1:30:37] pays
[1:30:37] for
[1:30:37] is
[1:30:38] what
[1:30:38] remains
[1:30:38] rather
[1:30:39] than
[1:30:39] the
[1:30:40] entire
[1:30:40] amount
[1:30:40] of it
[1:30:41] oftentimes
[1:30:41] PhilHealth
[1:30:45] is not
[1:30:47] or
[1:30:47] they
[1:30:47] have
[1:30:47] a little
[1:30:47] of it
[1:30:48] if
[1:30:48] there
[1:30:48] are
[1:30:49] still
[1:30:50] issues
[1:30:51] and
[1:30:51] there
[1:30:52] still
[1:30:52] issues
[1:30:53] there
[1:30:54] is
[1:30:54] still
[1:30:54] being
[1:30:54] considered
[1:30:55] about
[1:30:55] HMO
[1:30:57] authority
[1:30:59] who will
[1:31:00] govern
[1:31:00] HMO
[1:31:02] companies
[1:31:03] but
[1:31:03] currently
[1:31:03] can't
[1:31:04] the
[1:31:04] DO8
[1:31:05] make
[1:31:05] it
[1:31:06] a
[1:31:06] policy
[1:31:06] for
[1:31:06] their
[1:31:07] hospitals
[1:31:07] to
[1:31:08] charge
[1:31:08] it
[1:31:08] first
[1:31:08] to
[1:31:09] those
[1:31:09] HMO
[1:31:10] providers
[1:31:11] before
[1:31:12] they
[1:31:12] charge
[1:31:14] it
[1:31:14] to
[1:31:14] PhilHealth
[1:31:15] just
[1:31:15] so
[1:31:15] that
[1:31:16] we
[1:31:16] could
[1:31:16] better
[1:31:17] preserve
[1:31:17] the
[1:31:17] fund
[1:31:18] Thank you
[1:31:22] Mr.
[1:31:22] Chair
[1:31:22] Honorable
[1:31:23] Oaminal
[1:31:23] It
[1:31:24] is
[1:31:24] an
[1:31:25] option
[1:31:25] nothing
[1:31:25] stops
[1:31:26] us
[1:31:26] from
[1:31:26] doing
[1:31:26] it
[1:31:27] pero
[1:31:27] pag
[1:31:27] ginawa
[1:31:27] po
[1:31:27] kasi
[1:31:28] natin
[1:31:28] yung
[1:31:28] computation
[1:31:29] ng
[1:31:29] premium
[1:31:30] yung
[1:31:31] HMO
[1:31:31] tataas
[1:31:32] kasi
[1:31:33] mas
[1:31:33] maliit
[1:31:33] yung
[1:31:33] risk
[1:31:34] pool
[1:31:34] niya
[1:31:34] tulad
[1:31:35] po
[1:31:35] nung
[1:31:35] sinabi
[1:31:36] ni
[1:31:36] Honorable
[1:31:36] Montes
[1:31:37] sabihin
[1:31:37] na
[1:31:38] nating
[1:31:38] middle
[1:31:38] class
[1:31:39] Filipinos
[1:31:39] lang
[1:31:39] and
[1:31:39] yun
[1:31:40] naman
[1:31:40] yung
[1:31:40] katotohanan
[1:31:41] ang
[1:31:41] kaya
[1:31:42] na
[1:31:42] mag
[1:31:42] HMO
[1:31:42] even
[1:31:43] the
[1:31:43] upper
[1:31:43] class
[1:31:43] they
[1:31:43] don't
[1:31:43] care
[1:31:44] they
[1:31:44] just
[1:31:44] pay
[1:31:44] cash
[1:31:44] so
[1:31:45] yung
[1:31:46] middle
[1:31:46] class
[1:31:46] yung
[1:31:47] HMO
[1:31:47] since
[1:31:48] mas
[1:31:48] maliit
[1:31:49] yung
[1:31:49] risk
[1:31:49] pool
[1:31:49] nila
[1:31:49] tataasan
[1:31:50] yung
[1:31:50] premium
[1:31:50] kaya
[1:31:51] po
[1:31:51] para
[1:31:52] sa amin
[1:31:53] po
[1:31:53] mas
[1:31:53] mabuti
[1:31:54] nilang
[1:31:54] linawin
[1:31:55] sa ating
[1:31:55] mga
[1:31:56] kababayan
[1:31:56] na
[1:31:57] hindi
[1:31:57] HMO
[1:31:58] yung
[1:31:58] sumasalba
[1:31:59] gobyerno
[1:31:59] pa rin
[1:31:59] it's
[1:32:00] still
[1:32:00] actually
[1:32:00] PhilHealth
[1:32:01] tapos
[1:32:01] yung
[1:32:02] hindi
[1:32:03] mabayaran
[1:32:04] sa
[1:32:04] ngayon
[1:32:04] ng
[1:32:05] PhilHealth
[1:32:05] dun
[1:32:05] po
[1:32:06] kapasok
[1:32:06] yung
[1:32:06] HMO
[1:32:07] Thank you
[1:32:09] Yusef
[1:32:09] Domingo
[1:32:10] That's
[1:32:24] correct Mr.
[1:32:24] Chair
[1:32:25] Honorable
[1:32:27] Tino
[1:32:28] Well
[1:32:29] siguro
[1:32:29] some thoughts
[1:32:30] lang
[1:32:31] I agree
[1:32:32] with
[1:32:33] Congress
[1:32:33] Ruben
[1:32:34] Montez
[1:32:34] na yung
[1:32:35] HMO
[1:32:36] mainly
[1:32:36] availed
[1:32:37] by
[1:32:38] middle
[1:32:40] and
[1:32:40] upper
[1:32:40] income
[1:32:41] Filipinos
[1:32:44] precisely
[1:32:45] to
[1:32:45] supplement
[1:32:46] kasi
[1:32:46] kulang
[1:32:47] yung
[1:32:47] coverage
[1:32:48] ng
[1:32:48] PhilHealth
[1:32:49] tama po ba
[1:32:50] ano nga ba
[1:32:50] yung
[1:32:51] average
[1:32:51] percentage
[1:32:52] like
[1:32:52] 40
[1:32:53] something
[1:32:54] percent
[1:32:55] di ba
[1:32:55] 43
[1:32:55] Mr.
[1:32:58] Honorable
[1:32:59] Chair
[1:32:59] for
[1:32:59] public
[1:33:02] hospitals
[1:33:02] LGUs
[1:33:03] we're
[1:33:04] reaching
[1:33:04] already
[1:33:04] about
[1:33:05] 75
[1:33:05] to
[1:33:05] 80
[1:33:06] for
[1:33:07] private
[1:33:07] hospitals
[1:33:08] 25
[1:33:09] to
[1:33:10] 40
[1:33:10] so
[1:33:11] it's
[1:33:11] 25
[1:33:12] to
[1:33:12] 40
[1:33:13] percent
[1:33:13] lalo
[1:33:14] na
[1:33:14] for
[1:33:14] the
[1:33:14] private
[1:33:15] hospitals
[1:33:16] so
[1:33:17] yung
[1:33:18] mga
[1:33:19] lower
[1:33:19] and
[1:33:19] middle
[1:33:20] income
[1:33:20] they
[1:33:20] would
[1:33:21] rely
[1:33:22] less
[1:33:22] on
[1:33:24] my
[1:33:25] fifth
[1:33:25] tama po
[1:33:26] ba
[1:33:27] kasi
[1:33:27] right now
[1:33:28] yung
[1:33:29] mga
[1:33:29] zero
[1:33:30] balance
[1:33:30] billing
[1:33:31] of course
[1:33:32] so
[1:33:32] libre
[1:33:33] na po
[1:33:34] lahat
[1:33:34] but
[1:33:36] that
[1:33:37] draws
[1:33:37] from
[1:33:38] my
[1:33:39] fifth
[1:33:39] among
[1:33:39] others
[1:33:40] am I
[1:33:40] right
[1:33:41] so
[1:33:42] yung
[1:33:44] HMO
[1:33:44] yun
[1:33:45] yung
[1:33:46] pang
[1:33:47] cover
[1:33:48] don
[1:33:48] but
[1:33:49] also
[1:33:50] that's
[1:33:51] out
[1:33:53] of
[1:33:53] pocket
[1:33:53] din
[1:33:53] yan
[1:33:53] yung
[1:33:55] premium
[1:33:55] payment
[1:33:56] so
[1:33:57] ideally
[1:34:01] dapat
[1:34:01] yung
[1:34:01] PhilHealth
[1:34:02] isa na
[1:34:03] lang
[1:34:03] isang
[1:34:05] insurance
[1:34:06] tapos
[1:34:06] sagot
[1:34:07] na lahat
[1:34:08] yun
[1:34:09] ang gusto
[1:34:09] natin
[1:34:09] mangyari
[1:34:10] pero
[1:34:10] hindi
[1:34:10] kaya
[1:34:10] meron
[1:34:11] tayong
[1:34:11] HMO
[1:34:14] and
[1:34:15] in fact
[1:34:15] naging
[1:34:17] government
[1:34:17] policy
[1:34:18] pa
[1:34:18] starting
[1:34:20] was it
[1:34:20] two years
[1:34:21] ago
[1:34:21] lahat
[1:34:22] ng
[1:34:23] government
[1:34:23] employees
[1:34:24] binibigyan
[1:34:24] ng
[1:34:25] 7,000
[1:34:26] per year
[1:34:27] at
[1:34:29] ang mandate
[1:34:29] doon
[1:34:30] ay
[1:34:30] kailangan
[1:34:31] gamitin
[1:34:31] nyo yan
[1:34:32] para
[1:34:33] bumili
[1:34:33] kayo
[1:34:33] ng
[1:34:34] HMO
[1:34:34] package
[1:34:36] hindi
[1:34:36] po ba
[1:34:37] so
[1:34:38] it's
[1:34:39] government
[1:34:39] policy
[1:34:40] parang
[1:34:42] as an
[1:34:43] additional
[1:34:43] benefit
[1:34:44] bilang
[1:34:44] pagkilala
[1:34:45] na hindi
[1:34:45] nga
[1:34:47] sapat
[1:34:48] so
[1:34:48] nandun
[1:34:48] pa po
[1:34:49] tayo
[1:34:49] ngayon
[1:34:50] now
[1:34:52] I understand
[1:34:53] the concern
[1:34:54] of
[1:34:54] Congressman
[1:34:55] Waminal
[1:34:56] to preserve
[1:34:57] the fund
[1:34:57] pero
[1:34:57] ako naman
[1:34:58] ang
[1:34:58] understanding
[1:34:59] ko rin
[1:34:59] is
[1:35:00] well
[1:35:00] yung
[1:35:00] field health
[1:35:01] coverage
[1:35:02] right of
[1:35:03] every
[1:35:03] Filipino
[1:35:04] kasi
[1:35:04] yun
[1:35:04] so
[1:35:05] parang
[1:35:07] hindi
[1:35:07] natin
[1:35:08] pwede
[1:35:08] na
[1:35:08] kahit
[1:35:09] idea
[1:35:10] is
[1:35:10] kahit
[1:35:10] kaya
[1:35:11] ka
[1:35:11] o
[1:35:12] ano
[1:35:12] kailangan
[1:35:13] meron kang
[1:35:14] coverage
[1:35:14] so
[1:35:16] we hope
[1:35:21] we can
[1:35:22] move
[1:35:22] towards
[1:35:22] a system
[1:35:23] na libre
[1:35:23] na lahat
[1:35:24] or
[1:35:25] libre
[1:35:25] covered
[1:35:26] ng
[1:35:27] wala
[1:35:28] ng
[1:35:29] out of
[1:35:29] pocket
[1:35:29] so
[1:35:32] ganun
[1:35:32] lang po
[1:35:32] thank you
[1:35:33] honorable
[1:35:34] pinio
[1:35:34] honorable
[1:35:37] just one
[1:35:39] more line
[1:35:40] of
[1:35:40] question
[1:35:40] this is
[1:35:42] a bit
[1:35:43] of a
[1:35:43] concern
[1:35:44] but I
[1:35:44] understand
[1:35:44] it's also
[1:35:45] concern of
[1:35:48] other
[1:35:48] government
[1:35:50] hospitals
[1:35:50] it's good
[1:35:55] that
[1:35:56] currently
[1:35:56] all
[1:35:57] 83
[1:35:58] provincial
[1:36:00] hospitals
[1:36:01] or government
[1:36:02] state-owned
[1:36:03] hospitals
[1:36:03] are already
[1:36:04] fully compliant
[1:36:05] with a
[1:36:05] zero
[1:36:05] balance
[1:36:06] but
[1:36:07] especially
[1:36:08] in the
[1:36:09] provinces
[1:36:09] oftentimes
[1:36:11] our
[1:36:11] constituents
[1:36:12] aren't
[1:36:12] really able
[1:36:13] to avail
[1:36:13] of this
[1:36:14] because
[1:36:14] government
[1:36:15] hospitals
[1:36:15] to them
[1:36:16] there is
[1:36:17] a stigma
[1:36:18] if they
[1:36:19] go and
[1:36:20] have
[1:36:21] themselves
[1:36:21] admitted
[1:36:21] or checked
[1:36:22] sadly
[1:36:25] their
[1:36:26] perception
[1:36:26] is
[1:36:27] the
[1:36:27] service
[1:36:28] isn't
[1:36:28] really
[1:36:28] of
[1:36:29] good
[1:36:31] quality
[1:36:31] that
[1:36:31] they
[1:36:32] would
[1:36:32] be
[1:36:32] cured
[1:36:33] of
[1:36:33] oftentimes
[1:36:35] they're
[1:36:35] sarcastic
[1:36:36] so
[1:36:44] while
[1:36:44] it's
[1:36:45] good
[1:36:45] that
[1:36:45] all
[1:36:46] 83
[1:36:46] are
[1:36:46] fully
[1:36:47] compliant
[1:36:47] there's
[1:36:48] still
[1:36:48] that
[1:36:49] concern
[1:36:49] that
[1:36:49] needs
[1:36:49] to be
[1:36:50] addressed
[1:36:50] how to
[1:36:51] encourage
[1:36:52] our
[1:36:53] constituents
[1:36:54] availing
[1:36:55] of those
[1:36:56] free
[1:36:56] services
[1:36:56] in
[1:36:57] our
[1:36:59] case
[1:36:59] Mr.
[1:36:59] Chair
[1:36:59] in
[1:37:00] our
[1:37:02] province
[1:37:03] of
[1:37:03] Misamis
[1:37:03] Occidental
[1:37:04] our
[1:37:05] national
[1:37:05] government
[1:37:05] owned
[1:37:06] hospital
[1:37:06] twice
[1:37:07] an
[1:37:08] upgrade
[1:37:08] but
[1:37:09] now
[1:37:09] there's
[1:37:10] still
[1:37:10] a
[1:37:10] stigma
[1:37:11] of
[1:37:11] our
[1:37:11] residents
[1:37:12] that
[1:37:12] they
[1:37:12] don't
[1:37:13] want
[1:37:13] to
[1:37:13] go
[1:37:13] there
[1:37:13] as
[1:37:13] much
[1:37:14] as
[1:37:14] well
[1:37:14] it's
[1:37:15] a
[1:37:15] last
[1:37:16] resort
[1:37:16] option
[1:37:17] for
[1:37:17] them
[1:37:17] because
[1:37:18] sadly
[1:37:20] Mr. Chair
[1:37:24] despite
[1:37:24] the
[1:37:25] efforts
[1:37:25] and
[1:37:25] their
[1:37:25] perception
[1:37:26] so
[1:37:27] it's
[1:37:29] better
[1:37:29] for
[1:37:29] them
[1:37:30] to
[1:37:30] go
[1:37:30] to
[1:37:30] private
[1:37:31] home
[1:37:31] zero
[1:37:32] balance
[1:37:33] billing
[1:37:33] program
[1:37:34] is
[1:37:34] not
[1:37:34] fully
[1:37:35] how
[1:37:43] do
[1:37:43] they
[1:37:43] plan
[1:37:44] on
[1:37:44] addressing
[1:37:45] those
[1:37:45] concerns
[1:37:46] and
[1:37:46] sentiments
[1:37:47] Dr.
[1:37:49] Domingo
[1:37:50] Thank you Mr. Chair
[1:37:51] those are
[1:37:51] very valid
[1:37:52] questions
[1:37:53] by
[1:37:53] Honorable
[1:37:54] Oamin
[1:37:54] Even
[1:37:55] kami
[1:37:55] sa
[1:37:56] larger
[1:37:57] Metro
[1:37:58] Manila
[1:37:58] based
[1:37:58] DOH
[1:37:59] hospitals
[1:37:59] may ganyan
[1:38:00] pa rin
[1:38:00] perception
[1:38:01] sa
[1:38:02] aming
[1:38:02] pananaw
[1:38:03] dalawa
[1:38:03] kasi
[1:38:04] yung
[1:38:04] tanong
[1:38:04] dyan
[1:38:04] either
[1:38:06] may
[1:38:06] stigma
[1:38:06] dun
[1:38:07] sa
[1:38:07] quality
[1:38:07] of
[1:38:07] care
[1:38:08] or
[1:38:08] may
[1:38:09] stigma
[1:38:09] dun
[1:38:09] sa
[1:38:09] accommodation
[1:38:10] type
[1:38:10] unahin
[1:38:11] po
[1:38:11] natin
[1:38:12] yung
[1:38:12] accommodation
[1:38:13] type
[1:38:14] yun yung
[1:38:14] mas madaling
[1:38:15] sagutin
[1:38:15] sa
[1:38:16] accommodation
[1:38:16] type
[1:38:17] it will
[1:38:17] take
[1:38:18] time
[1:38:18] pero
[1:38:18] kailangan
[1:38:19] talagang
[1:38:19] ulit
[1:38:20] ulit
[1:38:20] na
[1:38:21] marami
[1:38:21] na
[1:38:21] mga
[1:38:22] DOH
[1:38:22] hospitals
[1:38:23] I think
[1:38:23] 40 or
[1:38:24] 45%
[1:38:25] and the
[1:38:25] number
[1:38:26] is
[1:38:26] increasing
[1:38:26] ang
[1:38:27] pinapa
[1:38:27] aircon
[1:38:28] alam
[1:38:29] ko
[1:38:31] napakainit
[1:38:32] ng panahon
[1:38:33] parang
[1:38:33] naging
[1:38:34] symbolic
[1:38:34] siya
[1:38:35] na
[1:38:35] pag
[1:38:35] naka-aircon
[1:38:36] ka
[1:38:36] maging
[1:38:37] hawa
[1:38:37] and it
[1:38:39] follows
[1:38:39] kasi
[1:38:39] pag
[1:38:40] naka-aircon
[1:38:40] yung
[1:38:40] hospital
[1:38:41] kailangan
[1:38:41] hindi
[1:38:41] mabaho
[1:38:42] kasi
[1:38:42] pag
[1:38:42] sinaramay
[1:38:43] mga
[1:38:43] bintana
[1:38:43] eh
[1:38:43] tapos
[1:38:44] nangangamoy
[1:38:44] eh
[1:38:44] di bali
[1:38:45] wala
[1:38:45] the
[1:38:45] UPJ's
[1:38:46] alumni
[1:38:47] are all
[1:38:47] smiling
[1:38:48] and we
[1:38:48] all
[1:38:48] understand
[1:38:49] what
[1:38:49] happened
[1:38:50] when the
[1:38:50] ER
[1:38:50] was
[1:38:51] air
[1:38:51] conditioned
[1:38:51] without
[1:38:52] proper
[1:38:52] ventilation
[1:38:53] so
[1:38:53] having
[1:38:54] said
[1:38:54] that
[1:38:55] yun
[1:38:55] po yung
[1:38:56] mas
[1:38:56] madali
[1:38:56] in terms
[1:38:57] of
[1:38:57] execution
[1:38:58] and then
[1:38:58] communication
[1:38:59] po siya
[1:39:00] yun pong
[1:39:00] medyo
[1:39:01] mas
[1:39:01] kailangan
[1:39:01] to
[1:39:01] unan
[1:39:01] natin
[1:39:02] ang
[1:39:02] pansin
[1:39:02] is yung
[1:39:03] quality
[1:39:03] of
[1:39:03] care
[1:39:04] sa
[1:39:05] quality
[1:39:05] of
[1:39:05] care
[1:39:05] po
[1:39:06] ang
[1:39:06] I'm
[1:39:07] simplifying
[1:39:08] po
[1:39:08] pero
[1:39:08] mga
[1:39:09] basic
[1:39:09] inputs
[1:39:09] natin
[1:39:10] dyan
[1:39:10] yung
[1:39:10] ating
[1:39:11] equipment
[1:39:11] at
[1:39:12] ating
[1:39:12] hindi
[1:39:13] lang
[1:39:13] hindi
[1:39:13] sila
[1:39:14] input
[1:39:14] lang
[1:39:14] pero
[1:39:14] sila
[1:39:15] yung
[1:39:15] pinaka
[1:39:15] key
[1:39:16] yung
[1:39:17] tao
[1:39:18] so
[1:39:19] importante
[1:39:20] yung
[1:39:20] human
[1:39:20] resources
[1:39:21] saka
[1:39:21] yung
[1:39:21] equipment
[1:39:22] kasi
[1:39:22] you
[1:39:23] cannot
[1:39:23] have
[1:39:24] one
[1:39:24] without
[1:39:24] the
[1:39:25] other
[1:39:25] pwedeng
[1:39:26] may
[1:39:26] equipment
[1:39:26] ka
[1:39:27] pero
[1:39:27] kung
[1:39:27] walang
[1:39:27] HR
[1:39:28] tawag
[1:39:28] namin
[1:39:29] doon
[1:39:29] yung
[1:39:29] mga
[1:39:29] nakatinga
[1:39:30] health
[1:39:30] center
[1:39:31] pwede
[1:39:32] ka rin
[1:39:32] may
[1:39:32] tao
[1:39:33] pero
[1:39:33] walang
[1:39:33] equipment
[1:39:34] tawag
[1:39:34] namin
[1:39:34] yung
[1:39:35] kawawang
[1:39:35] doctor
[1:39:35] to
[1:39:36] the
[1:39:36] barrio
[1:39:36] na
[1:39:36] wala
[1:39:37] siyang
[1:39:37] equipment
[1:39:37] so
[1:39:37] kailangan
[1:39:38] magsalubong
[1:39:39] yun
[1:39:39] in
[1:39:40] both
[1:39:40] aspects
[1:39:41] the
[1:39:41] DOH
[1:39:42] is
[1:39:42] deploying
[1:39:42] yung
[1:39:43] NHWSS
[1:39:44] National
[1:39:44] Healthcare
[1:39:45] Workforce
[1:39:46] Support
[1:39:46] System
[1:39:47] ang model
[1:39:48] na ginagamit
[1:39:49] namin
[1:39:49] is similar
[1:39:49] to the
[1:39:50] Philippine
[1:39:50] National
[1:39:51] Police
[1:39:51] the
[1:39:52] PNP
[1:39:52] is
[1:39:53] an
[1:39:53] attached
[1:39:54] agency
[1:39:54] under
[1:39:55] the
[1:39:55] DILG
[1:39:56] ang
[1:39:56] sweldo
[1:39:57] niya
[1:39:57] national
[1:39:57] pero
[1:39:58] nakadeploy
[1:39:59] siya
[1:39:59] sa
[1:39:59] LG
[1:40:00] use
[1:40:00] ganoon
[1:40:01] na rin
[1:40:01] po
[1:40:01] yung
[1:40:01] nagiging
[1:40:02] itsura
[1:40:02] ng
[1:40:02] DOH
[1:40:03] NHWSS
[1:40:04] hindi
[1:40:04] lang
[1:40:04] mga
[1:40:04] doktor
[1:40:05] to
[1:40:05] may
[1:40:05] kasama
[1:40:06] mga
[1:40:06] nurses
[1:40:06] midwives
[1:40:07] pharmacists
[1:40:08] in
[1:40:09] fact
[1:40:09] pagkakatong
[1:40:10] ko
[1:40:10] na rin
[1:40:10] po
[1:40:10] kung
[1:40:10] inyong
[1:40:11] mamarapatin
[1:40:11] sa
[1:40:12] budget
[1:40:12] for
[1:40:12] 2027
[1:40:13] we
[1:40:14] will
[1:40:14] be
[1:40:14] pitching
[1:40:14] tier
[1:40:15] 2
[1:40:15] na
[1:40:16] baka
[1:40:16] kung
[1:40:16] dati
[1:40:17] hanggang
[1:40:17] 21,000
[1:40:18] lang
[1:40:18] na
[1:40:18] NHWSS
[1:40:19] yung
[1:40:19] kayang
[1:40:20] swelduhan
[1:40:20] ngayon
[1:40:20] we're
[1:40:21] aiming
[1:40:21] for
[1:40:21] the
[1:40:21] full
[1:40:22] 26,000
[1:40:23] na
[1:40:23] may
[1:40:23] mga
[1:40:23] plantilla
[1:40:24] items
[1:40:24] now
[1:40:25] doon
[1:40:26] naman
[1:40:26] ko
[1:40:26] sa
[1:40:26] usapin
[1:40:27] ng
[1:40:27] equipment
[1:40:28] dyan
[1:40:29] po
[1:40:29] papasok
[1:40:30] yung
[1:40:30] HVEP
[1:40:30] HVEP
[1:40:31] is
[1:40:31] actually
[1:40:31] not
[1:40:32] just
[1:40:32] infra
[1:40:33] may
[1:40:33] equipment
[1:40:34] component
[1:40:34] po
[1:40:34] yan
[1:40:35] which
[1:40:35] is
[1:40:35] why
[1:40:35] pagdating
[1:40:36] po
[1:40:36] ng
[1:40:36] budget
[1:40:36] proposal
[1:40:37] makikita
[1:40:38] po
[1:40:38] ninyo
[1:40:38] at
[1:40:38] talagang
[1:40:38] tinutukan
[1:40:39] namin
[1:40:39] nila
[1:40:39] SECTED
[1:40:40] hindi
[1:40:41] na
[1:40:41] dapat
[1:40:42] at
[1:40:42] this
[1:40:43] stage
[1:40:43] na
[1:40:44] nakikita
[1:40:44] namin
[1:40:45] yung
[1:40:45] spread
[1:40:45] ng mga
[1:40:45] construction
[1:40:46] projects
[1:40:47] mas
[1:40:47] mabuting
[1:40:48] unahin
[1:40:48] muna
[1:40:48] for the
[1:40:49] meantime
[1:40:49] yung
[1:40:50] completion
[1:40:50] yung
[1:40:52] kompleto
[1:40:53] na
[1:40:53] pero
[1:40:53] walang
[1:40:53] equipment
[1:40:54] kasi
[1:40:55] marami
[1:40:55] po
[1:40:55] kaming
[1:40:55] nakita
[1:40:56] ng mga
[1:40:56] projects
[1:40:57] complete
[1:40:58] na
[1:40:58] ready
[1:40:58] for
[1:40:58] turnover
[1:41:00] pero
[1:41:00] nung
[1:41:00] sinili
[1:41:00] wala
[1:41:01] pa
[1:41:01] equipment
[1:41:01] so
[1:41:02] mas
[1:41:03] mabilis
[1:41:03] from a
[1:41:04] practical
[1:41:04] standpoint
[1:41:04] na
[1:41:05] i-procure
[1:41:05] yung
[1:41:05] equipment
[1:41:06] at
[1:41:06] i-install
[1:41:07] and
[1:41:07] then
[1:41:08] susunod
[1:41:08] na
[1:41:08] lang
[1:41:08] po
[1:41:08] yung
[1:41:09] completion
[1:41:10] of
[1:41:10] already
[1:41:11] started
[1:41:11] facilities
[1:41:12] and
[1:41:12] then
[1:41:12] yung
[1:41:12] third
[1:41:12] priority
[1:41:13] is
[1:41:13] yung
[1:41:14] initiation
[1:41:14] of
[1:41:15] new
[1:41:15] facilities
[1:41:16] given
[1:41:16] the
[1:41:17] budget
[1:41:17] constraints
[1:41:17] so
[1:41:18] in
[1:41:18] summary
[1:41:18] Mr.
[1:41:19] Chair
[1:41:19] Honorable
[1:41:19] Uwaminal
[1:41:20] it's
[1:41:20] balancing
[1:41:21] yung
[1:41:22] human
[1:41:22] resources
[1:41:22] at
[1:41:23] equipment
[1:41:23] po
[1:41:24] Thank
[1:41:25] you
[1:41:26] just
[1:41:29] in
[1:41:29] relation
[1:41:29] to
[1:41:29] that
[1:41:30] so
[1:41:30] you
[1:41:32] knew
[1:41:32] that
[1:41:32] our
[1:41:34] government
[1:41:35] equipment
[1:41:36] unfortunately
[1:41:43] I was
[1:41:43] here
[1:41:44] during
[1:41:44] the last
[1:41:44] hearing
[1:41:44] three to
[1:41:48] five
[1:41:49] years
[1:41:49] for the
[1:41:50] full
[1:41:50] implementation
[1:41:50] of
[1:41:51] a law
[1:41:52] that
[1:41:52] was
[1:41:52] for
[1:41:53] the
[1:41:53] upgrading
[1:41:53] of
[1:41:53] the
[1:41:54] hospital
[1:41:54] while
[1:41:56] I
[1:41:56] was
[1:41:56] not
[1:41:56] here
[1:41:57] during
[1:41:57] that
[1:41:57] last
[1:41:58] hearing
[1:41:58] I
[1:41:58] just
[1:41:58] want
[1:41:59] to
[1:41:59] state
[1:41:59] for
[1:42:00] the
[1:42:00] record
[1:42:00] that
[1:42:00] actually
[1:42:00] that
[1:42:01] statement
[1:42:02] is
[1:42:02] not
[1:42:02] really
[1:42:03] accurate
[1:42:03] but
[1:42:04] our
[1:42:05] government
[1:42:05] was
[1:42:07] upgraded
[1:42:07] the
[1:42:08] lowest
[1:42:08] past
[1:42:09] 1,
[1:42:10] 206
[1:42:10] pa
[1:42:11] ngayon
[1:42:11] supposedly
[1:42:12] 1,000
[1:42:13] pa
[1:42:13] sa
[1:42:15] 550
[1:42:16] pa
[1:42:16] rin
[1:42:16] Mr.
[1:42:16] Chair
[1:42:16] and
[1:42:17] as far
[1:42:18] as I
[1:42:18] know
[1:42:18] the
[1:42:20] district
[1:42:21] representatives
[1:42:21] have been
[1:42:22] trying
[1:42:22] to force
[1:42:22] funding
[1:42:23] from
[1:42:24] the
[1:42:24] DOH
[1:42:24] for
[1:42:24] it
[1:42:24] in fact
[1:42:25] the
[1:42:25] law
[1:42:26] mandates
[1:42:27] the
[1:42:27] Secretary
[1:42:27] of
[1:42:27] Health
[1:42:28] to
[1:42:28] make
[1:42:28] sure
[1:42:28] that
[1:42:28] it
[1:42:29] in
[1:42:29] Tagaha
[1:42:30] pero
[1:42:31] five
[1:42:32] years
[1:42:32] point
[1:42:36] that
[1:42:36] out
[1:42:36] but
[1:42:37] anyway
[1:42:37] nabanggit
[1:42:37] ni
[1:42:38] Yusek
[1:42:38] Domingo
[1:42:38] na yung
[1:42:39] priority
[1:42:39] nilang
[1:42:40] this
[1:42:40] year
[1:42:40] would be
[1:42:41] to start
[1:42:42] with the
[1:42:42] equipment
[1:42:43] first
[1:42:43] do I
[1:42:44] understand
[1:42:44] it
[1:42:44] correctly
[1:42:45] Mr.
[1:42:45] Chair
[1:42:45] from
[1:42:59] quick
[1:42:59] recall
[1:43:00] since
[1:43:00] I
[1:43:03] budget
[1:43:03] 14
[1:43:04] billion
[1:43:04] total
[1:43:05] HPEP
[1:43:07] and
[1:43:07] we
[1:43:08] did
[1:43:08] one half
[1:43:10] maximum
[1:43:11] one half
[1:43:12] of the
[1:43:12] 14
[1:43:12] so
[1:43:12] seven
[1:43:13] for
[1:43:14] DOH
[1:43:14] hospitals
[1:43:15] and
[1:43:16] then
[1:43:16] the
[1:43:16] other
[1:43:17] half
[1:43:17] for
[1:43:17] LG
[1:43:18] hospitals
[1:43:18] but
[1:43:18] in
[1:43:19] any
[1:43:19] case
[1:43:19] whether
[1:43:19] DOH
[1:43:20] or
[1:43:20] LG
[1:43:20] hospital
[1:43:21] yung
[1:43:22] sequence
[1:43:22] equipment
[1:43:23] first
[1:43:23] and
[1:43:24] then
[1:43:24] followed
[1:43:24] by
[1:43:25] completion
[1:43:26] and
[1:43:26] then
[1:43:26] followed
[1:43:26] by
[1:43:27] new
[1:43:27] doon
[1:43:27] pa
[1:43:28] lang
[1:43:28] sa
[1:43:28] equipment
[1:43:28] first
[1:43:29] and
[1:43:29] completion
[1:43:30] kakainin
[1:43:31] na yung
[1:43:31] 14
[1:43:31] yun po
[1:43:32] yung
[1:43:32] tier
[1:43:32] one
[1:43:33] but
[1:43:33] to be
[1:43:34] very
[1:43:34] honest
[1:43:34] ang
[1:43:35] tier
[1:43:35] 2
[1:43:35] natin
[1:43:35] ng
[1:43:36] HPEP
[1:43:37] listen
[1:43:38] mo
[1:43:38] dali
[1:43:38] kasi
[1:43:39] yung
[1:43:39] tier
[1:43:39] 2
[1:43:40] hindi
[1:43:40] ko
[1:43:40] memoriado
[1:43:40] I
[1:43:42] remember
[1:43:43] mga
[1:43:43] 100
[1:43:43] plus
[1:43:44] billion
[1:43:44] I
[1:43:45] mean
[1:43:45] 48
[1:43:48] po
[1:43:49] yung
[1:43:49] tier
[1:43:50] 2
[1:43:50] so
[1:43:51] 14
[1:43:51] plus
[1:43:51] 48
[1:43:52] 48
[1:43:53] tier
[1:43:54] 2
[1:43:54] 14
[1:43:54] billion
[1:43:55] tier
[1:43:55] 1
[1:43:55] if I
[1:44:02] may
[1:44:02] just
[1:44:02] add
[1:44:03] to
[1:44:03] the
[1:44:03] comment
[1:44:03] of
[1:44:04] Honorable
[1:44:04] Wamina
[1:44:05] it's
[1:44:06] very
[1:44:06] unfortunate
[1:44:06] that
[1:44:07] in
[1:44:08] your
[1:44:09] case
[1:44:10] some
[1:44:10] patients
[1:44:11] avoid
[1:44:12] going
[1:44:13] to
[1:44:13] a
[1:44:13] government
[1:44:13] or
[1:44:14] DOH
[1:44:14] hospital
[1:44:15] because
[1:44:16] of
[1:44:16] the
[1:44:17] perception
[1:44:17] that
[1:44:18] services
[1:44:18] are
[1:44:18] of
[1:44:19] lower
[1:44:19] quality
[1:44:20] well
[1:44:21] maaring
[1:44:23] to
[1:44:23] to
[1:44:23] yun
[1:44:23] pero
[1:44:24] a
[1:44:25] big
[1:44:25] percentage
[1:44:26] on
[1:44:27] why
[1:44:27] patients
[1:44:28] cannot
[1:44:28] avail
[1:44:29] of
[1:44:29] the
[1:44:29] services
[1:44:29] ng
[1:44:30] government
[1:44:31] hospitals
[1:44:31] and
[1:44:32] mind
[1:44:33] you
[1:44:33] isa
[1:44:33] sa
[1:44:34] pinakamagagaling
[1:44:34] ng
[1:44:35] mga
[1:44:35] doktore
[1:44:35] galing
[1:44:36] sa
[1:44:36] mga
[1:44:36] government
[1:44:36] hospitals
[1:44:37] is
[1:44:38] just
[1:44:38] that
[1:44:38] walang
[1:44:39] bakante
[1:44:40] go to
[1:44:41] any
[1:44:42] government
[1:44:42] hospitals
[1:44:42] in
[1:44:43] Metro
[1:44:43] Manila
[1:44:43] hindi
[1:44:44] sila
[1:44:45] ma-accommodate
[1:44:46] because
[1:44:47] walang
[1:44:47] bakanting
[1:44:48] kama
[1:44:48] pag
[1:44:49] stroke
[1:44:50] patients
[1:44:50] how
[1:44:51] many
[1:44:51] days
[1:44:51] do
[1:44:52] they
[1:44:52] have
[1:44:53] to
[1:44:53] wait
[1:44:53] for
[1:44:53] a
[1:44:54] bed
[1:44:55] in
[1:44:55] ICU
[1:44:55] so
[1:44:56] they
[1:44:56] are
[1:44:57] forced
[1:44:57] to
[1:44:57] go
[1:44:57] to
[1:44:57] a
[1:44:57] private
[1:44:58] hospital
[1:44:58] and
[1:44:59] there
[1:44:59] they
[1:44:59] cannot
[1:44:59] avail
[1:45:00] of
[1:45:00] the
[1:45:00] zero
[1:45:01] balance
[1:45:01] billing
[1:45:02] remember
[1:45:03] ang
[1:45:03] zero
[1:45:04] balance
[1:45:04] billing
[1:45:05] sa
[1:45:05] charity
[1:45:06] yun
[1:45:06] kinatawag
[1:45:08] natin
[1:45:08] ng
[1:45:08] basic
[1:45:09] accommodation
[1:45:09] in
[1:45:10] layman's
[1:45:11] term
[1:45:11] sa
[1:45:12] charity
[1:45:12] yun
[1:45:13] pag
[1:45:13] sa
[1:45:13] charity
[1:45:14] ka
[1:45:14] sa
[1:45:14] government
[1:45:14] hospital
[1:45:15] DOH
[1:45:16] hospital
[1:45:16] libre
[1:45:17] yun
[1:45:18] pero
[1:45:18] once
[1:45:19] na
[1:45:19] since
[1:45:20] wala
[1:45:20] ka
[1:45:20] naman
[1:45:20] hindi
[1:45:21] ma-accommodate
[1:45:22] ng
[1:45:22] say
[1:45:22] government
[1:45:22] hospital
[1:45:23] they
[1:45:24] are
[1:45:24] forced
[1:45:24] to
[1:45:24] transport
[1:45:25] a
[1:45:25] private
[1:45:25] hospital
[1:45:26] as a
[1:45:27] private
[1:45:27] hospital
[1:45:28] 10%
[1:45:30] lang
[1:45:30] ang
[1:45:31] ward
[1:45:31] 10%
[1:45:33] 10%
[1:45:34] so
[1:45:34] papipilitan
[1:45:36] sila
[1:45:36] ngayon
[1:45:36] ng
[1:45:36] pupunta
[1:45:38] sa
[1:45:38] private
[1:45:38] room
[1:45:39] hindi
[1:45:40] cook
[1:45:40] over
[1:45:40] ng
[1:45:41] zero
[1:45:41] balance
[1:45:42] billing
[1:45:42] tama
[1:45:44] ba
[1:45:44] so
[1:45:45] yun
[1:45:45] ang
[1:45:45] isang
[1:45:46] reason
[1:45:46] bakit
[1:45:47] ang daming
[1:45:48] lumalapit
[1:45:49] din sa
[1:45:49] mga
[1:45:50] congressman
[1:45:50] governor
[1:45:51] na
[1:45:52] bom
[1:45:53] governor
[1:45:55] tulungan
[1:45:55] mo naman
[1:45:56] kami
[1:45:56] nandito
[1:45:57] kami
[1:45:57] sa
[1:45:57] ganitong
[1:45:58] hospital
[1:45:58] gan araw
[1:46:00] na
[1:46:00] kami
[1:46:00] di
[1:46:01] kami
[1:46:01] matatang
[1:46:01] ganito
[1:46:02] ganito
[1:46:04] so
[1:46:04] may
[1:46:05] ask
[1:46:06] you
[1:46:06] what
[1:46:08] are
[1:46:08] we
[1:46:09] doing
[1:46:09] to
[1:46:09] address
[1:46:10] this
[1:46:10] problem
[1:46:10] of
[1:46:11] the
[1:46:12] government
[1:46:12] hospitals
[1:46:13] not
[1:46:13] being
[1:46:14] able
[1:46:14] to
[1:46:14] accommodate
[1:46:15] patients
[1:46:17] who
[1:46:17] really
[1:46:18] need
[1:46:19] to be
[1:46:19] admitted
[1:46:19] but
[1:46:20] because
[1:46:21] of
[1:46:21] the
[1:46:22] inadequate
[1:46:24] bed
[1:46:25] or room
[1:46:26] and
[1:46:27] mapipilitan
[1:46:27] sila
[1:46:28] they have
[1:46:28] to go
[1:46:28] to a
[1:46:28] private
[1:46:29] hospital
[1:46:29] thank you
[1:46:30] Mr.
[1:46:31] Chair
[1:46:31] doon
[1:46:32] po
[1:46:32] natuhog
[1:46:33] po
[1:46:33] ni
[1:46:34] Dr.
[1:46:34] Gato
[1:46:35] yung
[1:46:36] problema
[1:46:36] kasi
[1:46:37] nga
[1:46:37] punoy
[1:46:37] yung
[1:46:37] mga
[1:46:37] kama
[1:46:38] ng DOH
[1:46:38] now
[1:46:40] two
[1:46:40] answers
[1:46:41] po
[1:46:41] the first
[1:46:42] answer
[1:46:42] is
[1:46:42] kaya
[1:46:43] yung
[1:46:43] zero
[1:46:43] balance
[1:46:43] billing
[1:46:44] to
[1:46:44] LGUs
[1:46:44] pinupush
[1:46:45] po
[1:46:45] namin
[1:46:45] kasi
[1:46:46] meron
[1:46:46] tayong
[1:46:47] 50
[1:46:47] something
[1:46:48] 57
[1:46:48] hospitals
[1:46:49] I think
[1:46:50] na mga
[1:46:51] level 2
[1:46:51] and level 3
[1:46:52] owned by
[1:46:53] provincial
[1:46:53] governments
[1:46:54] and also
[1:46:54] city
[1:46:55] governments
[1:46:55] na
[1:46:56] nagaantay
[1:46:56] lang po
[1:46:57] sila
[1:46:57] ng
[1:46:58] subsidiya
[1:46:58] para
[1:46:59] ma-execute
[1:46:59] nila
[1:46:59] yung
[1:46:59] ginagawa
[1:47:00] ng
[1:47:00] DOH
[1:47:01] so
[1:47:01] makaka-unlock
[1:47:02] yun
[1:47:02] ng
[1:47:03] mga
[1:47:03] kama
[1:47:03] pero
[1:47:03] kulang
[1:47:04] pa rin
[1:47:04] yun
[1:47:04] dito
[1:47:06] naman
[1:47:06] papasok
[1:47:06] yung
[1:47:06] isang
[1:47:07] slide
[1:47:07] na
[1:47:07] pinakita
[1:47:08] ni
[1:47:08] Dr.
[1:47:08] Mercado
[1:47:09] yung
[1:47:09] pinakita
[1:47:10] niya
[1:47:10] na
[1:47:10] ngayon
[1:47:11] ang
[1:47:11] medical
[1:47:12] city
[1:47:12] Asia
[1:47:16] na
[1:47:17] pag
[1:47:17] narinig
[1:47:18] natin
[1:47:18] parang
[1:47:18] grand
[1:47:18] piano
[1:47:19] yung
[1:47:19] naiisip
[1:47:19] natin
[1:47:20] pero
[1:47:20] pupasok
[1:47:21] na rin
[1:47:22] sila
[1:47:22] sa
[1:47:22] mga
[1:47:23] charity
[1:47:23] beds
[1:47:24] kasi
[1:47:24] mabilis
[1:47:24] yung
[1:47:25] bayad
[1:47:25] ng
[1:47:25] PhilHealth
[1:47:26] so
[1:47:27] parang
[1:47:27] malaking
[1:47:27] systemic
[1:47:29] maneuver
[1:47:30] na
[1:47:31] babaguhin
[1:47:32] natin
[1:47:33] yung
[1:47:33] dun sa
[1:47:34] zero
[1:47:34] balance
[1:47:34] billing
[1:47:34] para
[1:47:35] yung
[1:47:35] LG
[1:47:35] ma-activate
[1:47:36] at the
[1:47:36] same
[1:47:36] time
[1:47:36] para
[1:47:37] ma-convince
[1:47:37] yung
[1:47:37] private
[1:47:38] dapat
[1:47:38] sapat
[1:47:39] at
[1:47:40] mabilis
[1:47:40] yung
[1:47:40] bayad
[1:47:41] para
[1:47:42] yung
[1:47:42] hindi
[1:47:43] sila
[1:47:43] mag-iisip
[1:47:43] na
[1:47:44] naku
[1:47:44] logi
[1:47:45] kami
[1:47:45] dyan
[1:47:45] kasi
[1:47:45] pag
[1:47:45] nakita
[1:47:46] nilang
[1:47:46] kaya
[1:47:46] naman
[1:47:47] another
[1:47:47] thing
[1:47:47] third
[1:47:48] pala
[1:47:48] Mr.
[1:47:49] Chair
[1:47:49] kapag
[1:47:50] tama
[1:47:50] po
[1:47:50] yung
[1:47:50] costing
[1:47:51] ng
[1:47:51] PhilHealth
[1:47:52] kusang
[1:47:53] magbubukas
[1:47:54] yung
[1:47:54] private
[1:47:54] ang
[1:47:55] best
[1:47:55] example
[1:47:56] from a
[1:47:56] public health
[1:47:57] perspective
[1:47:57] di siya
[1:48:04] natuhog
[1:48:05] ng PhilHealth
[1:48:05] yung
[1:48:05] tamang
[1:48:06] rate
[1:48:06] na
[1:48:07] kahit
[1:48:07] private
[1:48:08] siya
[1:48:09] wala
[1:48:09] silang
[1:48:09] sinisingil
[1:48:10] dahil
[1:48:10] sapat
[1:48:11] na
[1:48:11] baka
[1:48:11] sobra
[1:48:11] pa
[1:48:12] nga
[1:48:12] po
[1:48:12] yung
[1:48:12] 6,350
[1:48:13] So
[1:48:14] and
[1:48:14] another
[1:48:14] one
[1:48:15] is
[1:48:15] yung
[1:48:15] acute
[1:48:16] myocardial
[1:48:16] infarction
[1:48:17] na
[1:48:17] 500,000
[1:48:18] yung
[1:48:18] package
[1:48:19] ng
[1:48:19] PhilHealth
[1:48:19] yung
[1:48:20] classic
[1:48:21] story
[1:48:21] ng
[1:48:21] jeepney
[1:48:22] driver
[1:48:22] sa
[1:48:23] Pampanga
[1:48:24] na
[1:48:24] ginamot
[1:48:24] ng
[1:48:25] medical
[1:48:25] city
[1:48:25] no
[1:48:26] balance
[1:48:27] billing
[1:48:27] kasi
[1:48:27] sapat
[1:48:28] na
[1:48:28] sa
[1:48:28] kanila
[1:48:28] and
[1:48:29] then
[1:48:34] laboratory
[1:48:35] pag tama
[1:48:36] po yung
[1:48:37] costing
[1:48:37] ng
[1:48:37] PhilHealth
[1:48:38] papasok
[1:48:39] yung
[1:48:39] private
[1:48:39] po
[1:48:40] Thank you
[1:48:43] Mr. Chair
[1:48:44] Okay
[1:48:46] Honorable
[1:48:47] V. Laws of
[1:48:48] President
[1:48:48] Gusto ko lang
[1:48:49] sundan
[1:48:49] yung
[1:48:50] question mo
[1:48:51] ganina
[1:48:51] may we
[1:48:52] ask
[1:48:52] DOH
[1:48:53] na lang
[1:48:54] to submit
[1:48:54] data
[1:48:55] on the
[1:48:56] authorized
[1:48:58] versus
[1:48:58] operational
[1:49:00] beds
[1:49:01] para
[1:49:02] matingla
[1:49:03] natin
[1:49:03] ano talaga
[1:49:04] yung
[1:49:04] reality
[1:49:05] and also
[1:49:06] Mr. Chair
[1:49:07] given
[1:49:07] the
[1:49:10] continuing
[1:49:11] issues
[1:49:11] surrounding
[1:49:12] the
[1:49:13] implementation
[1:49:13] of the
[1:49:14] UHC
[1:49:15] they asked
[1:49:18] when do you
[1:49:18] intend
[1:49:19] to convene
[1:49:20] that
[1:49:20] UHC
[1:49:22] coordinating
[1:49:22] council
[1:49:23] and
[1:49:24] who
[1:49:24] composes
[1:49:25] that
[1:49:26] council
[1:49:27] since
[1:49:28] diba parang
[1:49:29] seven years
[1:49:30] now
[1:49:30] when we
[1:49:31] enacted
[1:49:32] the
[1:49:32] UHC
[1:49:33] law
[1:49:34] so
[1:49:35] kailan
[1:49:35] natin
[1:49:36] umisahan
[1:49:36] yung
[1:49:36] council
[1:49:37] para
[1:49:37] makatutok
[1:49:38] talaga
[1:49:39] doon
[1:49:39] sa
[1:49:39] madaming
[1:49:40] problema
[1:49:41] ating
[1:49:41] implementation
[1:49:42] esensya
[1:49:44] na po
[1:49:44] sa
[1:49:44] boses
[1:49:44] thank you
[1:49:47] Mr.
[1:49:47] Chair
[1:49:48] thank you
[1:49:49] Mr.
[1:49:49] Chair
[1:49:49] at salamat
[1:49:50] rin
[1:49:50] kay
[1:49:50] Honorable
[1:49:51] Veloso
[1:49:51] always a
[1:49:52] member
[1:49:52] of the
[1:49:53] UH
[1:49:53] family
[1:49:54] as we
[1:49:54] always
[1:49:54] say
[1:49:55] yun
[1:49:56] pong
[1:49:56] we
[1:49:56] will
[1:49:56] submit
[1:49:56] po
[1:49:57] the
[1:49:57] data
[1:49:57] dun
[1:49:58] sa
[1:49:58] actual
[1:49:59] versus
[1:50:00] sorry
[1:50:00] authorized
[1:50:01] versus
[1:50:01] actual
[1:50:02] bed
[1:50:02] capacities
[1:50:03] malaking
[1:50:03] tulong
[1:50:04] po
[1:50:04] yun
[1:50:04] para
[1:50:04] makita
[1:50:05] natin
[1:50:05] bakit
[1:50:05] hindi
[1:50:05] nabibigay
[1:50:06] yung
[1:50:06] fully
[1:50:06] authorized
[1:50:07] and
[1:50:08] then
[1:50:08] dun
[1:50:08] po
[1:50:08] sa
[1:50:08] coordinating
[1:50:09] council
[1:50:10] Mr.
[1:50:11] Chair
[1:50:11] ma'am
[1:50:12] actually
[1:50:12] hindi
[1:50:13] mo
[1:50:13] siya
[1:50:13] makonvene
[1:50:13] kasi
[1:50:14] awaiting
[1:50:14] mandate
[1:50:14] po kami
[1:50:15] it is
[1:50:15] not
[1:50:16] in the
[1:50:16] UHC
[1:50:17] act
[1:50:17] na
[1:50:17] magkaroon
[1:50:17] ng
[1:50:18] coordinating
[1:50:18] council
[1:50:19] so
[1:50:19] isa po
[1:50:20] yun
[1:50:20] sa
[1:50:20] mga
[1:50:20] key
[1:50:21] amendments
[1:50:22] na
[1:50:22] pinupush
[1:50:23] namin
[1:50:23] sana
[1:50:23] sa
[1:50:24] UHC
[1:50:24] amendments
[1:50:25] Mr.
[1:50:28] Chair
[1:50:28] Honorable
[1:50:33] Hatim
[1:50:34] Good morning
[1:50:35] Mr.
[1:50:35] Chair
[1:50:35] Good morning
[1:50:36] to
[1:50:36] everyone
[1:50:37] Tatanong
[1:50:38] ko
[1:50:38] lang
[1:50:38] po
[1:50:38] sa
[1:50:38] DOH
[1:50:39] kung
[1:50:40] kumusta
[1:50:41] na yung
[1:50:42] policy
[1:50:42] about
[1:50:43] one
[1:50:43] DOH
[1:50:44] retained
[1:50:45] hospital
[1:50:45] per
[1:50:46] province
[1:50:46] and
[1:50:49] do
[1:50:49] we
[1:50:49] need
[1:50:49] a
[1:50:49] legislation
[1:50:50] for
[1:50:50] this
[1:50:51] That's
[1:50:54] an
[1:50:54] excellent
[1:50:54] question
[1:50:55] Mr.
[1:50:55] Chair
[1:50:55] Dr.
[1:50:56] Hasim
[1:50:57] Sa
[1:50:58] ngayon
[1:50:58] po
[1:50:58] the
[1:50:58] execution
[1:50:59] is
[1:50:59] discretionary
[1:51:00] it is
[1:51:01] the
[1:51:01] policy
[1:51:01] of the
[1:51:01] current
[1:51:02] secretary
[1:51:02] which is
[1:51:03] why
[1:51:04] kapag
[1:51:04] meron
[1:51:04] mga
[1:51:07] position
[1:51:07] paper
[1:51:08] for
[1:51:08] renationalization
[1:51:09] mabilis
[1:51:10] po
[1:51:10] mire
[1:51:10] mase
[1:51:10] sected
[1:51:11] makikita
[1:51:12] nyo
[1:51:12] po
[1:51:12] naman
[1:51:12] yan
[1:51:12] sa
[1:51:13] lahat
[1:51:13] po
[1:51:13] ng
[1:51:13] mga
[1:51:13] chief
[1:51:13] of
[1:51:14] staff
[1:51:14] we
[1:51:14] are
[1:51:14] not
[1:51:15] applying
[1:51:15] discretion
[1:51:15] meron
[1:51:16] kaming
[1:51:16] algorithm
[1:51:16] na
[1:51:17] pag
[1:51:17] nakita
[1:51:18] namin
[1:51:18] na
[1:51:18] walang
[1:51:19] DOH
[1:51:19] hospital
[1:51:20] in
[1:51:20] your
[1:51:20] province
[1:51:20] matik
[1:51:21] po
[1:51:21] pumipirma
[1:51:21] si
[1:51:22] sected
[1:51:22] so
[1:51:23] that
[1:51:23] is
[1:51:23] to the
[1:51:24] question
[1:51:25] of
[1:51:25] Dr.
[1:51:25] Hasim
[1:51:25] Honorable
[1:51:26] Dr.
[1:51:26] Hasim
[1:51:27] kung
[1:51:28] kailangan
[1:51:28] po
[1:51:28] itong
[1:51:29] i-legislate
[1:51:29] makakatulong
[1:51:30] po
[1:51:30] kasi
[1:51:30] magkakaroon
[1:51:31] ng push
[1:51:32] na
[1:51:32] para bang
[1:51:32] automatic
[1:51:33] na
[1:51:33] mag-identify
[1:51:35] kami
[1:51:35] na hindi
[1:51:36] na kailangan
[1:51:36] iano
[1:51:37] parang
[1:51:38] meron
[1:51:38] it's
[1:51:39] related
[1:51:39] to the
[1:51:40] comment
[1:51:40] of
[1:51:41] Honorable
[1:51:41] Waminal
[1:51:41] kanina
[1:51:42] na
[1:51:42] antagal-tagal
[1:51:43] bago
[1:51:43] mapanganak
[1:51:44] so to speak
[1:51:45] ang isang
[1:51:45] DOH
[1:51:46] or
[1:51:46] government
[1:51:47] hospital
[1:51:47] meron
[1:51:49] yung
[1:51:49] bill
[1:51:49] na
[1:51:50] pinopost
[1:51:51] na
[1:51:51] at
[1:51:51] the
[1:51:51] DOH
[1:51:52] level
[1:51:52] na
[1:51:52] lang
[1:51:52] hindi
[1:51:52] na
[1:51:53] kailangan
[1:51:53] dumaan
[1:51:53] sa
[1:51:54] legislation
[1:51:54] so
[1:51:55] I'm
[1:51:55] seeing
[1:51:55] similarities
[1:51:56] dun po
[1:51:57] sa
[1:51:57] tatlong
[1:51:57] proposal
[1:51:57] so
[1:51:58] we
[1:51:58] would
[1:51:58] support
[1:51:58] that
[1:51:59] Mr.
[1:51:59] Chair
[1:51:59] Honorable
[1:52:00] Thank you
[1:52:29] Mr.
[1:52:30] Chair
[1:52:30] dun po
[1:52:31] sa tanong
[1:52:31] about
[1:52:32] PCF
[1:52:33] certification
[1:52:34] or
[1:52:34] licensure
[1:52:35] actually
[1:52:35] in extent
[1:52:36] ba po
[1:52:37] ni
[1:52:37] Secretary
[1:52:37] Erbosa
[1:52:38] yung
[1:52:38] moratorium
[1:52:39] paliwanag
[1:52:40] ko po
[1:52:40] ang
[1:52:41] yakap
[1:52:42] formerly
[1:52:42] known
[1:52:42] as
[1:52:43] consulta
[1:52:43] hindi
[1:52:43] siya
[1:52:43] nagre-require
[1:52:44] ng
[1:52:44] PCF
[1:52:45] license
[1:52:45] bago
[1:52:46] maging
[1:52:46] yakap
[1:52:47] center
[1:52:47] siya
[1:52:48] and
[1:52:48] I may
[1:52:49] be
[1:52:49] from
[1:52:50] DOH
[1:52:50] Secretary
[1:52:50] Ted
[1:52:51] may
[1:52:51] also
[1:52:51] be
[1:52:51] from
[1:52:51] DOH
[1:52:52] pero
[1:52:52] nung
[1:52:52] nakita
[1:52:52] namin
[1:52:53] yun
[1:52:53] kami
[1:52:53] mismo
[1:52:53] nagrestrain
[1:52:54] sa
[1:52:54] sarili
[1:52:55] naming
[1:52:55] unit
[1:52:55] from
[1:52:56] fully
[1:52:56] implementing
[1:52:57] licensure
[1:52:58] requirement
[1:52:58] kasi
[1:52:59] iba po
[1:53:00] yung
[1:53:00] perspective
[1:53:00] ng
[1:53:05] sobrang
[1:53:05] higpit
[1:53:05] na
[1:53:06] dapat
[1:53:06] meron
[1:53:06] kong
[1:53:06] ganito
[1:53:07] dapat
[1:53:07] yung
[1:53:07] sukat
[1:53:07] etc
[1:53:08] etc
[1:53:08] so
[1:53:09] pag
[1:53:10] ganun
[1:53:10] it is
[1:53:11] meant
[1:53:11] for
[1:53:11] safety
[1:53:12] but
[1:53:12] sabi nga
[1:53:13] namin
[1:53:13] as
[1:53:13] practicing
[1:53:14] physicians
[1:53:15] rin
[1:53:15] the
[1:53:15] risk
[1:53:16] sa
[1:53:16] safety
[1:53:17] is
[1:53:17] lower
[1:53:17] pagdating
[1:53:18] sa
[1:53:18] primary
[1:53:18] care
[1:53:19] compared
[1:53:19] sa
[1:53:19] malaking
[1:53:20] hospital
[1:53:20] malaking
[1:53:21] hospital
[1:53:21] no
[1:53:22] question
[1:53:22] about
[1:53:22] it
[1:53:23] mahigpit
[1:53:23] kima
[1:53:23] sa
[1:53:23] lisensya
[1:53:24] pero
[1:53:24] pag
[1:53:24] primary
[1:53:25] care
[1:53:25] maraming
[1:53:26] nga
[1:53:26] sa
[1:53:26] ating
[1:53:26] mga
[1:53:26] nagsimula
[1:53:27] general
[1:53:27] practitioners
[1:53:28] wala
[1:53:35] yun po yung
[1:53:35] nakikita
[1:53:36] namin
[1:53:36] na
[1:53:36] direction
[1:53:36] kaya
[1:53:37] bagamat
[1:53:38] merong
[1:53:38] nakalagay
[1:53:39] sa
[1:53:39] batas
[1:53:39] na
[1:53:40] PCF
[1:53:40] requirement
[1:53:41] we
[1:53:41] will
[1:53:41] comply
[1:53:42] because
[1:53:42] it
[1:53:42] is
[1:53:42] in
[1:53:42] the
[1:53:42] law
[1:53:43] pero
[1:53:43] para
[1:53:44] invoking
[1:53:45] implementation
[1:53:46] difficulties
[1:53:47] and the
[1:53:47] reality
[1:53:47] na
[1:53:48] kapag
[1:53:48] pinuli
[1:53:49] comply
[1:53:49] natin
[1:53:49] yun
[1:53:50] baka
[1:53:50] makitil
[1:53:51] yung
[1:53:52] access
[1:53:52] sa
[1:53:52] primary
[1:53:52] care
[1:53:53] so
[1:53:53] short
[1:53:53] answer
[1:53:54] honorable
[1:53:54] Haseem
[1:53:55] Mr.
[1:53:56] Chair
[1:53:56] we
[1:53:57] will
[1:53:57] not
[1:53:57] yet
[1:53:57] fully
[1:53:58] require
[1:53:59] pero
[1:53:59] kung
[1:53:59] kaya
[1:53:59] po
[1:54:00] inolicense
[1:54:01] natin
[1:54:01] How many
[1:54:06] provinces
[1:54:07] do not
[1:54:08] have
[1:54:09] a DOH
[1:54:10] hospital?
[1:54:17] As of
[1:54:18] latest
[1:54:18] data
[1:54:19] count
[1:54:19] 36
[1:54:21] provinces
[1:54:21] ang wala
[1:54:22] pa
[1:54:22] na
[1:54:23] DOH
[1:54:23] hospital
[1:54:24] Thank you
[1:54:28] Honorable
[1:54:32] Montez
[1:54:32] I'd like
[1:54:35] to pursue
[1:54:36] the issue
[1:54:36] of service
[1:54:37] delivery
[1:54:38] a little
[1:54:38] bit
[1:54:38] further
[1:54:39] yung
[1:54:40] mga
[1:54:40] pinag-uusapan
[1:54:41] po natin
[1:54:42] tungkol
[1:54:43] po sa
[1:54:43] service
[1:54:43] delivery
[1:54:44] so
[1:54:45] alam
[1:54:45] po
[1:54:45] natin
[1:54:46] yung
[1:54:46] challenges
[1:54:46] na
[1:54:47] bangit
[1:54:47] na
[1:54:47] po
[1:54:48] yung
[1:54:48] mga
[1:54:48] challenges
[1:54:49] na
[1:54:49] meron
[1:54:49] tayo
[1:54:50] One
[1:54:51] of the
[1:54:52] reasons
[1:54:52] why
[1:54:52] the
[1:54:53] UHC
[1:54:54] has
[1:54:55] mandated
[1:54:56] the
[1:54:57] creation
[1:54:58] of
[1:54:59] hospital
[1:54:59] provider
[1:55:00] network
[1:55:01] is to
[1:55:02] ensure
[1:55:02] that
[1:55:03] yung
[1:55:03] fragmented
[1:55:03] health
[1:55:04] services
[1:55:04] natin
[1:55:05] may
[1:55:05] integrate
[1:55:06] may
[1:55:06] requirement
[1:55:07] na
[1:55:08] integrate
[1:55:08] we
[1:55:10] know
[1:55:11] that
[1:55:12] kulang
[1:55:13] ang
[1:55:13] pondo
[1:55:14] galing
[1:55:14] sa
[1:55:15] mga
[1:55:15] local
[1:55:16] governments
[1:55:16] kaya
[1:55:17] gusto
[1:55:17] natin
[1:55:17] silang
[1:55:18] maging
[1:55:18] isang
[1:55:19] integrated
[1:55:19] network
[1:55:20] halimbawa
[1:55:21] po
[1:55:21] merong
[1:55:22] isang
[1:55:22] level
[1:55:22] 3
[1:55:23] na
[1:55:23] hospital
[1:55:23] sa
[1:55:24] isang
[1:55:24] city
[1:55:25] merong
[1:55:26] level
[1:55:26] 2
[1:55:27] sa
[1:55:27] kabilang
[1:55:27] munisipyo
[1:55:28] tama
[1:55:28] po
[1:55:29] merong
[1:55:30] mga
[1:55:30] barangay
[1:55:31] health
[1:55:32] stations
[1:55:32] or RH
[1:55:33] sa
[1:55:33] iba
[1:55:33] gusto
[1:55:34] natin
[1:55:34] siyang
[1:55:35] i-integrate
[1:55:35] para
[1:55:36] pagsipa
[1:55:38] natin
[1:55:38] ang
[1:55:39] pasyente
[1:55:39] pataas
[1:55:40] pag
[1:55:40] hindi
[1:55:41] kaya
[1:55:41] dito
[1:55:42] within
[1:55:42] the
[1:55:43] public
[1:55:43] system
[1:55:44] kaya
[1:55:44] i-address
[1:55:45] yung
[1:55:46] needs
[1:55:47] ng
[1:55:47] pasyente
[1:55:48] gusto
[1:55:49] ko
[1:55:50] lamang
[1:55:50] I saw
[1:55:50] the
[1:55:51] numbers
[1:55:51] a while
[1:55:52] ago
[1:55:52] but
[1:55:52] I'd
[1:55:52] like
[1:55:53] to
[1:55:53] break
[1:55:53] it
[1:55:53] down
[1:55:54] a little
[1:55:54] bit
[1:55:54] further
[1:55:55] exactly
[1:55:56] of
[1:55:56] all
[1:55:56] the
[1:55:57] provinces
[1:55:57] that
[1:55:57] we
[1:55:58] have
[1:55:58] how
[1:55:58] many
[1:55:58] provinces
[1:55:59] have
[1:55:59] already
[1:56:00] integrated
[1:56:01] healthcare
[1:56:03] provider
[1:56:04] network
[1:56:05] Thank you
[1:56:10] Mr.
[1:56:10] Chair
[1:56:10] yung
[1:56:11] binilong
[1:56:12] po
[1:56:12] sa akin
[1:56:12] na
[1:56:12] count
[1:56:12] is
[1:56:13] combined
[1:56:13] provinces
[1:56:14] and
[1:56:14] also
[1:56:15] ating
[1:56:16] cities
[1:56:18] so
[1:56:18] ang
[1:56:19] target
[1:56:19] po
[1:56:19] natin
[1:56:20] is
[1:56:20] 120
[1:56:21] to become
[1:56:21] integration
[1:56:22] sites
[1:56:22] 113
[1:56:24] po
[1:56:25] yung
[1:56:25] nandito
[1:56:26] pero
[1:56:26] again
[1:56:26] as is
[1:56:27] my
[1:56:27] character
[1:56:27] ayoko
[1:56:28] masyadong
[1:56:29] rosy
[1:56:30] unahan
[1:56:30] ko
[1:56:31] na
[1:56:31] po
[1:56:31] kayo
[1:56:31] Honorable
[1:56:31] Mondes
[1:56:32] and
[1:56:32] Mr.
[1:56:33] Chair
[1:56:33] on
[1:56:34] paper
[1:56:34] integration
[1:56:35] site
[1:56:35] yan
[1:56:36] pero
[1:56:36] kung
[1:56:36] ang
[1:56:36] tanong
[1:56:36] po
[1:56:36] is
[1:56:37] functional
[1:56:37] na
[1:56:38] HCPN
[1:56:38] the
[1:56:39] number
[1:56:39] is
[1:56:40] much
[1:56:40] lower
[1:56:40] and
[1:56:41] this
[1:56:41] is
[1:56:41] the
[1:56:41] driving
[1:56:42] force
[1:56:42] kung
[1:56:42] bakit
[1:56:43] pinupush
[1:56:43] ng
[1:56:43] DOH
[1:56:44] yung
[1:56:44] zero
[1:56:44] balance
[1:56:45] billing
[1:56:45] or
[1:56:46] LGUs
[1:56:46] napansin
[1:56:47] ho
[1:56:47] namin
[1:56:47] kahit
[1:56:49] magkaroon
[1:56:49] tayo
[1:56:49] ng
[1:56:49] memorandum
[1:56:50] of
[1:56:50] understanding
[1:56:51] memorandum
[1:56:52] of
[1:56:52] agreement
[1:56:52] tatlo
[1:56:53] kasi
[1:56:54] yung
[1:56:54] elements
[1:56:54] ng
[1:56:54] isang
[1:56:55] kontrata
[1:56:55] consent
[1:56:56] object
[1:56:57] and
[1:56:57] consideration
[1:56:58] in other
[1:56:58] words
[1:56:59] funding
[1:56:59] kapag
[1:57:00] walang
[1:57:00] funding
[1:57:00] na
[1:57:01] pinag-uusapan
[1:57:02] hindi
[1:57:02] rin
[1:57:02] nagkakatotoo
[1:57:03] yung
[1:57:03] mga
[1:57:03] commitments
[1:57:04] hindi
[1:57:04] siniseryoso
[1:57:05] dun po
[1:57:06] sa ating
[1:57:06] panukala
[1:57:07] na
[1:57:07] zero
[1:57:08] balance
[1:57:08] billing
[1:57:08] for
[1:57:09] LGUs
[1:57:10] si DOH
[1:57:11] na
[1:57:11] with the
[1:57:11] blessing
[1:57:12] of
[1:57:12] Congress
[1:57:12] the
[1:57:12] executive
[1:57:13] with the
[1:57:13] blessing
[1:57:13] of
[1:57:14] the
[1:57:14] legislative
[1:57:14] yung
[1:57:15] magbababa
[1:57:15] ng
[1:57:16] subsidy
[1:57:16] pero
[1:57:17] contractual
[1:57:17] siya
[1:57:18] bago
[1:57:19] ma-download
[1:57:20] yung
[1:57:20] subsidy
[1:57:21] na yun
[1:57:21] mag-agree
[1:57:22] yung
[1:57:22] province-wide
[1:57:23] or yung
[1:57:24] city-wide
[1:57:24] health
[1:57:24] system
[1:57:25] na
[1:57:25] ah
[1:57:26] bubuoyin
[1:57:26] natin
[1:57:26] yung
[1:57:27] referral
[1:57:27] network
[1:57:27] makikipag-usap
[1:57:29] ako sa
[1:57:29] DOH
[1:57:29] hospital
[1:57:30] para siya
[1:57:30] yung
[1:57:30] pinaka
[1:57:31] apex
[1:57:32] tapos
[1:57:32] kakabit
[1:57:33] si L3
[1:57:34] or L2
[1:57:34] hospital
[1:57:35] tapos
[1:57:35] ilalagay rin
[1:57:36] po namin
[1:57:37] sa
[1:57:37] kontrata
[1:57:37] I have
[1:57:38] actually
[1:57:38] seen
[1:57:38] the draft
[1:57:39] ng
[1:57:39] marando
[1:57:39] of
[1:57:39] agreement
[1:57:40] merong
[1:57:40] requirement
[1:57:41] na
[1:57:41] dapat
[1:57:41] 70%
[1:57:43] ng
[1:57:43] primary
[1:57:43] care
[1:57:44] facilities
[1:57:44] in the
[1:57:45] broad
[1:57:45] term
[1:57:46] not
[1:57:46] not
[1:57:46] licensed
[1:57:47] primary
[1:57:47] care
[1:57:47] facilities
[1:57:48] dapat
[1:57:52] nung
[1:57:52] population
[1:57:53] ay
[1:57:54] my
[1:57:54] first
[1:57:55] patient
[1:57:55] encounter
[1:57:56] kaya po
[1:57:57] ganun yung
[1:57:57] pagkasulat
[1:57:58] binuuna
[1:57:59] ito na po
[1:57:59] yung
[1:57:59] essence
[1:58:00] nung
[1:58:00] isang
[1:58:00] health
[1:58:01] care
[1:58:01] provider
[1:58:01] network
[1:58:02] it will
[1:58:03] be
[1:58:03] the
[1:58:03] subsidy
[1:58:04] for
[1:58:04] zero
[1:58:05] balance
[1:58:05] kasi
[1:58:05] nakita
[1:58:05] po
[1:58:06] ang
[1:58:06] dami
[1:58:07] namin
[1:58:07] nakuha
[1:58:07] request
[1:58:07] it's
[1:58:08] very
[1:58:08] successful
[1:58:09] it's
[1:58:09] happening
[1:58:09] at
[1:58:10] DOH
[1:58:10] but
[1:58:10] how
[1:58:10] do
[1:58:10] we
[1:58:11] make
[1:58:11] it
[1:58:11] happen
[1:58:11] so
[1:58:12] sabi
[1:58:12] namin
[1:58:12] for
[1:58:13] it
[1:58:13] to
[1:58:13] happen
[1:58:13] dapat
[1:58:14] hindi
[1:58:14] yung
[1:58:15] subsidy
[1:58:15] lang
[1:58:15] sa
[1:58:16] tertiary
[1:58:16] pero
[1:58:17] buhayin
[1:58:17] natin
[1:58:17] pati
[1:58:18] yung
[1:58:18] primary
[1:58:19] kaya
[1:58:19] magiging
[1:58:19] contractual
[1:58:20] arrangement
[1:58:21] po siya
[1:58:21] between
[1:58:22] the
[1:58:22] DOH
[1:58:22] hospital
[1:58:23] and
[1:58:24] the
[1:58:24] level
[1:58:24] 2
[1:58:25] and
[1:58:25] level
[1:58:25] 3
[1:58:25] hospital
[1:58:26] of
[1:58:26] the
[1:58:26] LGE
[1:58:27] gusto
[1:58:29] ko
[1:58:29] lamang
[1:58:29] po
[1:58:29] kasing
[1:58:30] malaman
[1:58:30] din
[1:58:30] yung
[1:58:30] mga
[1:58:31] challenges
[1:58:32] that
[1:58:32] we
[1:58:32] encounter
[1:58:33] when
[1:58:34] we
[1:58:34] tried
[1:58:34] to
[1:58:34] establish
[1:58:35] integrated
[1:58:35] hospital
[1:58:36] provider
[1:58:37] networks
[1:58:37] alam
[1:58:37] ko
[1:58:37] po
[1:58:38] party
[1:58:38] dyan
[1:58:39] yung
[1:58:39] special
[1:58:39] health
[1:58:40] fund
[1:58:40] dahil
[1:58:40] ayaw
[1:58:41] nilang
[1:58:41] tumali
[1:58:42] kasi
[1:58:42] so
[1:58:42] ang
[1:58:43] gusto
[1:58:47] encourage
[1:58:48] kahit
[1:58:48] hindi
[1:58:48] magkakapartido
[1:58:52] ang ating
[1:58:53] mga
[1:58:53] LGE
[1:58:53] we have
[1:58:54] to be
[1:58:54] honest
[1:58:55] about it
[1:58:55] one of
[1:58:56] the
[1:58:56] considerations
[1:58:56] kung bakit
[1:58:57] hindi
[1:58:58] yan
[1:58:58] nangyayari
[1:58:59] ay may
[1:58:59] mga
[1:58:59] ganong
[1:59:00] klase
[1:59:00] pong
[1:59:00] kulay
[1:59:01] politika
[1:59:01] and
[1:59:02] we
[1:59:02] admit
[1:59:02] that
[1:59:03] kaya
[1:59:03] sa
[1:59:04] level
[1:59:04] po
[1:59:05] ng
[1:59:05] DOH
[1:59:05] how
[1:59:06] do
[1:59:06] we
[1:59:06] go
[1:59:06] about
[1:59:06] it
[1:59:07] kasi
[1:59:07] meron
[1:59:07] naman
[1:59:08] po
[1:59:08] tayong
[1:59:08] pwedeng
[1:59:08] gamitin
[1:59:09] na
[1:59:09] incentives
[1:59:10] for
[1:59:10] hindi
[1:59:12] nyo
[1:59:12] diba
[1:59:12] kung
[1:59:13] nai
[1:59:13] incentivize
[1:59:14] natin
[1:59:15] yung
[1:59:15] mga
[1:59:15] facilities
[1:59:15] o
[1:59:16] mga
[1:59:16] LGUs
[1:59:16] to
[1:59:17] actively
[1:59:17] participate
[1:59:18] in the
[1:59:19] network
[1:59:19] or to
[1:59:20] prioritize
[1:59:21] healthcare
[1:59:21] alam din
[1:59:22] po
[1:59:22] natin
[1:59:22] may
[1:59:23] mga
[1:59:23] ibang
[1:59:23] LGUs
[1:59:24] kasi
[1:59:24] na
[1:59:24] hindi
[1:59:25] din
[1:59:25] po
[1:59:25] talaga
[1:59:25] priority
[1:59:26] ang
[1:59:26] healthcare
[1:59:27] and
[1:59:27] I
[1:59:28] would
[1:59:28] just
[1:59:28] like
[1:59:28] to
[1:59:28] add
[1:59:29] that
[1:59:29] ibibida
[1:59:30] ko
[1:59:30] lang
[1:59:30] po
[1:59:30] ng
[1:59:33] konti
[1:59:33] sa
[1:59:34] Quezon
[1:59:34] na
[1:59:35] bumaba
[1:59:35] po
[1:59:36] ang
[1:59:36] poverty
[1:59:37] incidence
[1:59:38] ng
[1:59:39] Quezon
[1:59:39] because
[1:59:40] of
[1:59:40] the
[1:59:40] aggressive
[1:59:41] health
[1:59:42] care
[1:59:43] and
[1:59:44] health
[1:59:44] services
[1:59:45] na
[1:59:45] ginagawa
[1:59:46] po
[1:59:46] doon
[1:59:47] and
[1:59:47] exactly
[1:59:48] yan
[1:59:48] po
[1:59:48] ito
[1:59:49] namang
[1:59:49] UHC
[1:59:50] isa
[1:59:50] sa mga
[1:59:51] objectives
[1:59:52] datin
[1:59:52] dyan
[1:59:53] as a
[1:59:53] poverty
[1:59:54] reduction
[1:59:54] tool
[1:59:55] para
[1:59:56] hindi
[1:59:56] napupush
[1:59:57] to
[1:59:57] poverty
[1:59:58] ang
[1:59:58] mga
[1:59:58] tao
[1:59:58] pag
[1:59:59] may
[1:59:59] mga
[1:59:59] catastrophic
[2:00:00] illnesses
[2:00:01] kaya
[2:00:01] mahalaga
[2:00:02] po
[2:00:02] yung
[2:00:02] service
[2:00:03] delivery
[2:00:04] na
[2:00:04] pinaka
[2:00:06] importante
[2:00:06] po
[2:00:07] ito
[2:00:07] pero
[2:00:07] alam
[2:00:07] din
[2:00:08] nga
[2:00:08] po
[2:00:08] natin
[2:00:08] yung
[2:00:08] mga
[2:00:09] problema
[2:00:09] sa
[2:00:09] service
[2:00:10] delivery
[2:00:10] so
[2:00:11] gusto
[2:00:11] ko
[2:00:11] sanang
[2:00:12] malaman
[2:00:12] matulungan
[2:00:13] nyo
[2:00:13] ang
[2:00:14] committee
[2:00:15] paano
[2:00:15] natin
[2:00:16] ma-enhance
[2:00:17] yung
[2:00:17] integration
[2:00:18] ng
[2:00:19] mga
[2:00:19] provincial
[2:00:21] and
[2:00:21] citywide
[2:00:22] para po
[2:00:23] within
[2:00:23] specific
[2:00:24] locality
[2:00:25] meron
[2:00:26] isang
[2:00:27] reliable
[2:00:28] network
[2:00:29] ng
[2:00:30] hospitals
[2:00:31] di na nila
[2:00:32] kailangan
[2:00:32] pumunta
[2:00:33] sa
[2:00:33] Maynila
[2:00:33] o sa
[2:00:34] ibang
[2:00:34] probinsya
[2:00:35] pangalawa
[2:00:35] pong
[2:00:36] bagay
[2:00:36] in
[2:00:36] relation
[2:00:37] to
[2:00:37] service
[2:00:38] delivery
[2:00:38] mahalaga
[2:00:40] din po
[2:00:40] siyempre
[2:00:40] yung
[2:00:41] provision
[2:00:41] sabi
[2:00:42] nyo
[2:00:42] nga
[2:00:42] po
[2:00:42] ng
[2:00:42] equipment
[2:00:43] and
[2:00:43] priority
[2:00:44] ng
[2:00:44] DOH
[2:00:44] na
[2:00:45] i-provide
[2:00:45] yung
[2:00:46] equipment
[2:00:46] dun
[2:00:46] sa
[2:00:46] mga
[2:00:47] existing
[2:00:47] hospitals
[2:00:48] na
[2:00:48] wala
[2:00:49] pa
[2:00:49] so
[2:00:49] that
[2:00:49] makapagbigay
[2:00:51] sila
[2:00:51] ng
[2:00:51] servisyo
[2:00:52] pangalawa
[2:00:53] po
[2:00:53] yung
[2:00:53] tanong
[2:00:54] po
[2:00:54] ni
[2:00:54] chair
[2:00:54] kanina
[2:00:55] ilan
[2:00:56] po
[2:00:56] ang
[2:00:57] probinsya
[2:00:57] na
[2:00:57] walang
[2:00:58] DOH
[2:00:58] hospitals
[2:00:59] kasi
[2:00:59] mahalaga
[2:00:59] po
[2:01:05] legislated
[2:01:06] hospitals
[2:01:07] na tayo
[2:01:07] in the past
[2:01:08] kung hindi po ako
[2:01:08] nagkakamali
[2:01:09] in the last
[2:01:09] budgeteering
[2:01:10] I asked
[2:01:11] the DOH
[2:01:11] of the
[2:01:12] number
[2:01:12] kasi
[2:01:13] apparently
[2:01:13] during
[2:01:14] the
[2:01:14] 2020
[2:01:15] this year
[2:01:16] 2026
[2:01:17] budget
[2:01:18] parang wala
[2:01:18] po yatang
[2:01:19] na ibigay
[2:01:19] na
[2:01:20] proposal
[2:01:20] for that
[2:01:21] and I
[2:01:21] am
[2:01:22] concerned
[2:01:22] kasi
[2:01:23] kung gusto
[2:01:23] po
[2:01:23] natin
[2:01:24] din
[2:01:24] na
[2:01:24] ma-expand
[2:01:25] ang
[2:01:25] no-balance
[2:01:26] billing
[2:01:26] we have
[2:01:26] to
[2:01:27] put up
[2:01:27] DOH
[2:01:28] hospitals
[2:01:29] in
[2:01:29] areas
[2:01:29] na wala
[2:01:30] pang
[2:01:30] DOH
[2:01:31] hospital
[2:01:31] to
[2:01:32] cater
[2:01:32] to
[2:01:33] doon
[2:01:33] sa mga
[2:01:33] constituents
[2:01:34] natin
[2:01:34] doon
[2:01:35] so
[2:01:35] mahalaga
[2:01:36] din po
[2:01:36] sa pag
[2:01:37] improve
[2:01:37] ng ating
[2:01:38] service
[2:01:38] delivery
[2:01:39] magtuon
[2:01:39] din po
[2:01:40] tayo
[2:01:40] ng
[2:01:40] atensyon
[2:01:41] doon
[2:01:42] sa
[2:01:42] pagpapatapos
[2:01:44] doong
[2:01:44] mga
[2:01:44] legislated
[2:01:45] hospitals
[2:01:46] ng DOH
[2:01:47] in
[2:01:47] provinces
[2:01:48] na wala
[2:01:49] pa pong
[2:01:49] DOH
[2:01:50] hospital
[2:01:50] so
[2:01:52] pangatlo
[2:01:55] po
[2:01:55] mahalaga
[2:01:56] din po
[2:01:56] sa service
[2:01:57] delivery
[2:01:57] na
[2:01:58] mabantayan
[2:02:00] natin
[2:02:01] mapulis
[2:02:02] natin
[2:02:02] yung
[2:02:03] mga
[2:02:03] hospitals
[2:02:04] nagkocomply
[2:02:05] po
[2:02:05] ba
[2:02:06] sila
[2:02:06] dun
[2:02:06] sa
[2:02:06] 10%
[2:02:07] requirement
[2:02:07] doon
[2:02:09] po
[2:02:09] sa
[2:02:09] specialty
[2:02:10] hospitals
[2:02:11] they
[2:02:11] are
[2:02:11] mandated
[2:02:12] to
[2:02:12] provide
[2:02:12] 30%
[2:02:14] of
[2:02:14] their
[2:02:14] bed
[2:02:14] capacity
[2:02:15] napoprovide
[2:02:16] po
[2:02:17] ba
[2:02:17] ng
[2:02:17] NKTI
[2:02:18] ng
[2:02:19] Philippine
[2:02:20] Heart
[2:02:20] Center
[2:02:21] ng
[2:02:22] iba
[2:02:22] pang
[2:02:22] specialty
[2:02:23] hospitals
[2:02:24] yung
[2:02:24] 30%
[2:02:25] na yan
[2:02:25] meron
[2:02:26] po
[2:02:27] ba
[2:02:27] tayong
[2:02:27] report
[2:02:28] as to
[2:02:28] the
[2:02:28] bed
[2:02:29] utilization
[2:02:29] rate
[2:02:30] ng
[2:02:30] specialty
[2:02:31] hospitals
[2:02:32] and
[2:02:32] private
[2:02:33] hospitals
[2:02:34] para
[2:02:35] malaman
[2:02:35] po
[2:02:36] natin
[2:02:36] kung
[2:02:36] naaabot
[2:02:37] po
[2:02:38] ba
[2:02:38] natin
[2:02:38] yung
[2:02:38] mandato
[2:02:39] na
[2:02:39] dapat
[2:02:40] ganito
[2:02:40] para
[2:02:41] mas
[2:02:41] malawak
[2:02:41] po
[2:02:42] yung
[2:02:42] marating
[2:02:43] natin
[2:02:43] So
[2:02:44] thank you
[2:02:46] Mr. Chair
[2:02:47] Thank you
[2:02:48] Mr. Chair
[2:02:49] with your
[2:02:49] permission
[2:02:50] Sa tatlong
[2:02:51] mga
[2:02:51] malalaking
[2:02:52] tanong
[2:02:52] po
[2:02:52] ni
[2:02:52] Honorable
[2:02:53] Montes
[2:02:53] unahin
[2:02:54] po
[2:02:54] natin
[2:02:54] yung
[2:02:54] how
[2:02:54] to
[2:02:55] incentivize
[2:02:55] yung
[2:02:56] HCPN
[2:02:57] formation
[2:02:58] Tama
[2:02:58] po
[2:02:58] meron
[2:02:59] tayo
[2:02:59] sa
[2:02:59] UHC
[2:03:00] Act
[2:03:00] natin
[2:03:00] na
[2:03:01] proviso
[2:03:02] na
[2:03:02] the
[2:03:03] DOH
[2:03:03] and
[2:03:04] Phil
[2:03:04] shall
[2:03:05] incentivize
[2:03:06] the
[2:03:06] formation
[2:03:07] So
[2:03:07] yun
[2:03:08] po
[2:03:08] yung
[2:03:08] dahilan
[2:03:08] kung
[2:03:09] bakit
[2:03:09] yung
[2:03:09] zero
[2:03:09] balance
[2:03:10] billing
[2:03:10] at
[2:03:10] LGUs
[2:03:11] ay
[2:03:11] ating
[2:03:11] tinutulak
[2:03:12] yung
[2:03:13] pinaka
[2:03:13] pondo
[2:03:14] na
[2:03:14] mumukahin
[2:03:15] namin
[2:03:16] na
[2:03:16] 15
[2:03:17] billion
[2:03:18] for
[2:03:19] 2027
[2:03:20] is intended
[2:03:24] to
[2:03:24] expand
[2:03:25] this
[2:03:25] effort
[2:03:25] to
[2:03:26] beyond
[2:03:26] the
[2:03:26] 6
[2:03:27] LGUs
[2:03:27] na
[2:03:27] kaya
[2:03:28] lang
[2:03:28] yung
[2:03:28] 1
[2:03:29] billion
[2:03:29] and
[2:03:30] as
[2:03:30] we
[2:03:30] always
[2:03:31] say
[2:03:31] baka
[2:03:31] kulang
[2:03:31] pa
[2:03:31] yung
[2:03:32] 1
[2:03:32] billion
[2:03:32] na
[2:03:32] yun
[2:03:33] So
[2:03:33] parang
[2:03:34] tier 1
[2:03:34] will
[2:03:35] be
[2:03:35] 1
[2:03:35] billion
[2:03:35] tier 2
[2:03:36] will
[2:03:36] be
[2:03:36] 14
[2:03:37] billion
[2:03:37] at
[2:03:37] kasama
[2:03:38] po
[2:03:38] doon
[2:03:38] yung
[2:03:38] mga
[2:03:39] kondisyonis
[2:03:40] na
[2:03:40] labanggit
[2:03:40] natin
[2:03:41] earlier
[2:03:41] para talagang
[2:03:42] mag-usap-usap
[2:03:43] na
[2:03:43] kasi
[2:03:43] napansin
[2:03:44] po namin
[2:03:44] hanggat-hanggat
[2:03:45] walang
[2:03:45] consideration
[2:03:46] sabi nga
[2:03:46] yung
[2:03:47] contract law
[2:03:47] consent
[2:03:48] object
[2:03:48] consideration
[2:03:49] hindi
[2:03:49] siniseryoso
[2:03:50] nagiging
[2:03:51] symbolic
[2:03:51] lang yung
[2:03:51] commitment
[2:03:52] sa ikalawang
[2:03:53] tanong
[2:03:53] po
[2:03:54] paano
[2:03:55] gagawin
[2:03:55] natin
[2:03:55] sa
[2:03:56] 36
[2:03:56] na
[2:03:58] probinsya
[2:03:59] na
[2:04:00] walang
[2:04:00] DOH
[2:04:00] hospitals
[2:04:01] maganda
[2:04:03] pong
[2:04:03] gawin
[2:04:04] na
[2:04:04] paggawaan
[2:04:05] sila
[2:04:05] ng
[2:04:05] DOH
[2:04:06] hospitals
[2:04:07] pero
[2:04:07] ang
[2:04:07] titignan
[2:04:08] po
[2:04:08] natin
[2:04:08] is
[2:04:08] yung
[2:04:08] kaukulang
[2:04:09] oras
[2:04:11] as the
[2:04:12] Honorable
[2:04:12] Uaminal
[2:04:13] has
[2:04:13] correctly
[2:04:13] pointed
[2:04:14] out
[2:04:14] legislation
[2:04:15] is one
[2:04:16] thing
[2:04:16] getting
[2:04:17] the
[2:04:18] plantilla
[2:04:18] items
[2:04:18] from
[2:04:19] DBM
[2:04:19] is
[2:04:19] another
[2:04:20] getting
[2:04:21] a
[2:04:21] contractor
[2:04:22] and
[2:04:22] the
[2:04:22] awarding
[2:04:23] is
[2:04:23] another
[2:04:24] ensuring
[2:04:25] that
[2:04:25] the
[2:04:25] contractor
[2:04:26] and so
[2:04:26] on
[2:04:26] and so
[2:04:26] forth
[2:04:27] so
[2:04:28] it
[2:04:28] really
[2:04:28] takes
[2:04:28] time
[2:04:29] pero
[2:04:29] kung
[2:04:30] merong
[2:04:30] mga
[2:04:31] hospitals
[2:04:32] na
[2:04:32] existing
[2:04:33] na
[2:04:33] owned
[2:04:33] by
[2:04:33] the
[2:04:34] province
[2:04:34] na
[2:04:35] hindi
[2:04:35] lang
[2:04:35] siguro
[2:04:36] napapansin
[2:04:36] po
[2:04:37] at
[2:04:37] willing
[2:04:37] namang
[2:04:37] i-renationalize
[2:04:39] express
[2:04:39] lien
[2:04:40] po yan
[2:04:40] sa
[2:04:40] amin
[2:04:41] yun po
[2:04:42] yung
[2:04:42] kaugnay
[2:04:42] nung
[2:04:42] unang
[2:04:43] tanong
[2:04:43] rin
[2:04:43] ni
[2:04:44] Dr.
[2:04:44] Hassim
[2:04:45] so
[2:04:45] mabilis
[2:04:45] po yan
[2:04:46] and then
[2:04:47] yung
[2:04:47] number
[2:04:48] three
[2:04:48] na
[2:04:48] tanong
[2:04:48] po
[2:04:48] yung
[2:04:49] compliance
[2:04:49] of
[2:04:49] hospitals
[2:04:50] to the
[2:04:50] UHC
[2:04:51] Act
[2:04:51] approvision
[2:04:51] tama
[2:04:52] po yung
[2:04:52] natukoy
[2:04:53] ni
[2:04:53] Honorable
[2:04:54] Montes
[2:04:54] na
[2:04:55] kapag
[2:04:55] general
[2:04:56] government
[2:04:56] hospital
[2:04:57] 10%
[2:04:58] pay
[2:04:59] 90%
[2:04:59] ward
[2:05:01] or
[2:05:01] basic
[2:05:01] kapag
[2:05:02] specialty
[2:05:02] hospital
[2:05:03] 30%
[2:05:04] maximum
[2:05:05] 30%
[2:05:06] pay
[2:05:06] 70%
[2:05:08] basic
[2:05:10] so
[2:05:11] yan po
[2:05:11] yung
[2:05:11] titignan
[2:05:12] natin
[2:05:12] sa
[2:05:12] compliance
[2:05:13] ng
[2:05:13] ating
[2:05:14] mga
[2:05:14] GOCC
[2:05:15] hospitals
[2:05:15] ang
[2:05:16] kanilang
[2:05:16] inaing
[2:05:17] lang
[2:05:17] they're
[2:05:18] willing
[2:05:18] to
[2:05:19] comply
[2:05:19] and
[2:05:19] they are
[2:05:19] actually
[2:05:20] moving
[2:05:21] towards
[2:05:21] compliance
[2:05:22] it takes
[2:05:22] time
[2:05:23] lang
[2:05:23] to
[2:05:23] transition
[2:05:24] titignan
[2:05:24] nila
[2:05:25] kasi
[2:05:25] yung
[2:05:25] balance
[2:05:25] sheets
[2:05:26] nila
[2:05:26] anong
[2:05:27] ibig
[2:05:27] sabihin
[2:05:28] yan
[2:05:28] inaamin
[2:05:29] naman
[2:05:29] nila
[2:05:30] na
[2:05:30] ang
[2:05:30] GOCC
[2:05:31] hospital
[2:05:31] ang
[2:05:32] sabi
[2:05:32] nga
[2:05:32] nila
[2:05:32] GOCC
[2:05:33] hospital
[2:05:34] is a
[2:05:34] private
[2:05:34] hospital
[2:05:35] owned
[2:05:35] by
[2:05:35] the
[2:05:36] government
[2:05:36] dahil
[2:05:37] yung
[2:05:37] kanyang
[2:05:38] operations
[2:05:38] ay
[2:05:39] kaya
[2:05:40] niyong
[2:05:40] bayaran
[2:05:40] using
[2:05:40] its
[2:05:41] own
[2:05:41] income
[2:05:41] kaya
[2:05:42] if
[2:05:43] ever
[2:05:43] pa
[2:05:43] nag-a-add
[2:05:44] po
[2:05:44] ang
[2:05:44] kongreso
[2:05:45] ng
[2:05:45] dagdag
[2:05:45] budget
[2:05:46] sa
[2:05:46] kanila
[2:05:46] tingi
[2:05:47] tingi
[2:05:47] lang
[2:05:47] kasi
[2:05:47] meron silang
[2:05:48] na-degenerate
[2:05:49] at
[2:05:49] na-degenerate
[2:05:50] nila
[2:05:50] mula
[2:05:51] dun sa
[2:05:51] kanilang
[2:05:51] pay beds
[2:05:52] now
[2:05:53] yun yung
[2:05:54] narinig
[2:05:55] namin
[2:05:55] kasi
[2:05:56] nakaupuring
[2:05:56] po kami
[2:05:57] sa
[2:05:57] board
[2:05:57] of
[2:05:57] trustees
[2:05:58] ang
[2:05:58] mga
[2:05:58] USAC
[2:05:59] ng
[2:05:59] DOHR
[2:05:59] members
[2:06:00] of the
[2:06:00] board
[2:06:00] of
[2:06:01] trustees
[2:06:01] of the
[2:06:01] specialty
[2:06:02] hospital
[2:06:02] sabi nila
[2:06:03] kapag
[2:06:04] nag-full
[2:06:04] compliance
[2:06:05] or
[2:06:05] papunta
[2:06:05] sa
[2:06:06] full
[2:06:06] compliance
[2:06:06] we have
[2:06:06] no
[2:06:07] choice
[2:06:07] it's
[2:06:07] the
[2:06:07] law
[2:06:07] kapag
[2:06:08] papunta
[2:06:08] sa
[2:06:08] full
[2:06:08] compliance
[2:06:09] kailangan
[2:06:09] ibalance
[2:06:10] natin
[2:06:10] sa
[2:06:17] private
[2:06:18] beds
[2:06:18] nila
[2:06:19] at
[2:06:19] yan
[2:06:19] ang
[2:06:19] isang
[2:06:20] nakikita
[2:06:20] namin
[2:06:20] kaya
[2:06:21] lumilingon
[2:06:21] po
[2:06:21] sa
[2:06:22] Phil
[2:06:22] Health
[2:06:22] kasi
[2:06:23] it is
[2:06:24] possible
[2:06:24] na
[2:06:25] I'm
[2:06:26] just
[2:06:26] saying
[2:06:26] this
[2:06:26] for
[2:06:26] the
[2:06:26] first
[2:06:27] time
[2:06:27] Mr.
[2:06:28] Chair
[2:06:28] on
[2:06:28] Dr.
[2:06:29] Mercado
[2:06:29] baka
[2:06:30] pag
[2:06:30] ito
[2:06:30] ay
[2:06:31] GOCC
[2:06:31] hospital
[2:06:32] DOH
[2:06:33] owned
[2:06:33] naman
[2:06:33] siya
[2:06:34] public
[2:06:34] sector
[2:06:35] at
[2:06:35] ang
[2:06:35] tawag
[2:06:35] nila
[2:06:36] is
[2:06:36] a
[2:06:36] public
[2:06:36] comparator
[2:06:37] para
[2:06:38] hindi
[2:06:38] magtaasan
[2:06:39] yung
[2:06:39] mga
[2:06:39] presyo
[2:06:39] ng
[2:06:39] mga
[2:06:40] private
[2:06:40] hospital
[2:06:40] baka
[2:06:41] special
[2:06:41] Phil
[2:06:42] Health
[2:06:42] package
[2:06:43] that
[2:06:43] will
[2:06:43] help
[2:06:43] answer
[2:06:44] for
[2:06:44] the
[2:06:44] 70%
[2:06:45] basic
[2:06:46] accommodation
[2:06:46] or
[2:06:47] let's
[2:06:53] revisit
[2:06:53] take a
[2:06:54] look at
[2:06:54] the
[2:06:54] 70-30
[2:06:55] ratio
[2:06:55] might
[2:06:57] be
[2:06:57] it's
[2:06:57] not
[2:06:58] gonna
[2:06:58] work
[2:06:59] baka
[2:06:59] pwedeng
[2:06:59] 50-50
[2:07:00] so
[2:07:00] you
[2:07:01] tell
[2:07:01] us
[2:07:01] based
[2:07:02] from
[2:07:02] their
[2:07:02] numbers
[2:07:03] what
[2:07:04] is
[2:07:04] the
[2:07:04] most
[2:07:04] efficient
[2:07:05] way
[2:07:05] to
[2:07:05] run
[2:07:05] those
[2:07:06] hospitals
[2:07:06] pwede
[2:07:07] naman
[2:07:07] pong
[2:07:08] i-consider
[2:07:08] natin
[2:07:09] dito
[2:07:09] so
[2:07:10] that
[2:07:10] hindi
[2:07:11] na
[2:07:11] additional
[2:07:11] gastusin
[2:07:14] baka
[2:07:15] at
[2:07:15] 50%
[2:07:16] they can
[2:07:16] operate
[2:07:17] at
[2:07:17] maximum
[2:07:17] capacity
[2:07:18] pwede
[2:07:18] naman
[2:07:19] po
[2:07:19] Mr.
[2:07:21] Chair
[2:07:21] nakahinga
[2:07:22] po
[2:07:22] ako
[2:07:22] ng
[2:07:23] mahusay
[2:07:24] kasi
[2:07:24] po
[2:07:24] ang
[2:07:25] training
[2:07:25] sa
[2:07:25] executive
[2:07:26] we
[2:07:26] comply
[2:07:26] with
[2:07:26] the
[2:07:26] law
[2:07:27] pero
[2:07:27] since
[2:07:28] nanggaling
[2:07:28] na
[2:07:28] po
[2:07:28] kay
[2:07:28] Honorable
[2:07:29] Montes
[2:07:29] na
[2:07:30] willing
[2:07:30] po
[2:07:30] ang
[2:07:30] kongreso
[2:07:31] to
[2:07:31] revisit
[2:07:31] the
[2:07:31] ratio
[2:07:32] then
[2:07:32] we
[2:07:32] support
[2:07:33] that
[2:07:33] as
[2:07:34] clearly
[2:07:34] articulated
[2:07:35] by
[2:07:35] Honorable
[2:07:36] Montes
[2:07:36] I
[2:07:37] will
[2:07:37] say
[2:07:37] another
[2:07:38] version
[2:07:38] po
[2:07:38] nung
[2:07:39] sinabi
[2:07:39] ko
[2:07:39] kanina
[2:07:39] pero
[2:07:39] parewan
[2:07:40] na
[2:07:40] sasabihin
[2:07:40] ko
[2:07:41] umiiyak
[2:07:42] kasi
[2:07:42] yung
[2:07:42] mga
[2:07:42] GOCC
[2:07:43] hospital
[2:07:43] nahirap
[2:07:43] silang
[2:07:44] mag-comply
[2:07:44] dun sa
[2:07:45] 70-30
[2:07:46] hindi
[2:07:47] naman
[2:07:47] huibig
[2:07:47] sabihin
[2:07:48] na
[2:07:48] 50-50
[2:07:48] ay
[2:07:49] hindi
[2:07:49] sila
[2:07:49] nakakatulong
[2:07:50] kasi
[2:07:50] as
[2:07:51] the
[2:07:52] Honorable
[2:07:52] Montes
[2:07:52] correctly
[2:07:53] pointed
[2:07:53] out
[2:07:53] maaaring
[2:07:54] 70-30
[2:07:55] ka
[2:07:55] pero
[2:07:55] ang
[2:07:55] bed
[2:07:56] occupancy
[2:07:56] mo
[2:07:56] mababa
[2:07:57] parang
[2:07:58] connectado
[2:07:59] rin
[2:07:59] yun
[2:07:59] dun sa
[2:07:59] tanong
[2:08:00] ni
[2:08:00] Honorable
[2:08:01] Veloso
[2:08:01] na
[2:08:02] maaaring
[2:08:03] authorized
[2:08:03] bed
[2:08:03] capacity
[2:08:04] mo
[2:08:04] in
[2:08:04] compliance
[2:08:05] with
[2:08:05] the
[2:08:05] 70-30
[2:08:06] is
[2:08:06] sabihin
[2:08:06] nating
[2:08:06] 1,000
[2:08:07] pero
[2:08:08] actually
[2:08:08] hindi
[2:08:08] ka
[2:08:09] nakakalagak
[2:08:09] ng
[2:08:09] pasyente
[2:08:10] dun sa
[2:08:10] actual
[2:08:11] kasi
[2:08:11] nga
[2:08:11] girap
[2:08:11] yung
[2:08:11] operations
[2:08:12] we
[2:08:12] deeply
[2:08:13] appreciate
[2:08:14] this
[2:08:14] proposal
[2:08:15] to review
[2:08:15] the
[2:08:15] ratio
[2:08:16] Mr.
[2:08:16] Chair
[2:08:16] Thank you
[2:08:18] May we
[2:08:20] now
[2:08:20] hear the
[2:08:22] inputs
[2:08:22] from
[2:08:22] other
[2:08:23] resources
[2:08:23] from
[2:08:24] the
[2:08:24] National
[2:08:25] Institute
[2:08:25] of
[2:08:26] Health
[2:08:26] Dr.
[2:08:27] Marisa
[2:08:28] Alejandre
[2:08:28] Pwede
[2:08:33] lang po
[2:08:33] magtanong
[2:08:34] sa
[2:08:34] Phili
[2:08:35] Well
[2:08:38] sa 2026
[2:08:40] budget po
[2:08:40] diba may
[2:08:42] nagay talaga
[2:08:43] ng
[2:08:44] appropriation
[2:08:44] para
[2:08:46] ibalik
[2:08:46] yung
[2:08:47] 60
[2:08:47] billion
[2:08:48] pesos
[2:08:48] na
[2:08:50] sinuha
[2:08:51] sa inyong
[2:08:51] reserve fund
[2:08:52] diba
[2:08:52] sa
[2:08:54] unprogrammed
[2:08:55] appropriation
[2:08:56] So
[2:08:57] pwede po
[2:08:58] bang
[2:08:58] mabigyan
[2:08:58] tayo
[2:08:59] ng
[2:08:59] update
[2:08:59] kung
[2:09:00] ano
[2:09:00] na
[2:09:00] nangyari
[2:09:01] na
[2:09:01] ibalik
[2:09:02] na
[2:09:02] po
[2:09:02] ba
[2:09:02] sa
[2:09:04] PhilHealth
[2:09:04] itong
[2:09:05] 60
[2:09:05] billion
[2:09:06] pesos
[2:09:06] at
[2:09:07] napakinabangan
[2:09:09] po
[2:09:09] ba
[2:09:09] o
[2:09:09] baka
[2:09:09] nakauporin
[2:09:10] lang
[2:09:10] yung
[2:09:10] 60
[2:09:11] billion
[2:09:11] pesos
[2:09:11] na
[2:09:12] yan
[2:09:12] sa inyong
[2:09:12] so-called
[2:09:13] reserve fund
[2:09:14] ang narinig ko
[2:09:15] po sa
[2:09:16] inyo
[2:09:17] tama po ba
[2:09:18] Dr. Mercado
[2:09:19] dapat nga
[2:09:21] quickly speaking
[2:09:22] walang
[2:09:23] reserve fund
[2:09:24] tama ba
[2:09:24] kayo po ba
[2:09:25] yung nag-articulate
[2:09:26] don
[2:09:26] shouldn't have a
[2:09:28] reserve fund
[2:09:28] but
[2:09:29] kasi hindi naman
[2:09:30] kayo
[2:09:30] pension fund
[2:09:32] o pension fund
[2:09:33] no
[2:09:34] it should be
[2:09:35] used
[2:09:35] so
[2:09:36] could we get
[2:09:37] an update
[2:09:37] on that
[2:09:38] Dr. Mercado
[2:09:40] Mr. Chair
[2:09:40] Opo
[2:09:41] ibalik po
[2:09:43] noong
[2:09:44] update lang
[2:09:46] hindi ko po
[2:09:46] matukoy
[2:09:47] sometime in
[2:09:48] April
[2:09:49] ito po
[2:09:51] April po
[2:09:52] na
[2:09:52] na-release
[2:09:53] na sa inyo
[2:09:54] kasi isang issue
[2:09:55] rin po sa budget
[2:09:55] yan ngayon
[2:09:56] dami mga items
[2:09:58] na nandyan
[2:09:59] pero
[2:09:59] di naman na
[2:10:00] so
[2:10:00] you confirm
[2:10:01] that it has been
[2:10:03] released
[2:10:03] nasa inyo na
[2:10:04] yung pera
[2:10:04] the whole
[2:10:06] 60 billion
[2:10:06] Mr. Chair
[2:10:08] I confirm
[2:10:08] April
[2:10:10] Yes po
[2:10:11] we will provide
[2:10:13] the exact date
[2:10:14] could you provide
[2:10:16] us with
[2:10:17] kung meron kayong
[2:10:18] nagawa rito
[2:10:19] or
[2:10:19] dami po natin
[2:10:21] inag-uusapang
[2:10:22] mga
[2:10:23] pangangailangan
[2:10:24] especially
[2:10:27] support to LGUs
[2:10:29] paano po yun
[2:10:30] Yes Mr. Chair
[2:10:31] so as
[2:10:32] was presented
[2:10:33] earlier
[2:10:34] yung pong
[2:10:34] unang
[2:10:35] apat na buwan
[2:10:36] January to May 8
[2:10:37] ay gumastos na po
[2:10:39] tayo ng
[2:10:39] or nakapagbayad po
[2:10:41] tayo ng
[2:10:41] 152 billion
[2:10:42] so
[2:10:43] wala pa po
[2:10:44] kaming nakukuha
[2:10:45] doon sa aming
[2:10:46] other GAA
[2:10:48] funding
[2:10:49] so ito po yung
[2:10:50] basically
[2:10:51] pinagmulan po
[2:10:52] nitong 152
[2:10:54] plus yung pong
[2:10:55] nakolekta natin
[2:10:56] from the
[2:10:57] direct contributor
[2:10:58] so
[2:10:59] hindi po ito
[2:11:00] nakatinga doon
[2:11:01] sa ating
[2:11:02] reserve fund
[2:11:03] or excess fund
[2:11:04] po yung nagamit
[2:11:05] na po natin
[2:11:06] Do you still have a
[2:11:08] do you still maintain
[2:11:09] a reserve fund
[2:11:10] or paano po ba
[2:11:12] how does that work
[2:11:12] so the usual
[2:11:14] economic
[2:11:18] principle
[2:11:20] in other
[2:11:20] countries po
[2:11:21] is they usually
[2:11:22] use 85 to 90%
[2:11:24] of whatever
[2:11:24] they collect
[2:11:25] as a medical
[2:11:26] loss
[2:11:27] benefit
[2:11:28] we call it
[2:11:29] the medical
[2:11:29] loss
[2:11:29] ratio
[2:11:30] which means
[2:11:30] ito po yung
[2:11:31] ginagamit
[2:11:31] na pambayad
[2:11:32] doon sa mga
[2:11:33] servisyong
[2:11:35] binibigay
[2:11:35] ng ating mga
[2:11:36] providers
[2:11:36] so
[2:11:37] ang kalimitan po
[2:11:39] 7.5
[2:11:40] naman
[2:11:40] ang ginagamit
[2:11:41] namin
[2:11:41] as our
[2:11:42] operating
[2:11:42] expense
[2:11:43] so
[2:11:44] yun po yung
[2:11:44] sinasabi kong
[2:11:45] in other
[2:11:46] countries
[2:11:46] talaga pong
[2:11:47] ginagamit
[2:11:48] lahat po
[2:11:49] ng koleksyon
[2:11:49] na nakukuha
[2:11:50] sa ating
[2:11:51] mga
[2:11:51] miyembro
[2:11:52] tayo po
[2:11:54] by law
[2:11:54] nakatakdang
[2:11:55] maglalaan
[2:11:56] ng
[2:11:57] reserve fund
[2:11:59] equivalent
[2:11:59] maximum
[2:12:00] cap
[2:12:01] of
[2:12:01] actuarially
[2:12:02] determined
[2:12:03] expense
[2:12:04] for the
[2:12:05] next
[2:12:05] succeeding
[2:12:06] two years
[2:12:06] na
[2:12:07] yung
[2:12:08] stand po
[2:12:09] ng board
[2:12:10] ng
[2:12:10] field
[2:12:10] ngayon
[2:12:11] ay
[2:12:11] gamitin
[2:12:12] natin
[2:12:13] as benefit
[2:12:14] payment
[2:12:14] at hindi
[2:12:15] natin
[2:12:15] upunan
[2:12:16] yung
[2:12:17] what is
[2:12:17] provided
[2:12:18] for by law
[2:12:19] kaya
[2:12:19] medyo
[2:12:20] yun naman
[2:12:21] po yung
[2:12:21] stand
[2:12:22] but we
[2:12:22] maintain
[2:12:22] it
[2:12:23] at
[2:12:23] currently
[2:12:24] po
[2:12:24] yung
[2:12:24] aming
[2:12:25] reserve
[2:12:25] fund
[2:12:25] at
[2:12:26] 280
[2:12:26] billion
[2:12:27] po
[2:12:27] you
[2:12:29] currently
[2:12:29] you are
[2:12:30] mandated
[2:12:30] by law
[2:12:31] to maintain
[2:12:31] two years
[2:12:33] worth
[2:12:34] of
[2:12:34] reserve
[2:12:37] based on
[2:12:39] two years
[2:12:39] of
[2:12:39] projected
[2:12:40] operation
[2:12:43] operating
[2:12:43] cost
[2:12:44] parang
[2:12:44] ganun
[2:12:44] yes
[2:12:45] po
[2:12:45] actuarially
[2:12:46] determined
[2:12:46] benefit
[2:12:47] payment
[2:12:47] for the
[2:12:48] next
[2:12:48] two years
[2:12:49] meron na
[2:12:51] po bang
[2:12:52] tindig
[2:12:53] tayo
[2:12:54] dyan
[2:12:54] kasi
[2:12:54] parang
[2:12:55] tama po
[2:12:55] ba
[2:12:56] ang
[2:12:56] proposal
[2:12:57] nyo
[2:12:57] ay
[2:12:58] tanggalin
[2:12:59] yung reserve
[2:13:00] requirement
[2:13:00] na yun
[2:13:01] is that
[2:13:02] correct
[2:13:02] ang
[2:13:03] issue
[2:13:04] po
[2:13:04] kasi
[2:13:04] yung
[2:13:04] predictability
[2:13:06] and consistency
[2:13:07] of the
[2:13:07] succeeding
[2:13:08] ga
[2:13:09] every year
[2:13:10] absent
[2:13:11] a
[2:13:11] predictable
[2:13:12] and
[2:13:13] consistent
[2:13:13] ga
[2:13:14] medyo
[2:13:15] mahirap
[2:13:15] pong
[2:13:15] sagarin
[2:13:16] yun po
[2:13:17] yung
[2:13:17] concern
[2:13:17] namin
[2:13:18] in short
[2:13:21] honorable
[2:13:22] team
[2:13:23] yung
[2:13:23] binalik
[2:13:24] na 60
[2:13:24] billion
[2:13:24] nagastos
[2:13:26] na
[2:13:26] yes
[2:13:27] po
[2:13:27] malinaw
[2:13:29] kanina
[2:13:29] sinabi
[2:13:30] more than
[2:13:30] 60
[2:13:31] yung
[2:13:31] nagastos
[2:13:31] 152
[2:13:33] billion
[2:13:34] okay
[2:13:35] but there
[2:13:36] is this
[2:13:36] standing
[2:13:36] concern
[2:13:37] regarding
[2:13:37] the reserve
[2:13:39] fund
[2:13:40] okay
[2:13:41] yes
[2:13:44] bago po
[2:13:45] sana
[2:13:45] i beg your
[2:13:46] indulgence
[2:13:47] ano po
[2:13:47] kasi nando dito
[2:13:49] na rin tayo
[2:13:49] susapin ng
[2:13:50] financing
[2:13:50] pwede ko
[2:13:51] na pong
[2:13:52] i-bring
[2:13:53] out lang
[2:13:54] po
[2:13:54] yung
[2:13:54] some points
[2:13:55] ano
[2:13:55] sa tanong
[2:13:57] po nga
[2:13:57] yung
[2:13:58] sa reserve
[2:13:58] funds
[2:13:59] pwede
[2:14:01] nyo pong
[2:14:01] gawin
[2:14:01] yun
[2:14:01] basta
[2:14:02] may
[2:14:02] predictability
[2:14:03] and
[2:14:04] I think
[2:14:04] the
[2:14:04] committee
[2:14:05] one of
[2:14:05] the
[2:14:06] important
[2:14:06] tasks
[2:14:07] of
[2:14:07] this
[2:14:08] committee
[2:14:08] in its
[2:14:09] effort
[2:14:10] to amend
[2:14:11] and
[2:14:11] the
[2:14:12] UHC
[2:14:13] para
[2:14:13] mas
[2:14:13] maayos
[2:14:14] pang
[2:14:14] implementation
[2:14:14] is
[2:14:15] we
[2:14:15] will
[2:14:15] have
[2:14:15] to
[2:14:16] take
[2:14:16] a
[2:14:16] look
[2:14:16] at
[2:14:16] the
[2:14:17] funding
[2:14:18] provisions
[2:14:18] particularly
[2:14:19] section
[2:14:20] 37
[2:14:21] of the
[2:14:24] UHC
[2:14:25] so
[2:14:25] madami
[2:14:26] pong
[2:14:26] klase
[2:14:27] ng
[2:14:27] pinagagalingan
[2:14:28] isa-isahing
[2:14:28] po
[2:14:29] lang
[2:14:29] po
[2:14:29] yung
[2:14:30] sa
[2:14:30] tax
[2:14:30] incremental
[2:14:31] tax
[2:14:32] collection
[2:14:32] from
[2:14:33] the
[2:14:33] syntaxes
[2:14:33] which
[2:14:34] you
[2:14:34] normally
[2:14:34] receive
[2:14:35] anong
[2:14:36] quarter
[2:14:37] na po
[2:14:37] ng
[2:14:37] taon
[2:14:38] kasi
[2:14:38] nanggagaling
[2:14:39] po
[2:14:40] tayo
[2:14:40] pwede
[2:14:40] natin
[2:14:41] gamitin
[2:14:41] ng
[2:14:41] reserves
[2:14:42] basta
[2:14:42] may
[2:14:43] predictability
[2:14:43] na may
[2:14:44] insure
[2:14:44] tayo
[2:14:45] at a
[2:14:45] given
[2:14:45] period
[2:14:46] of
[2:14:47] time
[2:14:47] matatanggap
[2:14:48] natin
[2:14:49] ito
[2:14:49] automatic
[2:14:50] nasa
[2:14:51] atin
[2:14:51] yung
[2:14:51] pera
[2:14:52] pwede
[2:14:52] natin
[2:14:52] gato
[2:14:53] din yung
[2:14:53] reserve
[2:14:53] kasi
[2:14:54] may
[2:14:54] dadating
[2:14:55] naman
[2:14:55] so
[2:14:56] normally
[2:14:57] yung
[2:14:57] sa
[2:14:58] syntax
[2:14:58] kailan
[2:14:58] nyo
[2:14:59] natatanggap
[2:14:59] yung
[2:15:00] supposedly
[2:15:00] di
[2:15:00] po
[2:15:00] ba
[2:15:01] quarter
[2:15:01] dapat
[2:15:02] may
[2:15:02] natatanggap
[2:15:03] kayo
[2:15:04] limitan
[2:15:05] po
[2:15:05] ika
[2:15:05] third
[2:15:06] and
[2:15:06] fourth
[2:15:06] quarter
[2:15:06] of
[2:15:07] the
[2:15:07] year
[2:15:07] that
[2:15:09] in
[2:15:09] itself
[2:15:09] is
[2:15:10] already
[2:15:10] a
[2:15:10] problem
[2:15:10] because
[2:15:11] yung
[2:15:11] first
[2:15:11] quarter
[2:15:12] should
[2:15:12] have
[2:15:12] been
[2:15:12] received
[2:15:13] during
[2:15:14] the
[2:15:14] second
[2:15:15] quarter
[2:15:15] the
[2:15:15] second
[2:15:16] quarter
[2:15:16] should
[2:15:17] have
[2:15:17] been
[2:15:17] received
[2:15:17] the
[2:15:17] third
[2:15:18] quarter
[2:15:18] if
[2:15:18] we
[2:15:19] receive
[2:15:19] yung
[2:15:20] funding
[2:15:20] in
[2:15:21] the
[2:15:21] third
[2:15:21] and
[2:15:21] fourth
[2:15:21] quarter
[2:15:28] mga
[2:15:29] datihan
[2:15:29] pa
[2:15:29] hindi
[2:15:30] nare-release
[2:15:31] and
[2:15:32] mukha
[2:15:32] naman
[2:15:32] nakikita
[2:15:33] nagpapalawig
[2:15:35] na kami
[2:15:35] ng
[2:15:35] servisyo
[2:15:36] nagtutugon
[2:15:37] kaya nga po
[2:15:38] yung
[2:15:38] 60
[2:15:38] na
[2:15:38] una
[2:15:38] na
[2:15:39] meron
[2:15:39] yung
[2:15:39] mga
[2:15:40] naisyuhan
[2:15:41] ng
[2:15:41] sorrow
[2:15:41] before
[2:15:41] na
[2:15:42] pinag-uusapan
[2:15:42] na
[2:15:42] namin
[2:15:43] so
[2:15:43] yun
[2:15:44] po
[2:15:44] yung
[2:15:44] pang
[2:15:44] puno
[2:15:45] pero
[2:15:45] sana
[2:15:47] nga
[2:15:47] po
[2:15:47] very
[2:15:47] predictable
[2:15:48] moving
[2:15:49] forward
[2:15:49] kasi
[2:15:49] maubos
[2:15:50] din
[2:15:50] po
[2:15:50] yun
[2:15:50] pag
[2:15:51] na
[2:15:51] release
[2:15:52] na
[2:15:52] sa
[2:15:52] amin
[2:15:52] yung
[2:15:53] unrelease
[2:15:54] dapat po
[2:15:55] moving
[2:15:55] forward
[2:15:56] mas
[2:15:56] regular
[2:15:57] po
[2:15:57] yung
[2:15:57] release
[2:15:57] as
[2:15:58] quarter
[2:15:58] salamat
[2:15:59] po
[2:16:00] sa
[2:16:00] letter
[2:16:01] B
[2:16:01] po
[2:16:01] yan
[2:16:01] po
[2:16:02] yung
[2:16:02] sa
[2:16:02] pag
[2:16:02] corner
[2:16:03] shares
[2:16:03] letter
[2:16:03] C
[2:16:04] sa
[2:16:04] PCSO
[2:16:05] which
[2:16:06] I
[2:16:06] understand
[2:16:07] up to
[2:16:07] now
[2:16:08] since
[2:16:08] the
[2:16:08] enactment
[2:16:09] of
[2:16:09] the
[2:16:10] law
[2:16:10] wala
[2:16:11] pa
[2:16:11] po
[2:16:11] NCA
[2:16:13] na
[2:16:13] kasi
[2:16:14] madami
[2:16:14] pong
[2:16:14] sarong
[2:16:15] last
[2:16:15] year
[2:16:16] pa
[2:16:16] madami
[2:16:16] na
[2:16:16] pong
[2:16:17] sarong
[2:16:17] sinasabi
[2:16:18] ang
[2:16:18] concern
[2:16:19] ko
[2:16:19] po
[2:16:19] yung
[2:16:19] NCA
[2:16:20] wala
[2:16:21] pa
[2:16:21] po
[2:16:21] yun
[2:16:27] po
[2:16:28] yung
[2:16:28] hinihingi
[2:16:29] natin
[2:16:29] na
[2:16:29] 70
[2:16:30] point
[2:16:30] something
[2:16:31] billion
[2:16:31] na
[2:16:32] kabuan
[2:16:32] po
[2:16:32] ng
[2:16:32] 370
[2:16:34] yun
[2:16:34] po
[2:16:34] yung
[2:16:35] mga
[2:16:35] previous
[2:16:35] years
[2:16:36] although
[2:16:36] may
[2:16:37] dalawa
[2:16:37] pong
[2:16:37] taon
[2:16:38] 2023
[2:16:38] 2024
[2:16:39] na
[2:16:39] meron
[2:16:40] na
[2:16:40] pong
[2:16:40] sarong
[2:16:41] pero
[2:16:41] wala
[2:16:41] pa
[2:16:41] pong
[2:16:41] NCA
[2:16:42] pero
[2:16:42] pinag-uusapan
[2:16:43] na rin
[2:16:43] po
[2:16:43] namin
[2:16:44] yung
[2:16:44] release
[2:16:44] with
[2:16:45] treasury
[2:16:45] pero
[2:16:46] in
[2:16:46] terms
[2:16:46] po
[2:16:46] of
[2:16:47] yung
[2:16:48] pera
[2:16:48] wala
[2:16:48] pa
[2:16:48] po
[2:16:49] talaga
[2:16:49] okay
[2:16:50] po
[2:16:50] tapos
[2:16:51] yung
[2:16:51] pangatlo
[2:16:52] po
[2:16:52] premium
[2:16:53] contribution
[2:16:53] of
[2:16:54] members
[2:16:55] sa premium
[2:16:56] contributions
[2:16:57] nakakakolekta po
[2:16:58] tayo
[2:16:59] tama
[2:16:59] pero
[2:17:00] meron po
[2:17:00] tayong
[2:17:01] isang
[2:17:01] problema
[2:17:02] dyan
[2:17:02] are we
[2:17:03] collecting
[2:17:04] accurately
[2:17:05] are we
[2:17:06] collecting
[2:17:07] enough
[2:17:08] kasi
[2:17:08] I remember
[2:17:09] mabanggit ko
[2:17:10] na lang
[2:17:10] din po
[2:17:10] Mr.
[2:17:11] Chair
[2:17:11] when we
[2:17:12] were
[2:17:12] pinapasa po
[2:17:13] nating
[2:17:13] UHC
[2:17:14] may mga
[2:17:15] proposals
[2:17:15] nito
[2:17:16] to
[2:17:16] accurately
[2:17:17] collect
[2:17:18] premium
[2:17:19] contributions
[2:17:20] ay
[2:17:21] itali
[2:17:22] po
[2:17:22] natin
[2:17:23] yung
[2:17:23] system
[2:17:23] ng
[2:17:23] till
[2:17:24] health
[2:17:24] sa
[2:17:24] BIR
[2:17:25] I
[2:17:26] understand
[2:17:26] at
[2:17:27] that
[2:17:27] time
[2:17:27] that
[2:17:27] BIR
[2:17:28] was
[2:17:28] not
[2:17:28] receptive
[2:17:29] to
[2:17:29] the
[2:17:29] idea
[2:17:30] kasi
[2:17:30] masyado
[2:17:31] daw
[2:17:31] matrabaho
[2:17:32] but
[2:17:32] if
[2:17:33] I'm
[2:17:33] not
[2:17:33] mistaken
[2:17:34] I
[2:17:34] have
[2:17:35] I
[2:17:36] watched
[2:17:36] some
[2:17:37] pronouncement
[2:17:38] ni
[2:17:38] BIR
[2:17:39] Commissioner
[2:17:40] Mendoza
[2:17:42] na
[2:17:42] meron
[2:17:42] nag
[2:17:43] tie
[2:17:43] up
[2:17:43] yata
[2:17:43] siya
[2:17:44] sa
[2:17:44] Pasig
[2:17:44] or
[2:17:44] any
[2:17:45] other
[2:17:45] local
[2:17:45] government
[2:17:46] unit
[2:17:47] na
[2:17:47] till
[2:17:48] health
[2:17:49] office
[2:17:49] po
[2:17:49] ninyo
[2:17:50] Tama
[2:17:51] po
[2:17:51] ba
[2:17:51] which
[2:17:52] office
[2:17:52] of
[2:17:52] Phil
[2:17:53] health
[2:17:53] sa
[2:17:54] SSS
[2:17:54] po
[2:17:55] ata
[2:17:55] yung
[2:17:55] interagency
[2:17:57] arrangement
[2:17:58] ng
[2:17:58] BIR
[2:17:59] because
[2:18:00] the reason
[2:18:00] why
[2:18:01] I'm
[2:18:01] pointing
[2:18:02] this
[2:18:02] out
[2:18:03] again
[2:18:03] baka
[2:18:04] naman
[2:18:04] may
[2:18:04] capacity
[2:18:05] na
[2:18:05] ang
[2:18:06] BIR
[2:18:06] na
[2:18:07] mag
[2:18:07] link
[2:18:08] yung
[2:18:08] sistema
[2:18:10] po
[2:18:10] ng
[2:18:10] Phil
[2:18:11] health
[2:18:11] so
[2:18:11] that
[2:18:12] malalaman
[2:18:12] na
[2:18:13] talaga
[2:18:13] po
[2:18:13] natin
[2:18:14] magkano
[2:18:14] ba
[2:18:14] talaga
[2:18:15] ang
[2:18:15] sinisweldo
[2:18:16] ng
[2:18:16] taong
[2:18:17] ito
[2:18:17] magkano
[2:18:18] ba
[2:18:19] dapat
[2:18:19] ang
[2:18:19] contribution
[2:18:20] niya
[2:18:20] sa Phil
[2:18:21] health
[2:18:21] magkano
[2:18:22] ba
[2:18:22] dapat
[2:18:22] ang
[2:18:23] share
[2:18:23] ng
[2:18:23] employer
[2:18:24] niya
[2:18:24] based
[2:18:25] sa
[2:18:25] tamang
[2:18:26] sweldo
[2:18:26] niya
[2:18:26] dahil
[2:18:27] alam
[2:18:28] ko
[2:18:28] po
[2:18:28] in the
[2:18:28] past
[2:18:29] may
[2:18:29] mga
[2:18:29] reports
[2:18:29] na
[2:18:30] hindi
[2:18:30] accurate
[2:18:31] po
[2:18:31] ang
[2:18:31] binibigay
[2:18:32] na
[2:18:32] information
[2:18:33] so
[2:18:33] dagdag
[2:18:34] po
[2:18:34] sa
[2:18:35] pondo
[2:18:35] natin
[2:18:35] makakakolekta
[2:18:36] po
[2:18:37] tayo
[2:18:37] ng
[2:18:37] tama
[2:18:37] kung
[2:18:38] tama
[2:18:38] din
[2:18:38] po
[2:18:39] yung
[2:18:39] ating
[2:18:39] mga
[2:18:40] information
[2:18:40] so
[2:18:41] yan
[2:18:42] po
[2:18:42] yung
[2:18:42] sa
[2:18:42] part
[2:18:43] ng
[2:18:43] premium
[2:18:44] contribution
[2:18:44] and
[2:18:45] then
[2:18:46] meron
[2:18:46] tayong
[2:18:47] annual
[2:18:47] appropriations
[2:18:48] na
[2:18:49] binibigay
[2:18:49] sa
[2:18:49] DOH
[2:18:50] and
[2:18:50] there's
[2:18:50] another
[2:18:51] item
[2:18:51] yung
[2:18:51] national
[2:18:52] government
[2:18:52] subsidy
[2:18:53] to fill
[2:18:54] health
[2:18:54] included
[2:18:55] in
[2:18:56] Daga
[2:18:56] which
[2:18:57] I
[2:18:57] think
[2:18:57] wala
[2:18:58] po
[2:18:58] tayo
[2:18:59] tama
[2:18:59] po
[2:18:59] so
[2:19:00] Mr.
[2:19:01] Chair
[2:19:01] meron
[2:19:02] po
[2:19:02] may
[2:19:04] I
[2:19:04] just
[2:19:04] request
[2:19:05] the
[2:19:05] committee
[2:19:06] to also
[2:19:06] take
[2:19:06] a
[2:19:06] look
[2:19:07] at
[2:19:07] I
[2:19:08] filed
[2:19:08] a
[2:19:08] bill
[2:19:09] house
[2:19:09] bill
[2:19:09] tungkol
[2:19:11] po
[2:19:11] ito
[2:19:11] sa
[2:19:12] financing
[2:19:13] house
[2:19:13] bill
[2:19:14] 6111
[2:19:18] ang
[2:19:19] proposal
[2:19:19] po
[2:19:20] natin
[2:19:20] for
[2:19:20] the
[2:19:21] committee
[2:19:22] to
[2:19:22] consider
[2:19:22] to
[2:19:23] make
[2:19:23] automatic
[2:19:24] the
[2:19:24] remittance
[2:19:25] of
[2:19:26] the
[2:19:26] same
[2:19:27] taxes
[2:19:27] to
[2:19:27] fill
[2:19:28] health
[2:19:28] so
[2:19:28] that
[2:19:28] we
[2:19:29] can
[2:19:29] ensure
[2:19:29] predictability
[2:19:30] hindi
[2:19:30] niyo
[2:19:31] po
[2:19:31] makukuha
[2:19:32] ng
[2:19:32] last
[2:19:32] quarter
[2:19:33] automatic
[2:19:34] po
[2:19:35] yung
[2:19:35] Pag
[2:19:36] for
[2:19:36] and
[2:19:36] PCSO
[2:19:38] shares
[2:19:38] automatic
[2:19:39] din po
[2:19:40] ang
[2:19:40] remittance
[2:19:41] sa
[2:19:41] fill
[2:19:41] health
[2:19:41] and
[2:19:42] then
[2:19:42] yung
[2:19:43] national
[2:19:43] government
[2:19:44] subsidy
[2:19:45] maibigay
[2:19:46] din
[2:19:46] kasi
[2:19:47] kapag
[2:19:47] kulang
[2:19:48] dapat
[2:19:48] may
[2:19:49] automatic
[2:19:49] na
[2:19:50] ibibigay
[2:19:50] ang
[2:19:50] national
[2:19:51] government
[2:19:51] as
[2:19:52] subsidy
[2:19:53] to
[2:19:53] fill
[2:19:53] health
[2:19:53] so
[2:19:54] yan
[2:19:54] po
[2:19:54] yung
[2:19:54] ating
[2:19:55] mga
[2:19:55] appropriations
[2:19:57] sources
[2:19:58] dapat
[2:19:59] so
[2:19:59] sa pag-review
[2:20:00] po
[2:20:00] siguro
[2:20:01] Mr.
[2:20:02] Chair
[2:20:02] we take
[2:20:03] a look
[2:20:03] at this
[2:20:03] one by
[2:20:04] one
[2:20:04] to
[2:20:05] ensure
[2:20:05] fund
[2:20:06] viability
[2:20:07] of
[2:20:07] fill
[2:20:08] health
[2:20:08] of course
[2:20:09] without
[2:20:09] prejudice
[2:20:10] po yan
[2:20:10] sa
[2:20:11] accounting
[2:20:11] procedures
[2:20:12] and
[2:20:12] sa
[2:20:13] subject
[2:20:13] naman
[2:20:13] po
[2:20:14] yan
[2:20:14] ng
[2:20:14] COA
[2:20:14] mas
[2:20:15] subject
[2:20:15] tayo
[2:20:16] po
[2:20:16] noon
[2:20:16] pero
[2:20:17] mas
[2:20:18] maganda
[2:20:18] po
[2:20:18] siguro
[2:20:19] na
[2:20:19] may
[2:20:19] predictability
[2:20:21] nga
[2:20:21] po
[2:20:21] yung
[2:20:21] para
[2:20:22] yung
[2:20:23] even
[2:20:23] sa
[2:20:23] actuarial
[2:20:24] studies
[2:20:25] ninyo
[2:20:25] napoproject
[2:20:26] nyo po
[2:20:27] yung
[2:20:27] kailangan
[2:20:28] ninyo
[2:20:29] taon-taon
[2:20:30] at
[2:20:30] mababanggan
[2:20:31] nyo po
[2:20:32] kung ilan
[2:20:32] at magkano
[2:20:33] ang pera
[2:20:34] po
[2:20:34] yun
[2:20:35] lamang po
[2:20:35] Mr.
[2:20:36] Chair
[2:20:36] thank
[2:20:37] thank you
[2:20:38] honorable
[2:20:39] monte
[2:20:39] now
[2:20:42] we
[2:20:42] recognize
[2:20:44] Dr.
[2:20:44] Marisa
[2:20:45] Alejandro
[2:20:45] from the
[2:20:46] National
[2:20:47] Institute
[2:20:47] thank you
[2:20:50] Mr.
[2:20:50] Chair
[2:20:50] and
[2:20:51] thank you
[2:20:52] to the
[2:20:52] honorable
[2:20:53] members
[2:20:53] of the
[2:20:53] oversight
[2:20:54] committee
[2:20:54] had
[2:20:56] very rich
[2:20:57] discussion
[2:20:57] on
[2:20:59] how we
[2:21:00] can
[2:21:00] effectively
[2:21:00] implement
[2:21:01] universal
[2:21:02] health
[2:21:02] care
[2:21:02] and
[2:21:03] I
[2:21:03] just
[2:21:03] like
[2:21:04] to
[2:21:04] reiterate
[2:21:04] our
[2:21:05] support
[2:21:05] to
[2:21:06] the
[2:21:06] request
[2:21:07] for
[2:21:07] legislative
[2:21:08] support
[2:21:08] and
[2:21:09] amendments
[2:21:09] to the
[2:21:10] UHC
[2:21:11] Act
[2:21:11] as
[2:21:12] very
[2:21:13] extensively
[2:21:13] discussed
[2:21:14] and
[2:21:15] maybe
[2:21:16] what
[2:21:16] we
[2:21:16] would
[2:21:16] just
[2:21:17] like
[2:21:17] to
[2:21:17] add
[2:21:18] based
[2:21:19] on
[2:21:20] our
[2:21:20] evaluation
[2:21:21] of
[2:21:21] health
[2:21:21] information
[2:21:22] systems
[2:21:22] is
[2:21:23] to
[2:21:24] add
[2:21:25] into
[2:21:25] the
[2:21:26] legislative
[2:21:27] support
[2:21:29] to have
[2:21:29] legislation
[2:21:30] also on
[2:21:31] e-health
[2:21:32] or digital
[2:21:32] health
[2:21:33] so that
[2:21:34] we can
[2:21:35] mandate
[2:21:37] already
[2:21:38] the
[2:21:38] interoperability
[2:21:39] of
[2:21:40] information
[2:21:40] management
[2:21:41] system
[2:21:42] because
[2:21:42] we know
[2:21:43] that
[2:21:43] health
[2:21:43] service
[2:21:44] delivery
[2:21:44] is
[2:21:45] transaction
[2:21:46] and
[2:21:46] data
[2:21:46] heavy
[2:21:47] and
[2:21:47] if
[2:21:48] we
[2:21:48] have
[2:21:48] a
[2:21:48] very
[2:21:49] interoperable
[2:21:51] management
[2:21:52] system
[2:21:53] then
[2:21:53] all
[2:21:54] these
[2:21:54] issues
[2:21:55] on
[2:21:56] fraud
[2:21:56] corruption
[2:21:57] validity
[2:21:59] of data
[2:22:00] can be
[2:22:01] addressed
[2:22:02] and
[2:22:02] we can
[2:22:03] easily
[2:22:06] analyze
[2:22:08] where the
[2:22:09] root cause
[2:22:10] is if
[2:22:10] we have
[2:22:11] very good
[2:22:12] data
[2:22:12] because data
[2:22:13] is
[2:22:13] powerful
[2:22:14] but we
[2:22:15] need
[2:22:15] good
[2:22:16] quality
[2:22:16] data
[2:22:17] and it
[2:22:17] would be
[2:22:18] very
[2:22:18] helpful
[2:22:18] to have
[2:22:19] that
[2:22:20] interoperable
[2:22:20] information
[2:22:21] system
[2:22:22] both
[2:22:22] for
[2:22:23] field
[2:22:23] even
[2:22:24] for
[2:22:24] field
[2:22:24] health
[2:22:25] because
[2:22:25] we can
[2:22:26] put
[2:22:26] there
[2:22:26] the
[2:22:26] incentivization
[2:22:28] also in
[2:22:28] the
[2:22:29] disincentivization
[2:22:30] if we are
[2:22:31] able to
[2:22:31] monitor
[2:22:32] also
[2:22:33] through that
[2:22:34] information
[2:22:35] management
[2:22:36] system
[2:22:36] and if
[2:22:37] we avoid
[2:22:37] redundancies
[2:22:38] this will
[2:22:40] also avoid
[2:22:40] redundancies
[2:22:41] and so
[2:22:42] I would
[2:22:44] say that
[2:22:44] an interoperable
[2:22:46] information
[2:22:47] management
[2:22:48] system
[2:22:49] is a
[2:22:50] key
[2:22:50] support
[2:22:50] pillar
[2:22:51] for
[2:22:52] efficient
[2:22:53] implementation
[2:22:54] of
[2:22:55] universal
[2:22:56] healthcare
[2:22:56] across
[2:22:57] the
[2:22:57] system
[2:22:58] from
[2:22:58] health
[2:22:59] service
[2:22:59] delivery
[2:22:59] health
[2:23:00] financing
[2:23:01] and the
[2:23:02] other
[2:23:02] components
[2:23:03] of
[2:23:04] universal
[2:23:04] healthcare
[2:23:05] if we
[2:23:06] can invest
[2:23:07] on that
[2:23:07] and also
[2:23:08] if we
[2:23:08] can have
[2:23:08] legislation
[2:23:09] on that
[2:23:10] and that
[2:23:12] will also
[2:23:13] that
[2:23:14] interoperable
[2:23:15] health
[2:23:15] information
[2:23:15] management
[2:23:16] system
[2:23:16] we can
[2:23:17] also
[2:23:17] incorporate
[2:23:18] there
[2:23:19] the
[2:23:19] telemedicine
[2:23:20] framework
[2:23:21] because we
[2:23:22] understand
[2:23:23] we still
[2:23:26] have
[2:23:26] lack
[2:23:27] human
[2:23:28] resource
[2:23:29] across
[2:23:30] the
[2:23:30] country
[2:23:30] so there
[2:23:31] is
[2:23:31] maldistribution
[2:23:32] and
[2:23:33] I think
[2:23:34] telemedicine
[2:23:34] is one
[2:23:35] way
[2:23:36] to
[2:23:36] address
[2:23:37] that
[2:23:38] deficiency
[2:23:40] in our
[2:23:40] health
[2:23:41] our
[2:23:41] human
[2:23:42] resource
[2:23:42] and
[2:23:43] we'll
[2:23:44] segue
[2:23:44] that
[2:23:44] to
[2:23:45] health
[2:23:45] service
[2:23:45] delivery
[2:23:46] so the
[2:23:48] three
[2:23:49] components
[2:23:49] quality
[2:23:50] equipment
[2:23:51] and
[2:23:52] human
[2:23:52] resource
[2:23:52] these
[2:23:53] are
[2:23:53] three
[2:23:54] important
[2:23:55] areas
[2:23:56] for us
[2:23:56] to be
[2:23:57] able
[2:23:57] to
[2:23:57] deliver
[2:23:58] quality
[2:23:59] health
[2:24:00] service
[2:24:00] and it's
[2:24:02] unfortunate
[2:24:02] we don't
[2:24:03] have
[2:24:03] DBM
[2:24:03] here
[2:24:03] because
[2:24:04] I think
[2:24:04] the
[2:24:05] plantilla
[2:24:06] items
[2:24:06] for
[2:24:07] health
[2:24:07] human
[2:24:08] resource
[2:24:08] is very
[2:24:08] much
[2:24:09] needed
[2:24:09] not
[2:24:09] just
[2:24:10] the
[2:24:10] equipment
[2:24:11] plus
[2:24:12] of course
[2:24:12] providing
[2:24:13] training
[2:24:14] for all
[2:24:15] our
[2:24:15] human
[2:24:16] resources
[2:24:17] and the
[2:24:19] last
[2:24:20] I would
[2:24:20] like to
[2:24:21] add
[2:24:22] for the
[2:24:24] comprehensiveness
[2:24:25] of the
[2:24:25] packages
[2:24:26] that we
[2:24:27] provide
[2:24:28] to our
[2:24:29] countrymen
[2:24:30] we are
[2:24:31] having
[2:24:32] these
[2:24:32] comprehensive
[2:24:33] benefit
[2:24:33] packages
[2:24:34] and I
[2:24:34] support
[2:24:34] that
[2:24:35] it should
[2:24:36] not
[2:24:36] just be
[2:24:37] treatment
[2:24:37] but we
[2:24:38] need
[2:24:38] to
[2:24:38] work
[2:24:39] on
[2:24:39] comprehensive
[2:24:40] benefit
[2:24:41] packages
[2:24:41] for
[2:24:42] public
[2:24:43] health
[2:24:43] interventions
[2:24:44] preventive
[2:24:44] interventions
[2:24:45] including
[2:24:46] long-term
[2:24:47] care
[2:24:47] and
[2:24:48] palliative
[2:24:48] care
[2:24:49] I think
[2:24:49] these are
[2:24:49] the areas
[2:24:50] still
[2:24:50] that
[2:24:50] we need
[2:24:51] to work
[2:24:52] on
[2:24:52] and
[2:24:53] rest
[2:24:54] assured
[2:24:54] we are
[2:24:55] working
[2:24:56] on
[2:24:56] guidelines
[2:24:57] and
[2:24:57] standards
[2:24:58] of care
[2:24:58] that will
[2:24:59] cover
[2:24:59] these
[2:25:01] areas
[2:25:01] this
[2:25:01] spectrum
[2:25:02] of
[2:25:02] health
[2:25:02] particularly
[2:25:03] preventive
[2:25:04] I think
[2:25:04] we can
[2:25:05] save
[2:25:05] a lot
[2:25:05] if we
[2:25:06] invest
[2:25:06] on the
[2:25:07] preventive
[2:25:07] public
[2:25:08] health
[2:25:08] interventions
[2:25:09] Thank you
[2:25:10] Dr. Alejandria
[2:25:12] Talking about
[2:25:13] data
[2:25:13] and
[2:25:14] interoperability
[2:25:15] may we
[2:25:16] recognize
[2:25:17] Mr. Corrales
[2:25:18] from the
[2:25:19] Philippine Statistics
[2:25:20] Authority
[2:25:21] Good
[2:25:25] afternoon
[2:25:25] to all
[2:25:25] I am
[2:25:28] actually
[2:25:29] here for
[2:25:29] the
[2:25:29] Philippine
[2:25:30] Statistics
[2:25:30] Authority
[2:25:30] however
[2:25:31] the
[2:25:32] statistics
[2:25:33] were already
[2:25:33] laid out
[2:25:34] by the
[2:25:35] honorable
[2:25:36] guest
[2:25:36] so
[2:25:38] if I
[2:25:39] am to
[2:25:39] make
[2:25:39] any
[2:25:40] input
[2:25:41] I would
[2:25:42] like
[2:25:42] to be
[2:25:43] it
[2:25:43] on a
[2:25:43] personal
[2:25:44] basis
[2:25:44] while
[2:25:46] we talk
[2:25:47] about
[2:25:47] universal
[2:25:47] health
[2:25:48] care
[2:25:48] and
[2:25:49] emphasis
[2:25:50] on
[2:25:50] the
[2:25:50] facilities
[2:25:51] the
[2:25:51] buildings
[2:25:52] availability
[2:25:53] of
[2:25:54] doctors
[2:25:54] I would
[2:25:56] like
[2:25:56] to
[2:25:56] suggest
[2:25:56] that
[2:25:57] somehow
[2:25:57] the
[2:25:59] honorable
[2:25:59] panel
[2:26:00] and
[2:26:00] all
[2:26:01] of
[2:26:01] the
[2:26:01] guests
[2:26:02] involved
[2:26:03] in
[2:26:04] today's
[2:26:04] hearing
[2:26:05] give
[2:26:06] emphasis
[2:26:06] on
[2:26:07] outpatients
[2:26:08] unfortunately
[2:26:10] I was
[2:26:10] basically
[2:26:13] dissatisfied
[2:26:14] with some
[2:26:14] of our
[2:26:15] government
[2:26:16] hospitals
[2:26:16] because
[2:26:17] if you
[2:26:18] look at
[2:26:18] the way
[2:26:19] some
[2:26:20] of the
[2:26:21] hospitals
[2:26:21] handle
[2:26:22] outpatients
[2:26:23] it is
[2:26:24] as if
[2:26:24] they are
[2:26:25] begging
[2:26:25] for the
[2:26:27] care
[2:26:29] that is
[2:26:30] supposed
[2:26:30] to be
[2:26:30] given
[2:26:31] to the
[2:26:32] people
[2:26:32] who
[2:26:33] need
[2:26:33] it
[2:26:33] most
[2:26:34] if
[2:26:35] you
[2:26:35] go
[2:26:35] to
[2:26:36] East
[2:26:36] Avenue
[2:26:36] Medical
[2:26:37] Center
[2:26:37] the
[2:26:39] line
[2:26:39] of
[2:26:39] people
[2:26:40] availing
[2:26:42] of
[2:26:42] outpatient
[2:26:42] requests
[2:26:44] for
[2:26:45] medical
[2:26:45] assistance
[2:26:46] do not
[2:26:47] go down
[2:26:48] until
[2:26:48] five o'clock
[2:26:49] in the
[2:26:49] afternoon
[2:26:50] and most
[2:26:51] of them
[2:26:51] are turned
[2:26:52] away
[2:26:52] I had
[2:26:55] I had
[2:26:55] this
[2:26:55] very
[2:26:55] unfortunate
[2:26:56] incident
[2:26:56] in one
[2:26:57] of the
[2:26:57] government
[2:26:57] hospitals
[2:26:58] when I
[2:26:59] returned
[2:27:00] three times
[2:27:01] for a
[2:27:03] medical
[2:27:04] test
[2:27:04] because
[2:27:05] the
[2:27:06] schedules
[2:27:07] of the
[2:27:07] doctor
[2:27:08] keep
[2:27:08] changing
[2:27:08] and the
[2:27:10] staff
[2:27:10] could not
[2:27:10] even say
[2:27:11] where the
[2:27:11] doctor is
[2:27:12] now
[2:27:13] unfortunately
[2:27:15] at one
[2:27:16] time
[2:27:17] medical
[2:27:18] services
[2:27:19] within
[2:27:19] government
[2:27:20] facilities
[2:27:20] was removed
[2:27:21] that's why
[2:27:23] we no
[2:27:23] longer
[2:27:23] have
[2:27:24] internal
[2:27:25] dentists
[2:27:26] internal
[2:27:26] doctors
[2:27:27] and it
[2:27:29] added also
[2:27:30] to the
[2:27:31] stream
[2:27:32] of
[2:27:33] government
[2:27:34] employees
[2:27:35] going to
[2:27:35] public
[2:27:36] hospitals
[2:27:36] lining up
[2:27:38] with the
[2:27:39] outpatients
[2:27:40] burdening
[2:27:42] the health
[2:27:43] services
[2:27:43] that could
[2:27:44] have easily
[2:27:45] been given
[2:27:46] to those
[2:27:46] who need
[2:27:46] it most
[2:27:47] can you
[2:27:49] imagine
[2:27:50] a government
[2:27:51] employee
[2:27:51] lining
[2:27:52] at a
[2:27:53] government
[2:27:53] hospital
[2:27:54] outpatient
[2:27:55] wing
[2:27:55] telling
[2:27:57] your
[2:27:57] superiors
[2:27:58] that you
[2:27:59] cannot
[2:27:59] work
[2:28:00] because
[2:28:00] you
[2:28:00] have
[2:28:00] to
[2:28:00] line
[2:28:00] in
[2:28:01] a
[2:28:01] hospital
[2:28:01] it's
[2:28:04] very
[2:28:04] unfortunate
[2:28:05] that
[2:28:05] somebody
[2:28:07] misread
[2:28:09] how to
[2:28:11] apply
[2:28:12] it
[2:28:12] efficiently
[2:28:13] actually
[2:28:14] when there
[2:28:15] was an
[2:28:15] in-house
[2:28:16] government
[2:28:16] doctor
[2:28:17] or dentist
[2:28:18] inside
[2:28:18] a government
[2:28:19] institution
[2:28:20] we would
[2:28:21] usually take
[2:28:22] about one
[2:28:23] hour
[2:28:23] of our
[2:28:24] regular
[2:28:24] work
[2:28:25] to go
[2:28:26] to the
[2:28:27] clinic
[2:28:27] right now
[2:28:29] we have
[2:28:29] to absent
[2:28:29] ourselves
[2:28:30] at least
[2:28:30] half a
[2:28:30] day
[2:28:31] and we
[2:28:32] add to
[2:28:33] the numbers
[2:28:33] staying
[2:28:34] in
[2:28:35] government
[2:28:36] instituted
[2:28:37] hospitals
[2:28:37] just to
[2:28:39] have our
[2:28:39] skin
[2:28:40] checked
[2:28:40] because of
[2:28:41] being dry
[2:28:42] because of
[2:28:43] the summer
[2:28:43] heat
[2:28:43] or getting
[2:28:45] cough or
[2:28:45] cold
[2:28:46] or even
[2:28:47] pneumonia
[2:28:48] when we
[2:28:49] go to
[2:28:49] field work
[2:28:49] so
[2:28:50] somehow
[2:28:52] outpatients
[2:28:54] should have
[2:28:56] been given
[2:28:57] more emphasis
[2:28:58] I was
[2:28:59] I was also
[2:29:00] shocked
[2:29:01] that
[2:29:02] when I
[2:29:03] took
[2:29:04] a
[2:29:04] leave of
[2:29:05] absence
[2:29:05] and
[2:29:05] came to
[2:29:06] the
[2:29:06] hospital
[2:29:07] my
[2:29:07] 85,000
[2:29:08] peso
[2:29:09] bill
[2:29:09] was
[2:29:10] cut
[2:29:11] by
[2:29:13] 15,000
[2:29:13] pesos
[2:29:14] due to
[2:29:14] pill
[2:29:15] health
[2:29:15] I only
[2:29:17] got
[2:29:17] 15,000
[2:29:18] for
[2:29:19] that
[2:29:20] particular
[2:29:20] hospital
[2:29:21] why
[2:29:21] because I
[2:29:23] cannot
[2:29:23] avail
[2:29:23] of a
[2:29:24] government
[2:29:24] hospital
[2:29:24] room
[2:29:25] so
[2:29:27] if I
[2:29:29] could
[2:29:29] have
[2:29:29] gotten
[2:29:30] services
[2:29:31] from an
[2:29:33] outpatient
[2:29:34] post
[2:29:35] to
[2:29:36] alleviate
[2:29:37] the
[2:29:38] hardship
[2:29:38] of
[2:29:40] going
[2:29:40] to
[2:29:40] the
[2:29:41] hospital
[2:29:41] to be
[2:29:42] confined
[2:29:42] then
[2:29:43] the
[2:29:44] outpatient
[2:29:44] part
[2:29:45] of the
[2:29:46] universal
[2:29:47] health care
[2:29:47] bill
[2:29:47] would
[2:29:48] observe
[2:29:48] its
[2:29:49] purpose
[2:29:49] availability
[2:29:50] of
[2:29:51] doctors
[2:29:52] availability
[2:29:53] of
[2:29:53] facilities
[2:29:54] and
[2:29:55] availability
[2:29:55] of
[2:29:56] medication
[2:29:56] for
[2:29:57] outpatient
[2:29:57] so
[2:29:59] I am
[2:30:00] sorry
[2:30:00] to the
[2:30:02] panel
[2:30:03] the
[2:30:03] honorable
[2:30:04] panel
[2:30:04] like I
[2:30:05] said
[2:30:05] I am
[2:30:06] supposed
[2:30:06] to be
[2:30:07] from
[2:30:07] the
[2:30:07] philippine
[2:30:08] statistics
[2:30:08] authority
[2:30:09] which
[2:30:09] I should
[2:30:10] have
[2:30:10] presented
[2:30:11] statistics
[2:30:12] but
[2:30:12] the
[2:30:12] statistics
[2:30:13] were
[2:30:13] well
[2:30:13] presented
[2:30:14] earlier
[2:30:14] so
[2:30:16] it is
[2:30:17] only
[2:30:17] in my
[2:30:17] mind
[2:30:18] that
[2:30:18] outpatients
[2:30:19] should
[2:30:20] be
[2:30:20] given
[2:30:20] more
[2:30:20] priority
[2:30:21] because
[2:30:22] most
[2:30:22] of the
[2:30:22] patients
[2:30:23] are
[2:30:23] not
[2:30:24] for
[2:30:24] confinement
[2:30:25] they
[2:30:26] line up
[2:30:26] the
[2:30:27] corridors
[2:30:27] and
[2:30:28] they
[2:30:28] line up
[2:30:28] the
[2:30:28] parking
[2:30:29] areas
[2:30:29] of
[2:30:30] the
[2:30:30] hospitals
[2:30:31] thank
[2:30:32] you
[2:30:32] very
[2:30:32] much
[2:30:32] sir
[2:30:33] thank
[2:30:33] you
[2:30:34] Mr.
[2:30:34] Corrales
[2:30:34] I
[2:30:35] totally
[2:30:36] agree
[2:30:36] with
[2:30:36] you
[2:30:36] Mr.
[2:30:37] Chen
[2:30:37] yes
[2:30:38] sec
[2:30:39] domingo
[2:30:39] brief
[2:30:40] response
[2:30:40] yes a brief
[2:30:41] response
[2:30:42] and I
[2:30:43] heard
[2:30:43] the
[2:30:43] honorable
[2:30:43] akup
[2:30:44] whispering
[2:30:44] it
[2:30:44] that's
[2:30:45] yakap
[2:30:45] pwede
[2:30:46] yung
[2:30:46] magtatag
[2:30:47] ng
[2:30:48] clinic
[2:30:48] yung
[2:30:48] PSA
[2:30:49] laging
[2:30:50] nila
[2:30:50] ng
[2:30:50] doktor
[2:30:50] saka
[2:30:50] ng
[2:30:51] nurse
[2:30:51] saka
[2:30:51] ng
[2:30:51] lahat
[2:30:52] tapos
[2:30:52] akredit
[2:30:52] natin
[2:30:53] sa
[2:30:53] Phil
[2:30:53] health
[2:30:54] para yung
[2:30:54] PSA
[2:30:55] and
[2:30:55] by that
[2:30:56] extension
[2:30:57] all
[2:30:57] other
[2:30:57] government
[2:30:58] agencies
[2:30:58] DepEd
[2:30:59] is doing
[2:30:59] it
[2:30:59] the
[2:31:00] DepEd
[2:31:00] schools
[2:31:01] actually
[2:31:01] have
[2:31:02] meron
[2:31:02] mga
[2:31:02] yakapa
[2:31:03] accredited
[2:31:03] clinics
[2:31:04] so
[2:31:05] pwede
[2:31:05] yung
[2:31:05] gawin
[2:31:05] yan
[2:31:06] even
[2:31:06] the
[2:31:07] DOH
[2:31:07] our
[2:31:08] own
[2:31:08] clinic
[2:31:08] in-house
[2:31:09] is yakapa
[2:31:09] accredited
[2:31:10] so
[2:31:11] pwede
[2:31:11] mong
[2:31:11] i-suggest
[2:31:11] yun
[2:31:11] sa
[2:31:12] national
[2:31:13] statistician
[2:31:13] thank you
[2:31:14] mr.
[2:31:14] chair
[2:31:14] thank you
[2:31:16] i was
[2:31:23] about to
[2:31:24] say that
[2:31:24] i was
[2:31:24] about
[2:31:25] to
[2:31:25] ask
[2:31:26] Phil
[2:31:28] health
[2:31:28] about
[2:31:29] yakap
[2:31:29] i also
[2:31:30] add
[2:31:30] you
[2:31:30] that
[2:31:30] our
[2:31:32] very
[2:31:32] own
[2:31:32] clinic
[2:31:33] in
[2:31:33] the
[2:31:33] house
[2:31:33] is
[2:31:34] yakapa
[2:31:34] accredited
[2:31:35] so
[2:31:35] yun
[2:31:36] po
[2:31:36] kasi
[2:31:37] supposedly
[2:31:37] yung
[2:31:38] gatekeeper
[2:31:39] tama
[2:31:40] po
[2:31:40] yung
[2:31:41] yakap
[2:31:42] and then
[2:31:43] primary
[2:31:44] facilities
[2:31:44] sa
[2:31:45] HCPN
[2:31:46] yung
[2:31:47] hospital
[2:31:47] provider
[2:31:48] network
[2:31:49] sa mga
[2:31:49] provinces
[2:31:50] sa mga
[2:31:50] cities
[2:31:51] yun po
[2:31:51] yung
[2:31:51] basic
[2:31:52] supposedly
[2:31:52] doon po
[2:31:53] kayo
[2:31:54] accredited
[2:31:54] tama po
[2:31:55] doon sila
[2:31:56] magre-register
[2:31:57] outpatient
[2:31:58] doon po
[2:31:58] kayo
[2:31:59] kung may
[2:31:59] kailangan
[2:32:00] na mga
[2:32:00] laboratorio
[2:32:01] i-recommenda
[2:32:02] kung kailangan
[2:32:03] papuntahin
[2:32:04] kayo sa
[2:32:05] tertiary
[2:32:05] hospital
[2:32:06] i-recommenda
[2:32:07] ang tanong
[2:32:07] ko na
[2:32:07] lang po
[2:32:08] sa
[2:32:09] pasensya
[2:32:09] na po
[2:32:09] nabanggit
[2:32:10] po
[2:32:10] yun
[2:32:10] sa
[2:32:11] Phil
[2:32:11] Health
[2:32:11] ano
[2:32:12] na po
[2:32:12] ang
[2:32:12] porsyento
[2:32:13] talaga
[2:32:14] nung ating
[2:32:15] mga
[2:32:15] members
[2:32:15] ng
[2:32:16] Phil
[2:32:16] Health
[2:32:16] ang
[2:32:17] nakaparehistro
[2:32:18] na po
[2:32:18] sa yakap
[2:32:19] and then
[2:32:19] sa yakap
[2:32:20] gamot
[2:32:21] at ilan
[2:32:22] na po
[2:32:22] ang porsyento
[2:32:23] nag-a-avail
[2:32:24] nung yakap
[2:32:24] gamot
[2:32:25] at nag-a-avail
[2:32:26] nakapag-avail
[2:32:27] nung yakap
[2:32:28] services
[2:32:29] natin
[2:32:29] baka po
[2:32:30] kasi
[2:32:30] malaki
[2:32:31] pang porsyento
[2:32:32] ng populasyon
[2:32:33] ang hindi
[2:32:34] nakakaalam
[2:32:35] nito
[2:32:35] idagdag
[2:32:37] ko na
[2:32:37] lamang po
[2:32:37] Mr.
[2:32:38] Chair
[2:32:38] and this
[2:32:39] is
[2:32:39] Director
[2:32:41] Rod
[2:32:42] meron pong
[2:32:43] kinomission
[2:32:44] if I'm not
[2:32:44] mistaken
[2:32:45] kinomission
[2:32:45] ng DOH
[2:32:46] na study
[2:32:47] sa ID
[2:32:48] and
[2:32:48] CIP
[2:32:48] na
[2:32:49] ang isa
[2:32:50] sa mga
[2:32:51] findings
[2:32:52] ng
[2:32:52] study
[2:32:53] na yon
[2:32:54] ay less
[2:32:55] ang
[2:32:56] hindi pa
[2:32:57] lahat
[2:32:57] nakakaalam
[2:32:58] tungkol
[2:32:58] sa UHC
[2:32:59] hindi nila
[2:33:00] alam
[2:33:01] kung ano
[2:33:01] ang mga
[2:33:02] binipisyo
[2:33:03] meron
[2:33:04] sa UHC
[2:33:05] kaya baka po
[2:33:06] sa side
[2:33:08] po ng
[2:33:08] PhilHealth
[2:33:09] ng DOH
[2:33:09] ano po
[2:33:10] ang ginagawa
[2:33:11] natin
[2:33:11] o parang
[2:33:12] mas paigtingin
[2:33:13] po natin
[2:33:13] ang information
[2:33:14] dissemination
[2:33:15] para
[2:33:16] pangalawa
[2:33:17] ano po
[2:33:18] ang mga
[2:33:19] ginagawa
[2:33:20] natin
[2:33:20] para mas
[2:33:21] madami
[2:33:21] ang makapag
[2:33:22] register
[2:33:23] sa iyo po
[2:33:23] yung iba
[2:33:24] hirap
[2:33:24] madali
[2:33:25] online
[2:33:25] may mga
[2:33:26] lugar
[2:33:26] na
[2:33:27] mahirap
[2:33:28] ang connectivity
[2:33:29] and
[2:33:30] may mga
[2:33:31] sad to
[2:33:31] say
[2:33:31] also
[2:33:32] that
[2:33:32] may mga
[2:33:32] LGUs
[2:33:33] na hindi
[2:33:34] masyadong
[2:33:35] cooperative
[2:33:35] in terms
[2:33:36] of
[2:33:37] pag-i-enroll
[2:33:39] ng kanilang
[2:33:40] mga
[2:33:41] constituents
[2:33:41] in fact
[2:33:42] I have had
[2:33:43] several
[2:33:43] occasions
[2:33:44] na nakakapunta
[2:33:45] po ako
[2:33:46] sa mga
[2:33:46] munisipyo
[2:33:47] and I
[2:33:47] talked to
[2:33:48] the mayors
[2:33:48] and encouraged
[2:33:49] them
[2:33:49] na
[2:33:50] tunungan nyo
[2:33:51] pong
[2:33:51] mairehistro
[2:33:52] yung mga
[2:33:53] constituents
[2:33:54] ninyo
[2:33:54] after all
[2:33:55] income po
[2:33:56] ito
[2:33:56] ng inyong
[2:33:57] facility
[2:33:57] kikita
[2:33:58] pag nakapag
[2:33:59] registro
[2:34:00] at nagpa-check
[2:34:01] up sa inyo
[2:34:02] kikita po
[2:34:02] kayo dito
[2:34:03] at may babalik
[2:34:04] nyo doon
[2:34:04] sa pasilibad
[2:34:05] ninyo
[2:34:06] yung income
[2:34:07] so
[2:34:07] saan po
[2:34:08] ang problema
[2:34:09] po natin
[2:34:09] in terms
[2:34:10] of the
[2:34:10] registration
[2:34:11] and access
[2:34:12] of the
[2:34:12] yakap
[2:34:13] and primary
[2:34:13] care
[2:34:14] facilities
[2:34:17] natin po
[2:34:18] Mr.
[2:34:19] Thank you
[2:34:21] Mr.
[2:34:21] Chair
[2:34:21] Thank you
[2:34:22] Honorable
[2:34:22] Montez
[2:34:23] Meron po
[2:34:24] kaming
[2:34:24] tinatawag
[2:34:25] na
[2:34:25] settings
[2:34:26] based
[2:34:26] impanelment
[2:34:27] precisely
[2:34:27] sa workplace
[2:34:28] dun sa
[2:34:29] mga
[2:34:29] organized
[2:34:30] settings
[2:34:31] like
[2:34:31] school
[2:34:32] na
[2:34:33] talaga
[2:34:33] binibigyan
[2:34:35] namin
[2:34:35] po
[2:34:35] yung
[2:34:36] aming
[2:34:36] mga
[2:34:36] local
[2:34:37] health
[2:34:37] insurance
[2:34:37] office
[2:34:38] ng
[2:34:39] targets
[2:34:40] na
[2:34:40] kalugarin
[2:34:41] yung
[2:34:42] buong
[2:34:42] komunidad
[2:34:42] kasi
[2:34:43] parang
[2:34:45] yun po
[2:34:45] yung market
[2:34:45] scanning
[2:34:46] sino
[2:34:46] yung
[2:34:47] mga
[2:34:47] nangangailangan
[2:34:48] paano
[2:34:48] ilalapit
[2:34:49] nag-uumpisa
[2:34:50] pa lang
[2:34:51] po
[2:34:51] ngayong
[2:34:52] nakaraang
[2:34:53] tatlong
[2:34:53] buwan
[2:34:54] so
[2:34:54] bigyan
[2:34:54] lang
[2:34:54] po
[2:34:55] nyo
[2:34:55] ng
[2:34:55] pagkakaton
[2:34:56] but
[2:34:56] right
[2:34:56] now
[2:34:56] po
[2:34:57] ang
[2:34:57] total
[2:34:58] FPE
[2:34:58] po
[2:34:58] namin
[2:34:59] ay
[2:34:59] 33
[2:34:59] million
[2:35:00] as
[2:35:00] mentioned
[2:35:01] earlier
[2:35:02] yung
[2:35:03] lahat
[2:35:03] naman
[2:35:04] po
[2:35:04] kasi
[2:35:04] nang
[2:35:04] na-assign
[2:35:05] to
[2:35:05] a
[2:35:05] yakap
[2:35:05] clinic
[2:35:06] hindi
[2:35:06] po
[2:35:06] lahat
[2:35:07] nagko
[2:35:07] convert
[2:35:07] into
[2:35:08] FPE
[2:35:09] mga
[2:35:09] 60%
[2:35:10] lang
[2:35:10] po
[2:35:11] so
[2:35:11] kung
[2:35:11] i-extrapolate
[2:35:13] natin
[2:35:13] almost
[2:35:13] 50 to
[2:35:14] 55
[2:35:15] million
[2:35:15] na po
[2:35:15] yung
[2:35:16] nabigyan
[2:35:17] po
[2:35:17] ng
[2:35:17] yakap
[2:35:17] enrollment
[2:35:18] so
[2:35:19] yung
[2:35:19] ano po
[2:35:20] pwede
[2:35:20] po
[2:35:20] kaming
[2:35:21] lumapit
[2:35:21] sa
[2:35:21] PSA
[2:35:22] pero
[2:35:23] gaya
[2:35:23] po
[2:35:23] nung
[2:35:24] bangkit
[2:35:24] po
[2:35:25] ni
[2:35:25] Dr.
[2:35:26] Alendria
[2:35:26] kanina
[2:35:27] may
[2:35:27] mga
[2:35:28] kaakibat
[2:35:28] pong
[2:35:28] mga
[2:35:29] investment
[2:35:29] na
[2:35:30] kailangan
[2:35:30] din
[2:35:30] pong
[2:35:31] gawin
[2:35:31] yung
[2:35:31] ating
[2:35:31] yakap
[2:35:32] clinics
[2:35:32] at
[2:35:32] yun
[2:35:32] naman
[2:35:33] po
[2:35:33] mababawi
[2:35:34] po
[2:35:34] dun
[2:35:34] sa
[2:35:34] aming
[2:35:35] payment
[2:35:35] ng
[2:35:35] capitation
[2:35:36] e
[2:35:36] isa
[2:35:37] po
[2:35:37] dyan
[2:35:37] yung
[2:35:37] EMR
[2:35:38] na
[2:35:39] nabanggit
[2:35:39] nga
[2:35:39] po
[2:35:40] kasi
[2:35:40] hindi
[2:35:40] po
[2:35:41] ganong
[2:35:41] kadali
[2:35:41] na
[2:35:41] plug
[2:35:42] and
[2:35:42] play
[2:35:42] maybe
[2:35:43] yan
[2:35:43] po
[2:35:43] yung
[2:35:44] experience
[2:35:44] natin
[2:35:45] sa
[2:35:45] aklan
[2:35:45] kasi
[2:35:46] dapat
[2:35:46] po
[2:35:46] halimbawa
[2:35:47] yung
[2:35:47] mga
[2:35:47] makina
[2:35:47] may
[2:35:48] API
[2:35:49] na
[2:35:49] yung
[2:35:50] downloading
[2:35:50] po
[2:35:51] ng
[2:35:51] mga
[2:35:51] lab
[2:35:51] results
[2:35:52] automatically
[2:35:52] attached
[2:35:53] dun
[2:35:53] sa
[2:35:53] EMR
[2:35:54] ngayon
[2:35:55] po
[2:35:55] kasi
[2:35:55] mostly
[2:35:56] manual
[2:35:57] na
[2:35:57] napakahirap
[2:36:04] ng
[2:36:05] EMR
[2:36:05] na
[2:36:06] merong
[2:36:06] attachment
[2:36:06] ang
[2:36:07] mga
[2:36:07] provider
[2:36:08] sabi
[2:36:08] mahal
[2:36:09] mahal
[2:36:09] yan
[2:36:09] di
[2:36:09] kami
[2:36:10] kayang
[2:36:10] bayaran
[2:36:11] although
[2:36:11] our
[2:36:12] study
[2:36:12] shows
[2:36:12] it's
[2:36:12] only
[2:36:13] 3%
[2:36:13] of
[2:36:13] our
[2:36:14] total
[2:36:14] yakap
[2:36:15] payment
[2:36:16] that
[2:36:16] goes
[2:36:17] to
[2:36:17] EMR
[2:36:18] so
[2:36:19] isa
[2:36:19] po
[2:36:19] rin
[2:36:19] siguro
[2:36:20] mong
[2:36:20] kahiyon
[2:36:20] kung
[2:36:20] ano
[2:36:20] po
[2:36:21] yung
[2:36:21] pwede
[2:36:21] nating
[2:36:21] i-grant
[2:36:22] kasi
[2:36:22] ganun
[2:36:22] po
[2:36:22] yung
[2:36:23] nangyari
[2:36:23] ng
[2:36:23] Affordable
[2:36:24] Care
[2:36:24] Act
[2:36:24] nung
[2:36:24] si
[2:36:25] Obamacare
[2:36:26] ay
[2:36:26] inilatag
[2:36:27] yung
[2:36:35] para magawa
[2:36:37] po namin
[2:36:37] yung
[2:36:38] minunungkahin
[2:36:39] ni Dr.
[2:36:39] Alejandria
[2:36:40] na
[2:36:40] ma-examine
[2:36:42] po namin
[2:36:43] yung
[2:36:43] back-end
[2:36:43] madali
[2:36:44] po namin
[2:36:44] na-analyze
[2:36:45] yung
[2:36:45] analytics
[2:36:46] fraud
[2:36:46] wastage
[2:36:47] and
[2:36:47] abuse
[2:36:48] so
[2:36:48] yun
[2:36:49] po
[2:36:49] yung
[2:36:49] unti-unti
[2:36:49] namin
[2:36:50] ginagawa
[2:36:50] mag-a-align
[2:36:51] na po
[2:36:51] kami
[2:36:51] with
[2:36:52] DOH
[2:36:52] on
[2:36:52] the
[2:36:52] EMR
[2:36:53] yung
[2:36:53] standard
[2:36:54] of
[2:36:54] nomenclature
[2:36:55] pa
[2:36:55] lang
[2:36:55] po
[2:36:55] marami
[2:36:56] na
[2:36:56] po
[2:36:56] kailangan
[2:36:58] sumunod
[2:36:59] po
[2:36:59] yung
[2:36:59] ating
[2:36:59] hospital
[2:37:00] facilities
[2:37:01] kasi
[2:37:01] mababago
[2:37:02] po yung
[2:37:02] nakalagay
[2:37:03] dun sa
[2:37:04] kanilang
[2:37:04] billing
[2:37:04] SOA
[2:37:06] marimbawa
[2:37:06] yung
[2:37:06] twice a
[2:37:07] day
[2:37:07] meron
[2:37:08] after
[2:37:09] breakfast
[2:37:09] after
[2:37:10] dinner
[2:37:11] or
[2:37:11] upon
[2:37:12] waking
[2:37:12] up
[2:37:13] before
[2:37:13] sleeping
[2:37:14] so
[2:37:14] ang dami
[2:37:14] pong
[2:37:14] permutation
[2:37:15] yan
[2:37:15] sa standards
[2:37:16] na
[2:37:16] sinastandardize
[2:37:17] na po
[2:37:18] namin
[2:37:18] so
[2:37:19] yung
[2:37:19] incentive
[2:37:20] sana
[2:37:21] na
[2:37:21] mag-shift
[2:37:21] to
[2:37:22] a
[2:37:22] more
[2:37:22] responsive
[2:37:23] setup
[2:37:24] but
[2:37:24] medyo
[2:37:25] nag-digress
[2:37:26] yung
[2:37:27] sa
[2:37:27] PSA
[2:37:28] po
[2:37:28] lalapit
[2:37:29] po
[2:37:29] kami
[2:37:30] kasi
[2:37:30] kapartner
[2:37:30] po
[2:37:31] namin
[2:37:31] kayo
[2:37:31] na
[2:37:31] nag-co-collocate
[2:37:33] po
[2:37:33] ang mga
[2:37:33] PSA
[2:37:34] sa aming
[2:37:34] mga
[2:37:35] liyos
[2:37:35] para nga
[2:37:35] po
[2:37:36] magawa
[2:37:36] yung
[2:37:36] biometrics
[2:37:40] so
[2:37:40] we will
[2:37:40] reach out
[2:37:41] to you
[2:37:41] sir
[2:37:41] thank you
[2:37:43] thank you
[2:37:44] for that
[2:37:44] response
[2:37:45] po
[2:37:45] by the
[2:37:46] way
[2:37:46] ikaklaro
[2:37:47] ko
[2:37:47] lang po
[2:37:48] yung
[2:37:48] statement
[2:37:48] ko
[2:37:49] kanina
[2:37:49] is
[2:37:49] not
[2:37:50] for
[2:37:50] PSA
[2:37:51] but
[2:37:51] a
[2:37:51] personal
[2:37:52] note
[2:37:52] on
[2:37:52] what
[2:37:53] I
[2:37:53] have
[2:37:53] experienced
[2:37:54] in
[2:37:55] government
[2:37:55] hospitals
[2:37:56] kasi
[2:37:57] po
[2:37:57] ang
[2:37:57] point
[2:37:58] po
[2:37:58] natin
[2:37:58] doon
[2:37:58] thank
[2:37:59] you
[2:37:59] very
[2:37:59] much
[2:37:59] for
[2:37:59] acknowledging
[2:38:00] that
[2:38:00] that
[2:38:04] employees
[2:38:04] and
[2:38:05] the
[2:38:05] general
[2:38:06] public
[2:38:06] as a
[2:38:06] whole
[2:38:06] but
[2:38:07] the
[2:38:07] point
[2:38:08] is
[2:38:08] sana
[2:38:09] po
[2:38:10] mabigyan
[2:38:10] ng
[2:38:10] emphasis
[2:38:10] yung
[2:38:11] particular
[2:38:12] outpatient
[2:38:13] kasi
[2:38:13] po
[2:38:14] kung
[2:38:14] makikita
[2:38:15] nyo
[2:38:15] po
[2:38:15] meron
[2:38:16] po
[2:38:16] tayo
[2:38:16] mga
[2:38:17] talagang
[2:38:17] for
[2:38:18] hospital
[2:38:20] confinement
[2:38:21] talaga
[2:38:22] like
[2:38:22] cancer
[2:38:23] advanced
[2:38:24] stage
[2:38:24] diabetes
[2:38:25] or
[2:38:26] any
[2:38:26] other
[2:38:27] problems
[2:38:28] physically
[2:38:29] na
[2:38:30] talagang
[2:38:31] kailangan
[2:38:31] ng
[2:38:31] confinement
[2:38:32] pero
[2:38:33] sometimes
[2:38:34] we
[2:38:34] tend
[2:38:34] to
[2:38:34] forget
[2:38:35] more
[2:38:36] people
[2:38:36] flooding
[2:38:37] the
[2:38:38] outpatient
[2:38:38] wing
[2:38:39] means
[2:38:40] more
[2:38:41] personal
[2:38:41] needed
[2:38:42] more
[2:38:43] medicine
[2:38:44] needed
[2:38:45] and
[2:38:46] more
[2:38:46] care
[2:38:46] needed
[2:38:47] and
[2:38:48] yes
[2:38:48] we
[2:38:51] also
[2:38:51] sympathize
[2:38:52] with
[2:38:52] people
[2:38:53] who
[2:38:54] are
[2:38:54] in
[2:38:55] the
[2:38:55] hospital
[2:38:56] beds
[2:38:56] but
[2:38:57] we
[2:38:58] hear
[2:38:58] the
[2:38:58] clamor
[2:38:59] from
[2:39:00] the
[2:39:00] lines
[2:39:01] of
[2:39:01] the
[2:39:01] outpatients
[2:39:02] more
[2:39:02] thank
[2:39:04] you
[2:39:04] very
[2:39:04] much
[2:39:04] po
[2:39:05] thank
[2:39:05] you
[2:39:05] I
[2:39:06] was
[2:39:06] just
[2:39:06] being
[2:39:07] informed
[2:39:09] that
[2:39:09] dr
[2:39:10] mercado
[2:39:11] has
[2:39:11] to
[2:39:11] leave
[2:39:11] at
[2:39:11] 12
[2:39:13] because
[2:39:13] of
[2:39:13] another
[2:39:14] meeting
[2:39:15] and
[2:39:16] for
[2:39:17] the
[2:39:17] information
[2:39:17] of
[2:39:17] everyone
[2:39:18] we
[2:39:18] have
[2:39:19] a
[2:39:19] scheduled
[2:39:20] meeting
[2:39:21] this
[2:39:23] subcommittee
[2:39:23] on
[2:39:24] UAC
[2:39:25] so
[2:39:27] we
[2:39:29] have
[2:39:29] only
[2:39:29] one
[2:39:29] hour
[2:39:29] because
[2:39:30] we
[2:39:30] have
[2:39:30] a
[2:39:30] committee
[2:39:30] on
[2:39:31] health
[2:39:31] meeting
[2:39:31] at
[2:39:31] 1pm
[2:39:32] we
[2:39:33] just
[2:39:33] have
[2:39:34] to
[2:39:34] allow
[2:39:36] other
[2:39:37] resource
[2:39:37] persons
[2:39:37] to
[2:39:38] present
[2:39:40] their
[2:39:40] position
[2:39:41] yes
[2:39:43] honorable
[2:39:44] in
[2:39:47] addition
[2:39:47] to
[2:39:48] the
[2:39:48] data
[2:39:48] requested
[2:39:49] earlier
[2:39:50] with
[2:39:50] regards
[2:39:50] to
[2:39:50] the
[2:39:51] operational
[2:39:51] that
[2:39:52] arise
[2:39:53] I'd
[2:39:54] also
[2:39:54] like
[2:39:54] to
[2:39:54] ask
[2:39:54] UH
[2:39:55] and
[2:39:55] health
[2:39:56] to
[2:39:57] submit
[2:39:58] data
[2:39:58] on
[2:39:59] ano
[2:40:00] ba
[2:40:01] talaga
[2:40:01] yung
[2:40:01] percentage
[2:40:02] ilan
[2:40:02] ba
[2:40:02] talaga
[2:40:03] yung
[2:40:03] percentage
[2:40:03] ng
[2:40:04] patients
[2:40:05] na
[2:40:06] naka
[2:40:06] avail
[2:40:07] ng
[2:40:07] you
[2:40:07] don't
[2:40:13] need
[2:40:13] to
[2:40:14] present
[2:40:15] it
[2:40:15] today
[2:40:15] pwede
[2:40:15] namang
[2:40:16] i-submit
[2:40:16] lang
[2:40:17] sa
[2:40:17] amin
[2:40:17] and
[2:40:18] the
[2:40:18] most
[2:40:18] kasi
[2:40:19] palagi
[2:40:19] tayo
[2:40:19] nasasabi
[2:40:20] na
[2:40:20] zero
[2:40:21] balance
[2:40:22] billing
[2:40:22] na
[2:40:22] wala
[2:40:22] nang
[2:40:23] bayad
[2:40:23] pero
[2:40:24] ang
[2:40:24] nangyayari
[2:40:25] pumunta
[2:40:26] pa din
[2:40:26] si
[2:40:26] patients
[2:40:27] to
[2:40:27] offices
[2:40:28] and
[2:40:29] even
[2:40:29] to
[2:40:29] the
[2:40:30] legislators
[2:40:30] para
[2:40:31] mang
[2:40:31] hingit
[2:40:32] ng
[2:40:32] tulong
[2:40:32] so
[2:40:32] wanted
[2:40:33] to
[2:40:33] know
[2:40:34] kung
[2:40:34] ano
[2:40:35] pa
[2:40:35] talaga
[2:40:35] yung
[2:40:35] percentage
[2:40:36] patients
[2:40:38] per
[2:40:38] DOH
[2:40:39] hospitals
[2:40:39] na
[2:40:40] naka
[2:40:40] avail
[2:40:41] ng
[2:40:41] true
[2:40:42] zero
[2:40:42] balance
[2:40:43] billing
[2:40:43] and
[2:40:44] the
[2:40:44] most
[2:40:45] common
[2:40:45] causes
[2:40:46] of
[2:40:46] remaining
[2:40:46] balances
[2:40:47] and
[2:40:48] the
[2:40:49] role
[2:40:49] of
[2:40:50] malasakit
[2:40:50] centers
[2:40:51] in
[2:40:52] bridging
[2:40:52] these
[2:40:53] gaps
[2:40:53] including
[2:40:54] whether
[2:40:55] patients
[2:40:55] are still
[2:40:56] required
[2:40:57] to access
[2:40:57] multiple
[2:40:58] assistance
[2:40:59] mechanism
[2:41:00] before
[2:41:00] obtaining
[2:41:01] full
[2:41:02] financial
[2:41:03] protection
[2:41:04] and
[2:41:05] kailan
[2:41:06] kaya
[2:41:06] namin
[2:41:06] makuha
[2:41:07] it
[2:41:07] data
[2:41:07] Thank you
[2:41:12] Mr. Chair
[2:41:13] we
[2:41:13] commit
[2:41:13] to
[2:41:13] provide
[2:41:14] this
[2:41:14] within
[2:41:15] the
[2:41:15] week
[2:41:15] by
[2:41:15] the
[2:41:16] way
[2:41:16] if
[2:41:16] I
[2:41:16] may
[2:41:17] quickly
[2:41:17] add
[2:41:17] the
[2:41:17] PSA
[2:41:20] kasi
[2:41:20] kailangan
[2:41:21] namin
[2:41:21] ang
[2:41:21] estimates
[2:41:22] kung
[2:41:22] ilan
[2:41:22] ba
[2:41:22] ang
[2:41:23] total
[2:41:23] in
[2:41:24] patients
[2:41:24] on
[2:41:24] an
[2:41:24] annual
[2:41:25] basis
[2:41:25] this
[2:41:25] used
[2:41:25] to be
[2:41:26] coming
[2:41:26] from
[2:41:26] the
[2:41:26] NDHS
[2:41:27] before
[2:41:28] but
[2:41:28] I
[2:41:29] don't
[2:41:29] know
[2:41:29] kung
[2:41:30] meron
[2:41:30] pang
[2:41:30] kasi
[2:41:30] wala
[2:41:30] ng
[2:41:30] USAID
[2:41:31] but
[2:41:31] yun
[2:41:32] po
[2:41:32] yung
[2:41:32] request
[2:41:32] namin
[2:41:33] po
[2:41:33] is
[2:41:34] ili-loop
[2:41:34] in
[2:41:34] namin
[2:41:41] PSA
[2:41:41] Mr. Chair
[2:41:43] kasi po
[2:41:43] ang pagkaintindi
[2:41:45] ko sa tanong
[2:41:46] is
[2:41:46] sa buong
[2:41:47] bilang ng
[2:41:48] pasyenteng
[2:41:48] Pilipino
[2:41:49] ilan
[2:41:50] ang natutulungan
[2:41:50] kung ganun po
[2:41:51] kasama si
[2:41:52] PSA
[2:41:52] kung ang tanong
[2:41:53] po is
[2:41:54] sa loob
[2:41:54] lamang ng
[2:41:55] DOH
[2:41:55] hospitals
[2:41:56] ayun lang po
[2:41:56] okay
[2:41:56] so
[2:41:57] we can
[2:42:00] excuse
[2:42:01] the PSA
[2:42:01] from that
[2:42:02] request
[2:42:02] and then
[2:42:02] we can
[2:42:02] just do it
[2:42:03] from
[2:42:03] DOH
[2:42:04] statistics
[2:42:04] thank you
[2:42:06] thank you
[2:42:07] pwede mag
[2:42:08] tanong
[2:42:08] po
[2:42:08] na-raise
[2:42:10] po
[2:42:10] ng
[2:42:10] taga
[2:42:11] PSA
[2:42:11] yung
[2:42:11] sa
[2:42:13] outpatient
[2:42:13] actually
[2:42:14] nung
[2:42:15] budget
[2:42:16] deliberations
[2:42:16] di ko alala
[2:42:17] po
[2:42:17] ng
[2:42:18] DOH
[2:42:19] dito
[2:42:19] ang nire-raise
[2:42:20] ko po
[2:42:20] ay kung
[2:42:21] pwede po
[2:42:21] bang
[2:42:21] ma-extend
[2:42:22] yung coverage
[2:42:22] ng
[2:42:23] zero
[2:42:23] balance
[2:42:23] to
[2:42:25] outpatient
[2:42:25] services
[2:42:26] kasi
[2:42:28] okay yung
[2:42:29] zero
[2:42:29] balance
[2:42:30] for
[2:42:30] di ko
[2:42:32] ma-admit
[2:42:33] ka
[2:42:33] pero
[2:42:34] syempre
[2:42:35] karamihan
[2:42:35] naman
[2:42:36] ng mga
[2:42:36] Pilitino
[2:42:37] nasa
[2:42:38] outpatient
[2:42:38] talaga
[2:42:38] tama po
[2:42:39] yung
[2:42:39] sinabi
[2:42:39] ni sir
[2:42:40] na
[2:42:42] nakapila
[2:42:42] hindi naman
[2:42:43] for
[2:42:44] necessarily
[2:42:45] for
[2:42:45] admission
[2:42:46] or
[2:42:46] confinement
[2:42:47] so
[2:42:49] I
[2:42:49] actually
[2:42:50] ask
[2:42:50] that
[2:42:51] the
[2:42:52] DOH
[2:42:52] provide
[2:42:53] budget
[2:42:53] estimate
[2:42:54] for
[2:42:55] how much
[2:42:56] would be
[2:42:56] needed
[2:42:56] to cover
[2:42:57] outpatient
[2:43:01] services
[2:43:02] to include
[2:43:03] that
[2:43:05] in the
[2:43:05] zero
[2:43:06] balance
[2:43:06] program
[2:43:07] so
[2:43:08] di ko
[2:43:08] alam
[2:43:08] kung
[2:43:09] meron kayo
[2:43:09] binigay nun
[2:43:10] pero
[2:43:10] mainly
[2:43:11] it was
[2:43:11] more
[2:43:11] for
[2:43:11] LGU
[2:43:12] meron po
[2:43:15] ba
[2:43:15] tayong
[2:43:16] estimate
[2:43:17] na
[2:43:17] ganon
[2:43:17] pangalawa
[2:43:18] maybe
[2:43:19] we could
[2:43:19] ask
[2:43:20] ano ba
[2:43:20] talaga
[2:43:20] nangyayari
[2:43:21] pagka
[2:43:21] sa mga
[2:43:22] outpatient
[2:43:22] ang
[2:43:23] nangyayari
[2:43:25] yun na yung
[2:43:27] sinasabi
[2:43:27] po
[2:43:28] ni
[2:43:28] congressman
[2:43:29] biloso
[2:43:29] pupunta
[2:43:30] rin
[2:43:30] sa
[2:43:30] congressman
[2:43:32] etc
[2:43:32] hindi
[2:43:33] po ba
[2:43:33] so
[2:43:35] the role
[2:43:36] of
[2:43:36] my
[2:43:37] FIP
[2:43:38] baka
[2:43:40] pwede
[2:43:40] rin po
[2:43:41] mabigyan
[2:43:41] tayo
[2:43:41] ng
[2:43:42] data
[2:43:43] on
[2:43:44] the role
[2:43:45] of
[2:43:45] my
[2:43:45] FIP
[2:43:46] saan po
[2:43:49] napupunta
[2:43:49] talaga
[2:43:50] yung
[2:43:50] mga
[2:43:50] gastos
[2:43:51] nito
[2:43:51] is it
[2:43:52] used to
[2:43:53] partially
[2:43:53] pay for
[2:43:54] zero
[2:43:55] balance
[2:43:55] or
[2:43:56] outpatient
[2:43:57] private
[2:44:00] certainly
[2:44:00] yung mga
[2:44:01] hindi
[2:44:01] covered
[2:44:01] and so on
[2:44:04] kasi yun
[2:44:05] yung
[2:44:05] parang
[2:44:05] pinaka
[2:44:05] flexible
[2:44:06] diba
[2:44:06] tapos
[2:44:09] tapos
[2:44:09] tapos
[2:44:09] meron
[2:44:10] pa pong
[2:44:10] apart
[2:44:11] from
[2:44:11] my
[2:44:11] FIP
[2:44:12] alam
[2:44:13] naman
[2:44:13] natin
[2:44:13] yung mga
[2:44:14] kabaheng
[2:44:14] natin
[2:44:14] pagkulang
[2:44:15] pa rin
[2:44:15] pupunta
[2:44:16] naman
[2:44:16] sa
[2:44:16] PCSO
[2:44:17] diba
[2:44:17] sa
[2:44:18] saan pa
[2:44:19] ba
[2:44:19] Pagcore
[2:44:20] the
[2:44:21] DSWD
[2:44:22] so yun pa
[2:44:24] kaya may
[2:44:24] malasakit
[2:44:25] center
[2:44:25] to kind
[2:44:25] of
[2:44:26] centralize
[2:44:27] the
[2:44:28] administrative
[2:44:29] aspect
[2:44:30] of that
[2:44:30] pero
[2:44:33] eventually
[2:44:33] di ba
[2:44:34] mas maganda
[2:44:35] chair
[2:44:35] dapat
[2:44:35] isang
[2:44:36] pondo
[2:44:37] na lang
[2:44:37] yun
[2:44:39] diba
[2:44:39] under
[2:44:40] one
[2:44:41] administration
[2:44:42] para
[2:44:42] wala na
[2:44:43] yung
[2:44:44] ganoong
[2:44:44] nightmare
[2:44:46] so yun po
[2:44:49] yung
[2:44:49] the role
[2:44:50] of
[2:44:51] my
[2:44:51] FIP
[2:44:51] and
[2:44:52] ano yung
[2:44:53] mga
[2:44:54] sino
[2:44:54] ang
[2:44:55] natutulungan
[2:44:55] niya
[2:44:55] pangunahin
[2:44:56] at ano
[2:44:56] yung
[2:44:57] mga
[2:44:57] binabayaran
[2:44:59] nito
[2:44:59] mainly
[2:45:00] outpatient
[2:45:01] post
[2:45:01] or
[2:45:02] medicine
[2:45:02] yun
[2:45:03] ganoon
[2:45:04] yun
[2:45:04] lastly
[2:45:05] yung
[2:45:05] nerve
[2:45:05] po
[2:45:05] sa
[2:45:06] concern
[2:45:06] ng
[2:45:07] taga
[2:45:07] PSA
[2:45:07] Sir
[2:45:09] are you
[2:45:10] the
[2:45:10] director
[2:45:11] okay
[2:45:12] well
[2:45:13] yung
[2:45:14] sinasabi
[2:45:15] niya
[2:45:15] actually
[2:45:15] that is
[2:45:15] the result
[2:45:16] yung wala
[2:45:16] ng mga
[2:45:17] clinics
[2:45:19] sa mga
[2:45:20] agencies
[2:45:20] di po ba
[2:45:21] na government
[2:45:23] agencies
[2:45:23] that's the
[2:45:24] result of
[2:45:25] nearly a
[2:45:26] decade
[2:45:27] of
[2:45:27] rationalization
[2:45:28] na sinimulan
[2:45:29] nung
[2:45:30] panahon
[2:45:31] ni Arroyo
[2:45:31] tapos
[2:45:32] in-implement
[2:45:32] panahon
[2:45:33] ni Akino
[2:45:33] so in the
[2:45:34] case of
[2:45:34] DepEd
[2:45:35] parang
[2:45:37] 10 years
[2:45:37] yung
[2:45:37] rationalization
[2:45:38] plan na yan
[2:45:38] tapos
[2:45:39] yung mga
[2:45:39] school
[2:45:40] clinics
[2:45:40] school
[2:45:42] nurses
[2:45:42] tinanggal
[2:45:43] nag-retain
[2:45:44] na lang
[2:45:44] sa divisions
[2:45:44] the logic
[2:45:46] there
[2:45:46] was
[2:45:46] sabi nila
[2:45:46] hindi
[2:45:47] core
[2:45:47] function
[2:45:47] ng
[2:45:48] DepEd
[2:45:49] yan
[2:45:49] muta
[2:45:50] kayo
[2:45:50] sa DOA
[2:45:51] kaya
[2:45:52] sa
[2:45:52] LVU
[2:45:54] providers
[2:45:54] so yun
[2:45:55] nga po
[2:45:56] yung
[2:45:56] effect
[2:45:57] yung
[2:45:58] sinasabi
[2:45:58] ni sir
[2:45:59] na
[2:46:00] pag may
[2:46:01] nararamdaman
[2:46:02] ka
[2:46:02] kailangan
[2:46:02] mong
[2:46:02] magiging
[2:46:03] lalabas
[2:46:03] ka
[2:46:04] so
[2:46:04] that's
[2:46:06] another
[2:46:06] matter
[2:46:07] na
[2:46:07] ang
[2:46:07] efekto
[2:46:08] naman
[2:46:08] ngayon
[2:46:08] lalong
[2:46:09] na
[2:46:09] congest
[2:46:10] yung
[2:46:10] ating
[2:46:11] public
[2:46:12] health
[2:46:12] system
[2:46:14] Thank you
[2:46:17] Mr. Chair
[2:46:17] just a quick
[2:46:18] reply po
[2:46:18] so
[2:46:19] pinagawa ko
[2:46:20] na po
[2:46:20] na
[2:46:20] i-disaggregate
[2:46:21] namin
[2:46:21] pero
[2:46:22] ito po yung
[2:46:23] 2027
[2:46:24] budget
[2:46:24] proposal
[2:46:25] for
[2:46:25] DOH
[2:46:25] hospital
[2:46:26] MOOE
[2:46:27] ang Tier
[2:46:28] 1
[2:46:29] is
[2:46:29] lahat
[2:46:30] po
[2:46:30] lahat
[2:46:30] po
[2:46:30] ng
[2:46:30] 83
[2:46:31] DOH
[2:46:31] hospitals
[2:46:32] nationwide
[2:46:32] 116.1
[2:46:34] billion
[2:46:35] ang Tier
[2:46:35] 1
[2:46:35] ang Tier
[2:46:36] 2
[2:46:37] po
[2:46:37] is
[2:46:37] 59.3
[2:46:38] billion
[2:46:39] para po
[2:46:40] matugunan
[2:46:40] yung tanong
[2:46:41] ni Honorable
[2:46:41] Tino
[2:46:42] pinapakuha ko
[2:46:42] po yung
[2:46:43] breakdown
[2:46:43] kung ilan
[2:46:44] ng
[2:46:44] more or less
[2:46:45] inpatient
[2:46:45] at outpatient
[2:46:46] and we
[2:46:46] will submit
[2:46:47] Mr. Chair
[2:46:47] Mr. Chair
[2:46:48] Mr. Chair
[2:46:55] actually
[2:46:55] ano lang po
[2:46:56] siguro
[2:46:56] maidadagdag
[2:46:57] ko lang
[2:46:57] I know
[2:46:58] si Kong
[2:46:58] Tonchi
[2:46:59] parang
[2:46:59] nagusap
[2:47:00] na tayo
[2:47:00] dito
[2:47:00] tungkol
[2:47:01] dun sa
[2:47:01] maipip
[2:47:02] at sa
[2:47:02] PhilHealth
[2:47:03] in passing
[2:47:04] Siguro
[2:47:05] Yusek
[2:47:06] Albert
[2:47:06] gusto ko
[2:47:06] lang po
[2:47:07] malaman
[2:47:07] nagpresent
[2:47:08] po kayo
[2:47:08] kanina
[2:47:09] yung
[2:47:09] pyramid
[2:47:09] dapat
[2:47:10] pinaka
[2:47:11] diba
[2:47:12] nandi dito
[2:47:12] yung
[2:47:13] ganito
[2:47:13] ang
[2:47:14] gusto
[2:47:15] natin
[2:47:15] po
[2:47:15] dun
[2:47:15] achieve
[2:47:16] yung
[2:47:17] mas
[2:47:17] maliit
[2:47:18] yung
[2:47:18] out of
[2:47:19] pocket
[2:47:19] na
[2:47:19] pinakamataas
[2:47:20] gaya
[2:47:20] ng model
[2:47:21] ng
[2:47:21] Singapore
[2:47:22] meron
[2:47:22] pa rin
[2:47:23] meron
[2:47:23] pa rin
[2:47:24] ng
[2:47:24] gobyernong
[2:47:24] ayuda
[2:47:25] outside
[2:47:25] of
[2:47:26] the
[2:47:26] Medicare
[2:47:26] or
[2:47:27] the
[2:47:27] PhilHealth
[2:47:27] gusto
[2:47:30] ko
[2:47:31] lamang
[2:47:31] po
[2:47:31] malaman
[2:47:32] sa
[2:47:32] ngayon
[2:47:32] given
[2:47:33] our
[2:47:33] current
[2:47:33] setup
[2:47:34] or
[2:47:34] model
[2:47:34] we
[2:47:35] have
[2:47:35] the
[2:47:36] PhilHealth
[2:47:36] we
[2:47:37] have
[2:47:37] the
[2:47:37] maipip
[2:47:37] kanina
[2:47:39] po
[2:47:39] I
[2:47:39] pointed
[2:47:40] out
[2:47:40] that
[2:47:40] there
[2:47:41] was
[2:47:41] a
[2:47:41] letter
[2:47:42] F
[2:47:42] provision
[2:47:43] of
[2:47:44] the
[2:47:44] UHC
[2:47:44] law
[2:47:45] na
[2:47:45] government
[2:47:46] subsidy
[2:47:47] to
[2:47:47] PhilHealth
[2:47:48] na hindi
[2:47:48] pa
[2:47:48] napupulfill
[2:47:49] na wala
[2:47:50] directly
[2:47:51] to
[2:47:51] PhilHealth
[2:47:52] gusto
[2:47:53] ko
[2:47:53] lamang
[2:47:53] po
[2:47:54] hingin
[2:47:54] ng
[2:47:54] tuloy
[2:47:54] nyo
[2:47:54] malaman
[2:47:55] ano
[2:47:55] ang
[2:47:56] mga
[2:47:56] figura
[2:47:56] what
[2:47:56] are
[2:47:57] the
[2:47:57] figures
[2:48:01] ibigay
[2:48:03] natin
[2:48:03] national
[2:48:03] direct
[2:48:04] subsidy
[2:48:04] sa
[2:48:05] PhilHealth
[2:48:05] para
[2:48:06] lahat
[2:48:06] po
[2:48:06] makikinabang
[2:48:07] madadagdagan
[2:48:08] natin
[2:48:09] ang mga
[2:48:09] beneficyo
[2:48:10] para sa
[2:48:11] lahat
[2:48:11] na hindi
[2:48:11] necessarily
[2:48:12] lahat
[2:48:13] yan
[2:48:13] nasa
[2:48:13] maipip
[2:48:14] kasi
[2:48:14] ang gusto
[2:48:15] natin
[2:48:15] later
[2:48:15] on
[2:48:16] maachieve
[2:48:16] maliit
[2:48:16] na
[2:48:17] lamang
[2:48:17] po
[2:48:17] yung
[2:48:17] portion
[2:48:18] na
[2:48:18] yun
[2:48:18] na
[2:48:18] yung
[2:48:19] perang
[2:48:19] ginagamit
[2:48:20] nun
[2:48:20] maibigay
[2:48:21] sa
[2:48:21] PhilHealth
[2:48:21] for
[2:48:21] increased
[2:48:22] benefit
[2:48:22] payout
[2:48:23] for
[2:48:23] everybody
[2:48:24] so
[2:48:25] baka
[2:48:25] po
[2:48:25] makakatulong
[2:48:26] kayong
[2:48:27] mabigyan
[2:48:27] tayo
[2:48:27] ng
[2:48:28] figure
[2:48:28] so
[2:48:28] that
[2:48:28] at
[2:48:29] the
[2:48:29] proper
[2:48:29] time
[2:48:30] sa
[2:48:30] budget
[2:48:30] hearing
[2:48:31] pwede
[2:48:31] po
[2:48:31] nating
[2:48:32] ma-raise
[2:48:32] na
[2:48:32] ibigay
[2:48:33] na lamang
[2:48:33] doon
[2:48:34] sa
[2:48:34] national
[2:48:35] subsidy
[2:48:36] to
[2:48:36] PhilHealth
[2:48:37] para
[2:48:37] madagdagan
[2:48:38] ang
[2:48:38] pondo
[2:48:38] ng
[2:48:39] PhilHealth
[2:48:39] for
[2:48:39] benefit
[2:48:40] payout
[2:48:40] meron
[2:48:42] pa
[2:48:42] ng
[2:48:42] kong
[2:48:43] tonchi
[2:48:43] hindi
[2:48:43] natin
[2:48:44] siguro
[2:48:44] maaalis
[2:48:45] kasi
[2:48:45] kailangan
[2:48:46] pa
[2:48:46] din
[2:48:46] there's
[2:48:47] still
[2:48:47] a
[2:48:47] segment
[2:48:48] of
[2:48:48] the
[2:48:48] population
[2:48:48] that
[2:48:49] will
[2:48:49] need
[2:48:49] that
[2:48:50] and
[2:48:50] we
[2:48:51] recognize
[2:48:58] pondo
[2:48:58] given
[2:48:59] our
[2:48:59] very
[2:49:00] limited
[2:49:00] resources
[2:49:01] saan
[2:49:01] po
[2:49:01] ba
[2:49:02] natin
[2:49:02] yan
[2:49:02] mamamaksimize
[2:49:03] yan lamang
[2:49:04] po
[2:49:04] ang
[2:49:04] gusto
[2:49:04] ko
[2:49:05] na
[2:49:05] gustong
[2:49:06] malaman
[2:49:06] by
[2:49:06] asking
[2:49:07] for
[2:49:07] those
[2:49:08] figures
[2:49:08] thank you
[2:49:08] Mr.
[2:49:09] Chair
[2:49:09] Thank you
[2:49:11] Mr.
[2:49:12] Chair
[2:49:12] mabilis
[2:49:12] ang tugon
[2:49:13] po
[2:49:13] natutuwa
[2:49:14] po kami
[2:49:15] na
[2:49:15] nagagamit
[2:49:16] na po
[2:49:16] natin
[2:49:16] yung
[2:49:16] ating
[2:49:17] dalawang
[2:49:17] pyramid
[2:49:18] so
[2:49:18] papasok
[2:49:19] na po
[2:49:19] namin
[2:49:19] yun
[2:49:19] sa
[2:49:20] budget
[2:49:20] proposal
[2:49:20] tama
[2:49:21] po
[2:49:21] si
[2:49:22] Honorable
[2:49:22] Montes
[2:49:23] na
[2:49:23] pwede
[2:49:23] nating
[2:49:24] galaw-galawin
[2:49:24] na
[2:49:25] palakihin
[2:49:25] paliitin
[2:49:26] yung
[2:49:26] bawat
[2:49:26] composition
[2:49:27] ng
[2:49:27] pyramid
[2:49:27] ang
[2:49:28] magiging
[2:49:28] tanong
[2:49:29] po
[2:49:29] dito
[2:49:29] is
[2:49:29] gaano
[2:49:29] kabilis
[2:49:30] makarating
[2:49:30] dun sa
[2:49:31] pinaggagamitan
[2:49:33] dun sa
[2:49:33] pasyente
[2:49:34] sa service
[2:49:34] delivery
[2:49:35] kung
[2:49:36] sa
[2:49:36] halimbawa
[2:49:37] sa
[2:49:37] pamumuno
[2:49:37] ni
[2:49:38] Dr.
[2:49:38] Mercado
[2:49:39] na
[2:49:39] less
[2:49:39] than
[2:49:39] 20
[2:49:40] days
[2:49:40] na
[2:49:40] yung
[2:49:40] turnaround
[2:49:40] time
[2:49:41] for
[2:49:41] payments
[2:49:42] then
[2:49:42] we
[2:49:43] will
[2:49:43] support
[2:49:43] napupunta
[2:49:44] sa
[2:49:44] still
[2:49:44] help
[2:49:44] pero
[2:49:45] kaya
[2:49:45] nga
[2:49:45] po
[2:49:45] papahagi
[2:49:46] nga
[2:49:46] yung
[2:49:47] proposed
[2:49:47] amendment
[2:49:48] sa
[2:49:48] UHC
[2:49:48] Act
[2:49:49] na
[2:49:49] yung
[2:49:49] admin
[2:49:49] cost
[2:49:50] dapat
[2:49:50] yung
[2:49:50] base
[2:49:51] niya
[2:49:51] benefit
[2:49:51] payments
[2:49:52] para
[2:49:52] kahit
[2:49:53] wala
[2:49:53] na
[2:49:53] si
[2:49:53] Dr.
[2:49:53] Mercado
[2:49:54] yung
[2:49:54] behavior
[2:49:55] ng
[2:49:55] corporation
[2:49:55] is
[2:49:56] bayad
[2:49:56] ng
[2:49:56] bayad
[2:49:56] para
[2:49:57] pwede
[2:49:57] nang
[2:49:57] sa
[2:49:57] kanila
[2:49:57] pumunta
[2:49:58] Thank you
[2:49:58] Mr.
[2:49:59] Chair
[2:49:59] Thank you
[2:50:01] Dr.
[2:50:02] Domingo
[2:50:03] May we now
[2:50:04] recognize
[2:50:05] from the
[2:50:06] action
[2:50:06] for
[2:50:06] economic
[2:50:07] reforms
[2:50:07] Attorney
[2:50:12] Paula
[2:50:12] May
[2:50:12] Tang
[2:50:13] Tien
[2:50:13] Good
[2:50:15] afternoon
[2:50:16] Mr.
[2:50:16] Chair
[2:50:17] and
[2:50:17] the
[2:50:17] members
[2:50:17] We
[2:50:19] would
[2:50:19] just
[2:50:20] like
[2:50:23] Supreme
[2:50:23] Court
[2:50:24] acknowledge
[2:50:24] that
[2:50:24] UHC
[2:50:25] is
[2:50:25] in
[2:50:25] a
[2:50:26] particularly
[2:50:26] good
[2:50:27] design
[2:50:27] and
[2:50:28] I
[2:50:29] think
[2:50:29] many
[2:50:29] of
[2:50:29] the
[2:50:30] discussions
[2:50:30] or
[2:50:31] the
[2:50:32] problems
[2:50:32] that
[2:50:32] were
[2:50:32] raised
[2:50:33] today
[2:50:33] is
[2:50:33] actually
[2:50:33] an
[2:50:34] implementation
[2:50:34] issue
[2:50:35] rather
[2:50:35] than
[2:50:36] a
[2:50:37] need
[2:50:37] for
[2:50:37] change
[2:50:38] in
[2:50:39] the
[2:50:39] law
[2:50:40] it
[2:50:40] was
[2:50:40] it's
[2:50:41] years
[2:50:42] of
[2:50:42] hard
[2:50:42] work
[2:50:42] and
[2:50:42] I'm
[2:50:43] sure
[2:50:43] Honorable
[2:50:44] Montez
[2:50:44] would
[2:50:45] know
[2:50:45] that
[2:50:45] it's
[2:50:45] years
[2:50:46] years
[2:50:46] of
[2:50:46] hard
[2:50:47] work
[2:50:47] for
[2:50:48] UHC
[2:50:48] to
[2:50:48] come
[2:50:48] up
[2:50:48] but
[2:50:49] anyway
[2:50:49] we
[2:50:49] acknowledge
[2:50:50] also
[2:50:50] and
[2:50:50] we
[2:50:51] are
[2:50:51] grateful
[2:50:52] to
[2:50:52] the
[2:50:52] committee
[2:50:52] for
[2:50:53] coming
[2:50:53] up
[2:50:53] with
[2:50:53] a
[2:50:53] good
[2:50:53] framework
[2:50:54] to
[2:50:55] review
[2:50:56] the
[2:50:56] universal
[2:50:56] healthcare
[2:50:57] because
[2:50:58] it's
[2:50:58] very
[2:50:58] important
[2:50:59] that
[2:50:59] we
[2:50:59] see
[2:51:00] it
[2:51:00] as
[2:51:00] a
[2:51:00] whole
[2:51:01] even
[2:51:01] if
[2:51:02] we
[2:51:02] have
[2:51:02] to
[2:51:02] discuss
[2:51:03] the
[2:51:03] major
[2:51:04] building
[2:51:04] blocks
[2:51:04] as
[2:51:05] it
[2:51:06] was
[2:51:06] previously
[2:51:06] designed
[2:51:07] but
[2:51:08] it's
[2:51:08] not
[2:51:09] piecemeal
[2:51:09] because
[2:51:11] all of
[2:51:11] that
[2:51:11] are connected
[2:51:12] to each
[2:51:12] other
[2:51:13] maybe
[2:51:14] just
[2:51:14] three
[2:51:16] points
[2:51:16] first
[2:51:17] we
[2:51:17] support
[2:51:17] the
[2:51:18] NIH
[2:51:19] in
[2:51:20] the
[2:51:20] call
[2:51:20] that
[2:51:21] we
[2:51:21] need
[2:51:21] health
[2:51:22] information
[2:51:23] systems
[2:51:23] very
[2:51:24] important
[2:51:24] it's
[2:51:26] not
[2:51:26] the
[2:51:26] information
[2:51:27] systems
[2:51:27] that
[2:51:28] we
[2:51:28] want
[2:51:28] to
[2:51:28] include
[2:51:29] for
[2:51:30] purposes
[2:51:30] of
[2:51:31] compliance
[2:51:32] but
[2:51:33] really
[2:51:33] an
[2:51:34] information
[2:51:34] system
[2:51:35] that
[2:51:35] is
[2:51:35] interoperable
[2:51:36] that
[2:51:36] links
[2:51:37] that
[2:51:37] the
[2:51:38] patient
[2:51:38] and
[2:51:40] because
[2:51:40] in
[2:51:41] this
[2:51:41] way
[2:51:41] it
[2:51:42] will
[2:51:42] not
[2:51:42] only
[2:51:42] be
[2:51:43] efficient
[2:51:44] as
[2:51:45] to
[2:51:45] how
[2:51:46] payments
[2:51:47] are
[2:51:47] made
[2:51:47] but
[2:51:48] it
[2:51:48] will
[2:51:48] also
[2:51:48] signal
[2:51:49] if
[2:51:50] fraud
[2:51:50] is
[2:51:51] in
[2:51:51] our
[2:51:51] system
[2:51:52] and
[2:51:52] we've
[2:51:53] been
[2:51:53] saying
[2:51:54] we only
[2:51:55] have
[2:51:56] limited
[2:51:56] resources
[2:51:56] second
[2:51:58] and
[2:51:58] I think
[2:51:59] very
[2:51:59] important
[2:52:00] is
[2:52:00] on
[2:52:00] health
[2:52:01] financing
[2:52:01] and
[2:52:02] we
[2:52:02] are
[2:52:03] very
[2:52:04] much
[2:52:04] thankful
[2:52:04] to
[2:52:04] Honorable
[2:52:05] Montez
[2:52:05] for
[2:52:06] bringing
[2:52:06] up
[2:52:06] Section
[2:52:06] 37
[2:52:07] because
[2:52:08] even
[2:52:09] in
[2:52:09] the
[2:52:09] recently
[2:52:11] decided
[2:52:12] Supreme
[2:52:12] Court
[2:52:13] case
[2:52:13] in
[2:52:13] acknowledge
[2:52:14] that
[2:52:15] it's
[2:52:15] not
[2:52:15] syntax
[2:52:16] the
[2:52:17] source
[2:52:17] of
[2:52:18] funding
[2:52:18] for
[2:52:18] universal
[2:52:19] health
[2:52:19] care
[2:52:19] in
[2:52:21] fact
[2:52:21] Phil
[2:52:22] health
[2:52:22] acknowledge
[2:52:23] na
[2:52:23] ang
[2:52:24] natatanggap
[2:52:24] lang
[2:52:24] nila
[2:52:25] ay
[2:52:25] syntax
[2:52:25] but
[2:52:26] never
[2:52:27] any
[2:52:28] amount
[2:52:28] that
[2:52:29] is
[2:52:29] equivalent
[2:52:30] to a
[2:52:30] government
[2:52:31] subsidy
[2:52:31] for the
[2:52:32] indirect
[2:52:33] members
[2:52:34] outside
[2:52:35] of
[2:52:35] the
[2:52:36] syntaxes
[2:52:37] so
[2:52:37] wala
[2:52:37] hong
[2:52:37] ganun
[2:52:37] and
[2:52:38] our
[2:52:38] data
[2:52:39] would
[2:52:39] show
[2:52:39] from
[2:52:40] 2022
[2:52:41] if I'm
[2:52:42] not
[2:52:42] mistaken
[2:52:42] up to
[2:52:43] the
[2:52:43] present
[2:52:43] wala
[2:52:43] hong
[2:52:44] binigay
[2:52:44] beyond
[2:52:45] the
[2:52:45] syntax
[2:52:46] in
[2:52:46] fact
[2:52:46] kulang
[2:52:47] pangaho
[2:52:47] yung
[2:52:47] syntax
[2:52:48] na binigay
[2:52:49] sa Phil
[2:52:50] Health
[2:52:50] for
[2:52:50] all of
[2:52:51] those
[2:52:51] years
[2:52:52] aside
[2:52:53] from
[2:52:54] that
[2:52:54] na
[2:52:54] mention
[2:52:54] din
[2:52:55] yung
[2:52:55] PCSO
[2:52:56] and
[2:52:57] for
[2:52:58] purposes
[2:52:59] of
[2:52:59] transparency
[2:53:03] we also
[2:53:03] filed a
[2:53:04] case
[2:53:04] it is
[2:53:05] now pending
[2:53:05] in the
[2:53:06] Supreme
[2:53:06] Court
[2:53:06] questioning
[2:53:07] the
[2:53:07] non
[2:53:07] provision
[2:53:10] of the
[2:53:10] PCSO
[2:53:11] share
[2:53:12] to
[2:53:12] Phil
[2:53:12] Health
[2:53:12] should
[2:53:21] be
[2:53:22] the
[2:53:22] primary
[2:53:23] payer
[2:53:23] of
[2:53:24] health
[2:53:24] services
[2:53:25] and
[2:53:25] therefore
[2:53:26] let
[2:53:27] us
[2:53:27] help
[2:53:27] Phil
[2:53:28] Health
[2:53:28] to
[2:53:28] exercise
[2:53:29] its
[2:53:29] power
[2:53:30] because
[2:53:31] it is
[2:53:32] more
[2:53:32] with
[2:53:33] respect
[2:53:34] to
[2:53:34] how
[2:53:34] they
[2:53:35] spend
[2:53:35] the
[2:53:35] money
[2:53:35] will
[2:53:36] be
[2:53:36] helpful
[2:53:37] rather
[2:53:38] than
[2:53:38] put it
[2:53:41] in
[2:53:41] any
[2:53:42] other
[2:53:42] funds
[2:53:42] which
[2:53:43] are
[2:53:43] discretionary
[2:53:44] in nature
[2:53:45] and
[2:53:46] pahihirapan
[2:53:46] mo pa
[2:53:47] yung
[2:53:47] pasyente
[2:53:47] na pipila
[2:53:48] dito
[2:53:48] pipila
[2:53:48] doon
[2:53:49] pipila
[2:53:49] dito
[2:53:49] kung
[2:53:50] saan
[2:53:50] may
[2:53:50] sakit
[2:53:51] na
[2:53:51] nga
[2:53:51] yung
[2:53:51] tao
[2:53:51] maghahanap
[2:53:52] pa
[2:53:52] maghahagila
[2:53:53] pa
[2:53:53] kung
[2:53:53] saan
[2:53:53] kukuhan
[2:53:54] ng
[2:53:54] pondo
[2:53:55] aside
[2:53:56] from
[2:53:56] that
[2:53:57] we'd
[2:53:59] also
[2:54:00] like
[2:54:00] to
[2:54:00] mention
[2:54:01] kanina
[2:54:01] na
[2:54:01] didiscuss
[2:54:02] natin
[2:54:02] regarding
[2:54:02] the
[2:54:02] HMOs
[2:54:03] it
[2:54:04] was
[2:54:04] also
[2:54:04] a
[2:54:05] very
[2:54:05] lengthy
[2:54:05] discussion
[2:54:06] during
[2:54:06] the
[2:54:06] UHC
[2:54:06] I
[2:54:07] recall
[2:54:07] with
[2:54:08] respect
[2:54:08] to
[2:54:09] the
[2:54:09] first
[2:54:09] peso
[2:54:10] saan
[2:54:10] kukunin
[2:54:10] ang
[2:54:11] first
[2:54:11] peso
[2:54:11] but
[2:54:12] I
[2:54:12] think
[2:54:12] what
[2:54:12] is
[2:54:12] important
[2:54:13] here
[2:54:13] is
[2:54:14] there
[2:54:15] is
[2:54:16] a
[2:54:16] transitory
[2:54:16] provision
[2:54:17] that
[2:54:17] says
[2:54:17] within
[2:54:18] three
[2:54:18] years
[2:54:18] from
[2:54:18] the
[2:54:18] implementation
[2:54:19] of
[2:54:19] the
[2:54:20] universal
[2:54:20] healthcare
[2:54:20] is
[2:54:21] there
[2:54:21] is
[2:54:21] a
[2:54:22] supplementation
[2:54:22] that
[2:54:23] will
[2:54:23] be
[2:54:24] implemented
[2:54:24] with
[2:54:25] respect
[2:54:25] PhilHealth
[2:54:26] and
[2:54:26] the
[2:54:26] HMOs
[2:54:26] and
[2:54:27] this
[2:54:27] is
[2:54:27] very
[2:54:27] important
[2:54:27] I
[2:54:28] know
[2:54:28] we
[2:54:28] are
[2:54:28] late
[2:54:28] in
[2:54:28] the
[2:54:29] game
[2:54:29] pero
[2:54:30] I
[2:54:30] think
[2:54:30] PhilHealth
[2:54:31] is
[2:54:31] already
[2:54:31] trying
[2:54:32] to
[2:54:32] do
[2:54:32] that
[2:54:33] and
[2:54:33] I
[2:54:33] hope
[2:54:33] it
[2:54:34] you
[2:54:34] know
[2:54:34] that
[2:54:37] HMOs
[2:54:37] will
[2:54:37] supplement
[2:54:38] rather than
[2:54:39] take away
[2:54:40] what is
[2:54:41] existing
[2:54:42] because
[2:54:42] it's
[2:54:43] very important
[2:54:48] that
[2:54:48] HMOs
[2:54:49] do this
[2:54:49] but
[2:54:50] we
[2:54:50] would
[2:54:53] like
[2:54:53] to
[2:54:53] encourage
[2:54:54] the
[2:54:55] executive
[2:54:55] to
[2:54:55] also
[2:54:56] discuss
[2:54:56] with
[2:54:56] the
[2:54:56] IC
[2:54:56] this
[2:54:57] can
[2:54:57] be
[2:54:58] done
[2:54:58] they
[2:54:58] are
[2:54:58] all
[2:54:59] under
[2:54:59] the
[2:54:59] executive
[2:54:59] department
[2:55:00] if
[2:55:00] they
[2:55:01] want
[2:55:02] this
[2:55:02] to
[2:55:02] happen
[2:55:03] this
[2:55:03] can
[2:55:03] be
[2:55:03] done
[2:55:04] aside
[2:55:05] from
[2:55:05] this
[2:55:05] so
[2:55:05] I
[2:55:06] think
[2:55:06] we'll
[2:55:06] go
[2:55:06] to
[2:55:07] the
[2:55:07] second
[2:55:07] point
[2:55:07] and
[2:55:08] we'll
[2:55:11] just
[2:55:11] bring
[2:55:11] up
[2:55:11] other
[2:55:11] because
[2:55:12] one of
[2:55:14] the
[2:55:14] very
[2:55:15] important
[2:55:15] aspects
[2:55:16] that
[2:55:16] we need
[2:55:17] to
[2:55:17] look
[2:55:17] is
[2:55:17] if
[2:55:18] we have
[2:55:21] problem
[2:55:21] with
[2:55:22] health
[2:55:22] human
[2:55:22] resource
[2:55:23] it
[2:55:23] doesn't
[2:55:23] happen
[2:55:23] to
[2:55:24] universal
[2:55:25] health
[2:55:26] care
[2:55:26] and
[2:55:26] HRH
[2:55:28] is
[2:55:28] one
[2:55:29] of
[2:55:29] the
[2:55:29] pillars
[2:55:29] that
[2:55:30] we need
[2:55:30] there
[2:55:33] is
[2:55:33] health
[2:55:34] human
[2:55:34] resource
[2:55:35] work
[2:55:35] plan
[2:55:35] master
[2:55:37] plan
[2:55:37] but
[2:55:39] that
[2:55:39] master
[2:55:39] plan
[2:55:40] focuses
[2:55:40] only
[2:55:40] on
[2:55:41] four
[2:55:41] cadres
[2:55:42] if
[2:55:42] I'm
[2:55:42] not
[2:55:42] mistaken
[2:55:42] so
[2:55:43] I
[2:55:44] think
[2:55:44] it's
[2:55:44] time
[2:55:44] that
[2:55:45] we need
[2:55:45] to
[2:55:45] review
[2:55:46] expand
[2:55:47] it's
[2:55:50] one
[2:55:50] of
[2:55:50] our
[2:55:50] problems
[2:55:51] kahit
[2:55:51] marami
[2:55:51] tayong
[2:55:52] pera
[2:55:52] kung
[2:55:52] wala
[2:55:52] naman
[2:55:52] tayong
[2:55:53] health
[2:55:54] human
[2:55:54] resource
[2:55:55] wala
[2:55:55] rin
[2:55:55] who
[2:55:55] talagang
[2:55:56] mangyayari
[2:55:56] so
[2:55:56] I
[2:55:57] think
[2:55:57] those
[2:55:58] are
[2:55:58] the
[2:55:58] focus
[2:55:59] but
[2:55:59] again
[2:56:00] we
[2:56:00] would
[2:56:01] like
[2:56:01] to
[2:56:01] say
[2:56:01] we
[2:56:02] hope
[2:56:03] that
[2:56:03] the
[2:56:03] whole
[2:56:03] review
[2:56:04] would
[2:56:04] not
[2:56:04] be
[2:56:05] just
[2:56:05] a
[2:56:05] piece
[2:56:05] meal
[2:56:06] of
[2:56:06] everything
[2:56:07] but
[2:56:07] we
[2:56:08] have
[2:56:08] to
[2:56:08] look
[2:56:08] them
[2:56:08] all
[2:56:09] together
[2:56:09] otherwise
[2:56:11] absent
[2:56:12] one
[2:56:12] universal
[2:56:13] health
[2:56:14] care
[2:56:14] will
[2:56:14] not
[2:56:14] be
[2:56:14] implemented
[2:56:15] we
[2:56:15] will
[2:56:16] be
[2:56:16] we
[2:56:16] are
[2:56:16] very
[2:56:17] happy
[2:56:17] to
[2:56:17] be
[2:56:17] invited
[2:56:17] and
[2:56:18] will
[2:56:18] be
[2:56:18] willing
[2:56:18] to
[2:56:19] work
[2:56:19] with
[2:56:19] the
[2:56:19] committee
[2:56:19] thank
[2:56:20] you
[2:56:20] very
[2:56:20] much
[2:56:20] thank
[2:56:23] you
[2:56:24] attorney
[2:56:24] from
[2:56:25] the
[2:56:26] Philippine
[2:56:26] Alliance
[2:56:26] of
[2:56:27] Patients
[2:56:27] organization
[2:56:28] Ms.
[2:56:28] Marimele
[2:56:29] Lam
[2:56:29] I agree
[2:56:33] with the
[2:56:33] action
[2:56:34] of
[2:56:34] reforms
[2:56:34] and
[2:56:35] NIH
[2:56:36] nakita
[2:56:37] ko
[2:56:37] naman
[2:56:37] na
[2:56:37] the
[2:56:38] DOH
[2:56:38] and
[2:56:38] the
[2:56:39] field
[2:56:39] health
[2:56:39] are
[2:56:39] working
[2:56:40] hand
[2:56:40] in
[2:56:40] hand
[2:56:40] however
[2:56:41] ang
[2:56:42] nakikita
[2:56:42] po
[2:56:42] kasi
[2:56:42] namin
[2:56:43] ang
[2:56:44] mga
[2:56:44] patients
[2:56:44] kasi
[2:56:45] ngayon
[2:56:45] talagang
[2:56:46] hindi
[2:56:47] masyadong
[2:56:47] ginagamit
[2:56:48] yung
[2:56:48] mga
[2:56:48] parang
[2:56:49] nasanay
[2:56:50] na
[2:56:50] sila
[2:56:50] na
[2:56:51] pag
[2:56:51] kamay
[2:56:51] sakit
[2:56:52] direct
[2:56:52] agad
[2:56:52] sa
[2:56:52] mga
[2:56:53] big
[2:56:54] hospitals
[2:56:55] kaya
[2:56:56] nasasayang
[2:56:57] minsan
[2:56:57] yung
[2:56:57] like
[2:56:58] the
[2:56:59] yakap
[2:56:59] so
[2:57:00] we all
[2:57:01] ready
[2:57:01] din
[2:57:02] as
[2:57:03] the
[2:57:04] group
[2:57:04] na
[2:57:05] in-encourage
[2:57:06] din namin
[2:57:06] yung mga
[2:57:06] patients
[2:57:07] group
[2:57:07] na
[2:57:08] turuan
[2:57:09] yung
[2:57:09] mga
[2:57:09] pasyente
[2:57:10] nila
[2:57:10] na
[2:57:10] before
[2:57:11] na
[2:57:11] pumunta
[2:57:12] sa
[2:57:12] mga
[2:57:12] big
[2:57:12] hospitals
[2:57:13] gamitin
[2:57:14] muna
[2:57:14] yung
[2:57:14] prevention
[2:57:15] is
[2:57:16] better
[2:57:16] than
[2:57:17] cure
[2:57:17] nilapit
[2:57:18] na
[2:57:19] ng
[2:57:19] government
[2:57:21] natin
[2:57:21] sa
[2:57:21] mga
[2:57:22] LGU
[2:57:23] para
[2:57:25] hindi
[2:57:25] na
[2:57:25] sila
[2:57:25] pumunta
[2:57:26] so
[2:57:26] I
[2:57:26] think
[2:57:27] dapat
[2:57:27] nakita
[2:57:29] na lang
[2:57:29] sa
[2:57:29] LGU
[2:57:30] na
[2:57:30] bibigyan
[2:57:31] na lang
[2:57:31] sila
[2:57:31] ng
[2:57:32] referral
[2:57:32] to go
[2:57:33] to
[2:57:33] Manila
[2:57:34] kasi
[2:57:35] mostly
[2:57:35] talaga
[2:57:36] nakikita
[2:57:36] namin
[2:57:36] yung mga
[2:57:37] patients
[2:57:37] from
[2:57:38] different
[2:57:38] provinces
[2:57:39] pag may
[2:57:40] naramdaman
[2:57:40] lipad
[2:57:41] agad
[2:57:41] papunta
[2:57:42] sa
[2:57:42] Manila
[2:57:42] pero
[2:57:43] meron
[2:57:43] naman
[2:57:43] mga
[2:57:43] yakap
[2:57:44] facilities
[2:57:44] na near
[2:57:45] sa
[2:57:45] kanila
[2:57:45] na
[2:57:45] hindi
[2:57:46] naman
[2:57:46] na
[2:57:46] sila
[2:57:47] dumadaan
[2:57:48] muna
[2:57:49] doon
[2:57:49] so
[2:57:49] siguro
[2:57:50] sa LGU
[2:57:51] parang
[2:57:52] i-cascade
[2:57:53] din nila
[2:57:54] na
[2:57:54] kailangan
[2:57:55] pumunta
[2:57:55] muna
[2:57:55] dito
[2:57:56] sa
[2:57:56] mga
[2:57:57] yakap
[2:57:57] center
[2:57:58] kung
[2:57:58] kailangan
[2:57:59] na
[2:57:59] talagang
[2:58:00] pumunta
[2:58:00] dun
[2:58:00] sa
[2:58:01] mga
[2:58:02] specialty
[2:58:02] hospitals
[2:58:03] saka
[2:58:04] nalang
[2:58:04] bigyan
[2:58:04] ng
[2:58:04] referral
[2:58:05] ng
[2:58:05] yakap
[2:58:06] center
[2:58:06] para
[2:58:06] pumunta
[2:58:07] doon
[2:58:07] hindi
[2:58:07] yung
[2:58:07] dadag
[2:58:08] sa
[2:58:08] agad
[2:58:08] sila
[2:58:09] sa
[2:58:09] mga
[2:58:10] specialty
[2:58:10] hospital
[2:58:11] kaya
[2:58:11] ang
[2:58:11] nangyayari
[2:58:12] talaga
[2:58:12] ang
[2:58:13] mga
[2:58:13] OPD
[2:58:14] talaga
[2:58:15] at in
[2:58:15] sobrang
[2:58:16] dami
[2:58:16] talaga
[2:58:17] meron
[2:58:17] po
[2:58:18] sa
[2:58:18] isang
[2:58:19] specialty
[2:58:20] hospital
[2:58:21] 700
[2:58:22] ang
[2:58:23] OPD
[2:58:24] nila
[2:58:24] everyday
[2:58:25] kaya
[2:58:26] talagang
[2:58:26] inaabot
[2:58:27] ng
[2:58:27] morning
[2:58:28] pa lang
[2:58:28] from
[2:58:29] 3am
[2:58:29] nakapila
[2:58:30] na yung
[2:58:30] pasyente
[2:58:31] matatapos
[2:58:32] yung mga
[2:58:32] pasyente
[2:58:32] ng
[2:58:33] 4 to
[2:58:33] 5pm
[2:58:34] dahil
[2:58:34] bumabagsak
[2:58:36] yung mga
[2:58:36] patients
[2:58:37] from
[2:58:37] provinces
[2:58:38] na
[2:58:39] pwede
[2:58:40] naman
[2:58:40] munang
[2:58:40] i-treat
[2:58:41] sa
[2:58:41] province
[2:58:42] ng
[2:58:42] yakap
[2:58:43] yun
[2:58:43] thank you
[2:58:44] thank you
[2:58:45] ms
[2:58:46] from the
[2:58:48] social watch
[2:58:51] philippines
[2:58:52] ms
[2:58:53] maria
[2:58:53] patima
[2:58:54] bilian
[2:58:54] hello
[2:58:56] good morning
[2:58:56] mr.
[2:58:57] chair
[2:58:57] to everyone
[2:58:58] sa amin
[2:58:59] naman po
[2:58:59] sa social watch
[2:59:00] philippines
[2:59:01] alternative
[2:59:01] budget
[2:59:02] health
[2:59:03] cluster
[2:59:03] nire-re-re-rate
[2:59:05] lang din po
[2:59:06] namin
[2:59:06] yung
[2:59:07] mga
[2:59:08] sinabi
[2:59:08] ng mga
[2:59:08] kasama
[2:59:09] that
[2:59:09] we would
[2:59:10] like
[2:59:10] first
[2:59:10] of course
[2:59:11] to
[2:59:11] convene
[2:59:13] i-convene
[2:59:13] natin
[2:59:14] yung oversight
[2:59:14] committee
[2:59:15] before any
[2:59:15] amendment
[2:59:16] to the
[2:59:16] RA
[2:59:16] 1123
[2:59:18] na may
[2:59:20] mangyaring
[2:59:20] amendments
[2:59:21] to the
[2:59:21] UHC
[2:59:22] because
[2:59:22] as it is
[2:59:23] po
[2:59:23] lahat po
[2:59:24] kami dito
[2:59:25] ay present
[2:59:26] nung
[2:59:26] ating
[2:59:27] binubuo
[2:59:28] yung
[2:59:28] 2017
[2:59:30] 2018
[2:59:31] yung batas
[2:59:31] na ito
[2:59:32] at meron
[2:59:33] lang po
[2:59:33] kami
[2:59:33] mga
[2:59:33] in-emphasize
[2:59:34] in addition
[2:59:36] sa kanila
[2:59:36] i-emphasize
[2:59:37] na
[2:59:37] mga
[2:59:38] thematic
[2:59:40] parts
[2:59:41] dun
[2:59:41] sa
[2:59:41] batas
[2:59:41] na gusto
[2:59:42] namin
[2:59:42] tingnan
[2:59:43] din po
[2:59:44] natin
[2:59:44] when we
[2:59:45] do
[2:59:45] our
[2:59:45] review
[2:59:46] of
[2:59:46] the
[2:59:47] UHC
[2:59:48] so
[2:59:48] nakita
[2:59:49] naman
[2:59:49] po
[2:59:49] natin
[2:59:50] and
[2:59:50] I
[2:59:50] would
[2:59:50] like
[2:59:51] to
[2:59:51] also
[2:59:51] thank
[2:59:51] the
[2:59:51] committee
[2:59:52] on
[2:59:52] health
[2:59:52] framework
[2:59:56] na
[2:59:56] gagamitin
[2:59:57] po
[2:59:57] natin
[2:59:57] sa
[2:59:57] oversight
[2:59:58] napakaganda
[3:00:00] po
[3:00:00] noon
[3:00:00] at
[3:00:00] sana
[3:00:01] nga
[3:00:01] po
[3:00:01] ito
[3:00:02] yung
[3:00:02] gamitin
[3:00:03] natin
[3:00:03] lente
[3:00:03] when
[3:00:04] we
[3:00:04] review
[3:00:04] the
[3:00:05] UHC
[3:00:05] then
[3:00:06] I
[3:00:06] would
[3:00:06] like
[3:00:07] to
[3:00:07] also
[3:00:07] focus
[3:00:08] on
[3:00:08] yung
[3:00:09] nabanggit
[3:00:09] ni
[3:00:09] at
[3:00:09] human
[3:00:11] resource
[3:00:12] for
[3:00:12] health
[3:00:12] aside
[3:00:13] dun
[3:00:13] sa
[3:00:13] mga
[3:00:14] main
[3:00:15] cadres
[3:00:16] doctors
[3:00:17] nurses
[3:00:17] medical
[3:00:18] technologies
[3:00:19] it's
[3:00:19] about
[3:00:19] time
[3:00:20] that
[3:00:20] our
[3:00:20] allied
[3:00:20] health
[3:00:21] professionals
[3:00:21] and even
[3:00:23] yung mga
[3:00:23] talagang
[3:00:24] nasa
[3:00:24] mga
[3:00:25] barangay
[3:00:25] like
[3:00:26] barangay
[3:00:26] health
[3:00:26] workers
[3:00:27] community
[3:00:27] health
[3:00:28] workers
[3:00:28] isama
[3:00:29] po
[3:00:29] natin
[3:00:30] yun
[3:00:30] sa
[3:00:30] pagkatidignan
[3:00:32] po
[3:00:33] natin
[3:00:33] as a
[3:00:33] whole
[3:00:34] yung
[3:00:34] pagbibigay
[3:00:35] natin
[3:00:35] ng
[3:00:35] tamang
[3:00:36] primary
[3:00:36] care
[3:00:36] po
[3:00:37] dun
[3:00:37] sa
[3:00:37] ating
[3:00:38] mga
[3:00:38] kababayan
[3:00:39] lalong
[3:00:39] lalo
[3:00:40] na
[3:00:40] po
[3:00:40] sa
[3:00:40] guida
[3:00:40] areas
[3:00:41] po
[3:00:41] kasi
[3:00:42] yun
[3:00:42] yung
[3:00:42] problema
[3:00:43] po
[3:00:43] doon
[3:00:43] and
[3:00:44] maganda
[3:00:44] na
[3:00:44] nabanggit
[3:00:45] niyo
[3:00:45] sa
[3:00:45] kanina
[3:00:46] na
[3:00:46] hindi
[3:00:47] naghihintay
[3:00:48] yung
[3:00:48] pasyenteng
[3:00:49] pumunta
[3:00:49] sa
[3:00:50] facility
[3:00:51] kundi
[3:00:52] yung
[3:00:52] mga
[3:00:52] health
[3:00:53] workers
[3:00:53] na
[3:00:53] yung
[3:00:54] pupunta
[3:00:54] kung
[3:00:54] nasaan
[3:00:55] yung
[3:00:55] mga
[3:00:55] mamamayan
[3:00:56] so
[3:00:57] we
[3:00:57] would
[3:00:57] like
[3:00:57] sana
[3:00:58] sa
[3:00:58] pag-aaral
[3:00:59] natin
[3:00:59] pag-review
[3:00:59] ng
[3:01:00] UHC
[3:01:00] makita
[3:01:01] natin
[3:01:01] ano
[3:01:02] ba
[3:01:02] yung
[3:01:02] tamang
[3:01:02] mix
[3:01:03] of
[3:01:03] human
[3:01:03] health
[3:01:03] human
[3:01:04] resource
[3:01:05] na
[3:01:05] dapat
[3:01:06] nandun
[3:01:06] sa
[3:01:06] mga
[3:01:07] area
[3:01:07] na
[3:01:07] hindi
[3:01:07] po
[3:01:08] talaga
[3:01:08] napupuntahan
[3:01:09] ng
[3:01:09] health
[3:01:10] professionals
[3:01:11] at
[3:01:11] yung
[3:01:12] din
[3:01:12] siguro
[3:01:13] mga
[3:01:13] nabanggit
[3:01:14] about
[3:01:14] budget
[3:01:15] kasi
[3:01:15] parating
[3:01:16] na
[3:01:16] naman
[3:01:16] po
[3:01:16] yung
[3:01:16] budget
[3:01:17] season
[3:01:17] at
[3:01:17] kami
[3:01:17] po
[3:01:18] ay
[3:01:18] nagbabantay
[3:01:18] since
[3:01:19] 2006
[3:01:20] nagbabantay
[3:01:21] na po
[3:01:21] kami
[3:01:21] sa
[3:01:22] department
[3:01:23] of
[3:01:23] health
[3:01:23] budget
[3:01:24] hanggang
[3:01:24] lumaki
[3:01:25] na po
[3:01:25] sila
[3:01:25] yung
[3:01:26] budget
[3:01:26] ngayon
[3:01:26] and
[3:01:27] we
[3:01:28] wanted
[3:01:28] sana
[3:01:30] the
[3:01:31] committee
[3:01:31] on
[3:01:31] health
[3:01:31] and
[3:01:31] the
[3:01:32] entire
[3:01:32] house
[3:01:33] of
[3:01:33] rep
[3:01:33] to
[3:01:34] really
[3:01:34] honor
[3:01:34] kung
[3:01:35] ano
[3:01:35] yung
[3:01:35] sasabihin
[3:01:36] na
[3:01:36] pangangailangan
[3:01:37] ng
[3:01:37] phil
[3:01:37] health
[3:01:38] at
[3:01:42] kasi
[3:01:42] inamin
[3:01:42] na po
[3:01:43] ni
[3:01:43] Sir
[3:01:44] Edwin
[3:01:45] na
[3:01:46] kailangan
[3:01:47] po
[3:01:47] talaga
[3:01:47] nila
[3:01:47] ng
[3:01:48] pondo
[3:01:48] sa
[3:01:48] phil
[3:01:49] health
[3:01:49] at
[3:01:49] hindi
[3:01:51] na po
[3:01:51] sumasapat
[3:01:52] yung
[3:01:52] syntaxes
[3:01:52] although
[3:01:53] part
[3:01:54] ng
[3:01:54] isa
[3:01:56] sa
[3:01:56] mga
[3:01:57] priority
[3:01:59] ng DOH
[3:02:00] na
[3:02:00] legislative
[3:02:00] measure
[3:02:01] is the
[3:02:01] expansion
[3:02:02] of
[3:02:02] health
[3:02:02] taxes
[3:02:03] and
[3:02:03] we
[3:02:03] are
[3:02:03] also
[3:02:04] pushing
[3:02:04] for
[3:02:04] that
[3:02:04] but
[3:02:05] hindi
[3:02:06] na po
[3:02:06] sapat
[3:02:07] din
[3:02:07] yun
[3:02:07] at
[3:02:07] ibigay
[3:02:08] din
[3:02:08] yung
[3:02:09] nararapat
[3:02:09] kasi
[3:02:10] matagal
[3:02:10] na pong
[3:02:11] medyo
[3:02:12] hindi
[3:02:12] binibigay
[3:02:13] yung
[3:02:13] buong
[3:02:13] syntaxes
[3:02:14] sa
[3:02:14] phil
[3:02:14] health
[3:02:14] and
[3:02:15] we
[3:02:15] support
[3:02:16] na yung
[3:02:17] phil
[3:02:17] health
[3:02:18] po
[3:02:18] talaga
[3:02:18] natin
[3:02:18] i-beave
[3:02:19] up
[3:02:19] natin
[3:02:19] yung
[3:02:19] pondo
[3:02:20] and
[3:02:20] I
[3:02:20] also
[3:02:20] support
[3:02:21] congresswoman
[3:02:22] iris
[3:02:22] na
[3:02:23] sinabi
[3:02:23] niya
[3:02:23] na
[3:02:23] liit
[3:02:24] dapat
[3:02:24] ang
[3:02:25] maibibib
[3:02:26] yun
[3:02:26] po
[3:02:26] talaga
[3:02:26] yung
[3:02:27] gusto
[3:02:27] natin
[3:02:27] para
[3:02:27] hindi
[3:02:28] na
[3:02:28] nga
[3:02:28] po
[3:02:28] kinakailangan
[3:02:29] pang
[3:02:30] pumila
[3:02:30] ng
[3:02:30] mga
[3:02:30] pasyente
[3:02:31] I
[3:02:31] for
[3:02:32] one
[3:02:32] I
[3:02:32] just
[3:02:33] had
[3:02:33] an
[3:02:33] operation
[3:02:34] semi-private
[3:02:36] malaki po
[3:02:37] yung
[3:02:37] pondong
[3:02:38] nakuha
[3:02:38] ko
[3:02:38] sa
[3:02:38] phil
[3:02:39] health
[3:02:39] kaya
[3:02:39] po
[3:02:39] very
[3:02:40] thankful
[3:02:40] po
[3:02:40] ako
[3:02:41] na
[3:02:41] malaki
[3:02:42] yun
[3:02:42] although
[3:02:42] meron
[3:02:43] po
[3:02:43] akong
[3:02:44] dinamit
[3:02:45] din
[3:02:45] na
[3:02:45] HMO
[3:02:45] pero
[3:02:46] malaki
[3:02:46] nagulat
[3:02:47] din po
[3:02:47] ako
[3:02:48] na
[3:02:48] malaki
[3:02:48] yung
[3:02:49] nakuha
[3:02:49] sa
[3:02:49] phil
[3:02:49] health
[3:02:49] kaya
[3:02:50] po
[3:02:50] supportahan
[3:02:51] po
[3:02:51] natin
[3:02:51] at
[3:02:51] kung
[3:02:52] may
[3:02:52] kailangan
[3:02:52] ayun
[3:02:52] din sa
[3:02:53] phil
[3:02:53] health
[3:02:53] let's
[3:02:54] support
[3:02:54] phil
[3:02:55] health
[3:02:55] yun
[3:02:56] po
[3:02:56] siguro
[3:02:57] yun
[3:02:57] na
[3:02:57] po
[3:02:57] yung
[3:02:57] aking
[3:02:58] final
[3:02:58] Thank you
[3:03:01] Salamat
[3:03:02] po
[3:03:02] Thank you
[3:03:04] and
[3:03:04] last but
[3:03:06] not
[3:03:06] the least
[3:03:07] from
[3:03:07] the
[3:03:07] health
[3:03:08] professionals
[3:03:08] alliance
[3:03:10] after
[3:03:10] COVID-19
[3:03:11] Dr.
[3:03:12] Aileen
[3:03:12] Riel
[3:03:13] Espina
[3:03:13] Thank you
[3:03:14] Mr.
[3:03:15] Chair
[3:03:15] Gandang
[3:03:17] tanghali
[3:03:17] po
[3:03:17] ating
[3:03:18] lahat
[3:03:19] As you
[3:03:20] know
[3:03:21] the
[3:03:21] health
[3:03:21] care
[3:03:21] professionals
[3:03:22] alliance
[3:03:22] after
[3:03:24] COVID-19
[3:03:24] ay
[3:03:25] binubuo
[3:03:25] po
[3:03:25] ng
[3:03:26] 100
[3:03:26] professional
[3:03:27] organizations
[3:03:28] is
[3:03:29] damang
[3:03:29] po
[3:03:29] naman
[3:03:30] din
[3:03:31] po
[3:03:31] namin
[3:03:32] ang
[3:03:32] nurses
[3:03:32] midwives
[3:03:33] pharmacists
[3:03:34] physical
[3:03:35] therapists
[3:03:35] optometrists
[3:03:36] hospital
[3:03:37] administrators
[3:03:38] and also
[3:03:39] the
[3:03:40] municipal
[3:03:40] health
[3:03:41] officers
[3:03:41] even
[3:03:43] resident
[3:03:43] physicians
[3:03:44] all over
[3:03:44] the country
[3:03:45] Seven
[3:03:46] years
[3:03:47] since
[3:03:47] the
[3:03:47] passage
[3:03:48] of
[3:03:48] the
[3:03:48] law
[3:03:48] significant
[3:03:49] challenges
[3:03:50] remain
[3:03:50] in the
[3:03:51] production
[3:03:51] distribution
[3:03:52] and
[3:03:53] retention
[3:03:53] of
[3:03:54] many
[3:03:55] communities
[3:03:56] all over
[3:03:56] the country
[3:03:57] continue
[3:03:57] to experience
[3:03:58] shortages
[3:03:59] of much
[3:04:00] needed
[3:04:01] human
[3:04:01] resources
[3:04:01] for
[3:04:02] him
[3:04:02] A
[3:04:04] critical
[3:04:04] concern
[3:04:05] is
[3:04:05] the
[3:04:05] shortage
[3:04:06] of
[3:04:06] primary
[3:04:06] care
[3:04:07] physicians
[3:04:07] there
[3:04:08] is
[3:04:08] still
[3:04:08] a
[3:04:09] skewed
[3:04:09] ratio
[3:04:10] between
[3:04:10] primary
[3:04:11] care
[3:04:11] and
[3:04:11] special
[3:04:12] care
[3:04:12] This
[3:04:13] is
[3:04:13] very
[3:04:13] important
[3:04:14] to
[3:04:14] point
[3:04:14] out
[3:04:14] because
[3:04:15] primary
[3:04:15] care
[3:04:15] physicians
[3:04:16] mentioned
[3:04:17] in the
[3:04:18] law
[3:04:18] are
[3:04:18] expected
[3:04:18] to serve
[3:04:19] as the
[3:04:19] foundation
[3:04:20] of an
[3:04:21] integrated
[3:04:21] and
[3:04:22] coordinated
[3:04:22] health
[3:04:23] society
[3:04:24] UHC
[3:04:25] as envisioned
[3:04:26] in the
[3:04:26] law
[3:04:26] cannot be
[3:04:27] realized
[3:04:28] if primary
[3:04:28] care
[3:04:29] remains
[3:04:29] understaffed
[3:04:31] while
[3:04:31] the health
[3:04:33] workforce
[3:04:34] continues
[3:04:35] to be
[3:04:36] concentrated
[3:04:36] in
[3:04:37] hospitals
[3:04:37] and
[3:04:38] urban
[3:04:38] centers
[3:04:38] We
[3:04:39] also
[3:04:40] urge
[3:04:41] we
[3:04:41] acknowledge
[3:04:42] and
[3:04:42] we
[3:04:42] laud
[3:04:43] the
[3:04:43] expansion
[3:04:43] of
[3:04:44] workplace
[3:04:44] based
[3:04:44] clinic
[3:04:45] as
[3:04:45] mentioned
[3:04:46] by
[3:04:46] Yusek
[3:04:46] Domingo
[3:04:47] as well
[3:04:48] as the
[3:04:48] yakap
[3:04:48] accreditation
[3:04:49] of school
[3:04:49] based
[3:04:50] clinics
[3:04:50] we
[3:04:51] hope
[3:04:51] that
[3:04:52] all
[3:04:52] of
[3:04:52] these
[3:04:52] efforts
[3:04:54] for
[3:04:54] healthy
[3:04:55] workplaces
[3:04:56] and
[3:04:56] healthy
[3:04:56] learning
[3:04:57] institutions
[3:04:57] they
[3:04:58] will
[3:04:58] take
[3:04:58] the
[3:04:59] effort
[3:04:59] to
[3:04:59] develop
[3:05:00] community
[3:05:00] oriented
[3:05:01] primary
[3:05:01] care
[3:05:02] programs
[3:05:02] that
[3:05:03] would
[3:05:03] target
[3:05:03] their
[3:05:04] specific
[3:05:04] population
[3:05:05] we
[3:05:06] see
[3:05:06] the
[3:05:07] program
[3:05:10] very
[3:05:10] intentional
[3:05:11] and
[3:05:12] deliberate
[3:05:12] because
[3:05:14] they
[3:05:15] are
[3:05:15] serving
[3:05:15] a
[3:05:16] specific
[3:05:16] population
[3:05:17] we
[3:05:18] also
[3:05:19] see
[3:05:19] the
[3:05:19] need
[3:05:19] for
[3:05:20] deliberate
[3:05:20] policies
[3:05:21] that
[3:05:21] would
[3:05:21] expand
[3:05:22] community
[3:05:22] based
[3:05:23] training
[3:05:24] with
[3:05:24] a
[3:05:24] primary
[3:05:24] care
[3:05:25] orientation
[3:05:26] we
[3:05:27] hope
[3:05:27] that
[3:05:27] the
[3:05:27] Philippines
[3:05:28] can
[3:05:28] look
[3:05:28] into
[3:05:29] distributed
[3:05:29] training
[3:05:30] platforms
[3:05:31] so
[3:05:32] that
[3:05:32] our
[3:05:32] existing
[3:05:33] practitioners
[3:05:34] in
[3:05:35] rural
[3:05:35] and
[3:05:35] remote
[3:05:35] areas
[3:05:36] can
[3:05:37] undergo
[3:05:37] continuing
[3:05:38] professional
[3:05:38] development
[3:05:39] without
[3:05:40] removing
[3:05:40] them
[3:05:41] from
[3:05:41] their
[3:05:41] current
[3:05:41] area
[3:05:42] of
[3:05:42] practice
[3:05:42] so
[3:05:43] that
[3:05:43] there
[3:05:43] will
[3:05:43] be
[3:05:43] no
[3:05:44] disruption
[3:05:44] to
[3:05:45] service
[3:05:45] the
[3:05:45] DPD
[3:05:46] we
[3:05:46] also
[3:05:47] hope
[3:05:47] that
[3:05:47] the
[3:05:47] DOH
[3:05:48] can
[3:05:48] create
[3:05:48] more
[3:05:49] pathways
[3:05:50] in
[3:05:51] primary
[3:05:51] care
[3:05:52] and
[3:05:52] ensure
[3:05:52] adequate
[3:05:53] compensation
[3:05:53] so that
[3:05:54] more
[3:05:54] health care
[3:05:55] professionals
[3:05:56] would go
[3:05:56] into
[3:05:57] primary
[3:05:57] care
[3:05:58] all of
[3:05:59] these
[3:05:59] recommendations
[3:06:00] would have
[3:06:01] ever
[3:06:01] required
[3:06:02] fiscal
[3:06:04] reform
[3:06:04] the
[3:06:05] current
[3:06:05] financing
[3:06:06] mechanism
[3:06:06] actually
[3:06:07] favor
[3:06:08] hospital-based
[3:06:09] and
[3:06:09] curative
[3:06:09] services
[3:06:10] as we
[3:06:11] all know
[3:06:11] over
[3:06:12] primary
[3:06:12] care
[3:06:12] prevention
[3:06:13] and
[3:06:15] continuity
[3:06:16] support
[3:06:17] the
[3:06:18] move
[3:06:18] of the
[3:06:19] field
[3:06:19] health
[3:06:19] to
[3:06:20] streamline
[3:06:20] investments
[3:06:21] on
[3:06:22] outpatient
[3:06:23] benefit
[3:06:23] we
[3:06:25] also
[3:06:25] would
[3:06:25] like
[3:06:26] to
[3:06:26] caution
[3:06:26] about
[3:06:27] several
[3:06:28] fiscal
[3:06:29] reforms
[3:06:30] that
[3:06:30] might
[3:06:31] resolve
[3:06:31] further
[3:06:31] fragmentation
[3:06:32] of
[3:06:33] financing
[3:06:33] such as
[3:06:34] because
[3:06:35] we
[3:06:35] would
[3:06:35] like
[3:06:36] to
[3:06:36] support
[3:06:36] Phil
[3:06:37] health
[3:06:37] monopsony
[3:06:38] the
[3:06:40] current
[3:06:40] efforts
[3:06:41] to
[3:06:41] review
[3:06:42] the
[3:06:42] provider
[3:06:42] payment
[3:06:43] mechanisms
[3:06:43] and
[3:06:44] expand
[3:06:44] benefit
[3:06:44] packages
[3:06:45] are
[3:06:46] all
[3:06:46] aligned
[3:06:46] with
[3:06:46] the
[3:06:47] goals
[3:06:47] of
[3:06:47] EEC
[3:06:47] we
[3:06:48] would
[3:06:48] like
[3:06:49] to
[3:06:49] push
[3:06:49] for
[3:06:50] more
[3:06:50] resources
[3:06:51] that
[3:06:51] would
[3:06:52] however
[3:06:52] look
[3:06:53] into
[3:06:53] interprofessional
[3:06:54] primary
[3:06:55] care
[3:06:55] teams
[3:06:55] developing
[3:06:56] benefit
[3:06:57] packages
[3:06:57] for
[3:06:58] interprofessional
[3:06:59] local
[3:07:00] health
[3:07:01] system
[3:07:01] strengthening
[3:07:02] and
[3:07:02] further
[3:07:02] workforce
[3:07:03] human
[3:07:05] resources
[3:07:06] for
[3:07:06] health
[3:07:06] should
[3:07:06] not
[3:07:07] be
[3:07:07] viewed
[3:07:07] as
[3:07:07] a
[3:07:08] cost
[3:07:08] center
[3:07:08] but
[3:07:09] rather
[3:07:09] as
[3:07:09] a
[3:07:10] strategic
[3:07:10] investment
[3:07:11] to
[3:07:11] improve
[3:07:12] our
[3:07:12] health
[3:07:12] outcomes
[3:07:13] and
[3:07:13] system
[3:07:14] however
[3:07:15] government
[3:07:16] cannot
[3:07:17] carry
[3:07:17] this
[3:07:17] responsibility
[3:07:18] alone
[3:07:18] from
[3:07:20] the
[3:07:20] private
[3:07:20] sector
[3:07:21] which
[3:07:21] we
[3:07:21] believe
[3:07:22] we
[3:07:22] are
[3:07:22] representing
[3:07:22] here
[3:07:23] this
[3:07:23] morning
[3:07:23] which
[3:07:24] includes
[3:07:24] medical
[3:07:25] specialty
[3:07:25] societies
[3:07:26] professional
[3:07:27] organizations
[3:07:28] private
[3:07:28] health
[3:07:29] institutions
[3:07:29] and
[3:07:30] academic
[3:07:30] institutions
[3:07:31] we
[3:07:31] are
[3:07:32] saying
[3:07:32] that
[3:07:32] we
[3:07:32] also
[3:07:33] play
[3:07:33] a
[3:07:33] vital
[3:07:33] role
[3:07:34] in
[3:07:34] workforce
[3:07:34] development
[3:07:35] through
[3:07:35] education
[3:07:36] and
[3:07:36] training
[3:07:36] continuing
[3:07:37] professional
[3:07:38] development
[3:07:39] quality
[3:07:40] assurance
[3:07:40] and
[3:07:41] in actual
[3:07:41] service
[3:07:42] our
[3:07:43] expertise
[3:07:43] and
[3:07:44] resources
[3:07:44] to be
[3:07:45] more
[3:07:45] systematically
[3:07:46] integrated
[3:07:46] international
[3:07:47] and local
[3:07:48] HRH
[3:07:49] we
[3:07:49] see
[3:07:51] that
[3:07:52] the
[3:07:52] human
[3:07:52] resources
[3:07:53] for
[3:07:53] health
[3:07:53] master
[3:07:54] is
[3:07:54] more
[3:07:55] than
[3:07:55] LGBTQ
[3:07:55] centric
[3:07:56] and
[3:07:57] it is
[3:07:57] more
[3:07:57] skewed
[3:07:58] towards
[3:07:58] public
[3:07:59] health
[3:08:00] so
[3:08:00] maybe
[3:08:00] we
[3:08:01] have
[3:08:01] more
[3:08:02] participation
[3:08:03] from
[3:08:03] the
[3:08:03] health
[3:08:05] in
[3:08:06] conclusion
[3:08:06] we
[3:08:06] urge
[3:08:07] the
[3:08:07] committee
[3:08:07] to
[3:08:07] prioritize
[3:08:08] a
[3:08:08] comprehensive
[3:08:09] human
[3:08:09] resources
[3:08:10] for
[3:08:10] health
[3:08:10] strategy
[3:08:11] that
[3:08:12] would
[3:08:12] include
[3:08:12] workforce
[3:08:13] planning
[3:08:13] that
[3:08:13] is
[3:08:14] evident
[3:08:14] data
[3:08:16] fiscal
[3:08:17] reforms
[3:08:17] that
[3:08:18] would
[3:08:18] favor
[3:08:18] primary
[3:08:19] care
[3:08:19] expansion
[3:08:20] of
[3:08:21] primary
[3:08:21] care
[3:08:22] oriented
[3:08:22] education
[3:08:23] and
[3:08:24] training
[3:08:24] so that
[3:08:24] we
[3:08:25] will
[3:08:25] produce
[3:08:25] more
[3:08:26] primary
[3:08:26] care
[3:08:26] oriented
[3:08:27] specialists
[3:08:28] and not
[3:08:29] just
[3:08:29] primary
[3:08:29] care
[3:08:30] professionals
[3:08:31] stronger
[3:08:32] recruitment
[3:08:33] and
[3:08:33] retention
[3:08:33] mechanisms
[3:08:34] and more
[3:08:35] meaningful
[3:08:36] engagement
[3:08:36] of the
[3:08:37] sector
[3:08:37] so
[3:08:39] thank you
[3:08:40] so
[3:08:42] thank you
[3:08:43] mr.
[3:08:45] chairman
[3:08:45] i've been
[3:08:52] listening to
[3:08:52] everyone
[3:08:53] and i hate to repeat myself but i think it was in a different uh committee hearing uh i think it was
[3:09:00] secretary former secretary eric uh enrique ona who said injury leads to penury in the philippines
[3:09:05] and it's quite true and i think this is the first time i'll be on record before my dad
[3:09:23] uh a lot ill health with what they're doing as well as the doh with what they're doing specifically
[3:09:32] i'll mention it po doh uh started uh the yakap program as well as the bukas program or context
[3:09:40] po yakap it's the primary care um services i mean healthcare services yung bukas naman po it's urgent
[3:09:48] care and i think those two address um the what was mentioned by the psa a while ago marami
[3:09:57] po sa mga may sakit sa pilipinas yung po yung dalawang sagot it's not really confinement but it's
[3:10:04] actually prompt and proper care at the point of contact when we do that we actually solve so many
[3:10:12] problems and prevent so many what we call this waste of resources so i love the week for that for the
[3:10:21] phil health naman po for the longest time i've been egging my principles before and uh you have to do
[3:10:27] something with the funds and under the leadership of dr mercado uh they increase the health packages
[3:10:37] and i'll tell you how i've been a practicing physician pediatrician for 20 years and i from a
[3:10:43] private standpoint and public standpoint nakita ko po yung effect nag cascade down even to a fault
[3:10:50] and i'll tell you why uh mas marami na pong pumapayag magpadmit because of the increase that you did
[3:10:58] 50 percent increase i think earlier in the year marami pong nangangas pong alika admitin natin para
[3:11:06] matapos yung problema before i would actually face uh patients who would say look okay na sa bahay na
[3:11:13] lang ako hindi ko kayang bayaran i even went as far as hearing from a father i mean imagine hearing
[3:11:24] that from a parent uh your uh changes po actually change lives and i thank you for that now what's on
[3:11:36] the other side of it i mentioned earlier also in previous committee hearing there are six pillars
[3:11:43] in any health network you have leadership in governance you have health financing the much
[3:11:51] mentioned health personnel health information system the health technology supplies us and then
[3:11:58] eventually the health service delivery those six combined would affect would impact the responsiveness
[3:12:05] as well as the financial protection and i think that two agencies here are helping us uh deliver on
[3:12:13] that but i was it was mentioned kini about the hmos i think nagdiwang sila nung tinasan ni
[3:12:22] dr mercado yung premium so the question of first peso why don't is there a possible scenario
[3:12:30] in the hmos they'll crucify me for this uh pay the first peso kahit papano hindi lahat but they should
[3:12:38] have a skin in the game again because umanagbabayad sila ng premiums they accept the premiums and not
[3:12:48] necessarily the first person to pay for everything but at least the first agency to pay like 10 000
[3:12:55] for each patient admitted and then kill health comes in and then they come back with the residual
[3:13:03] i've experienced also hmos dictating on me on what to do to my patient because of what's available
[3:13:10] on the table and i think the day i again i keep telling myself that they there will the day that
[3:13:17] the that the business person tells me what to do with my patient it's the day i stop practicing
[3:13:22] kasi hindi ako papayag na utusan ako after so many years of learning and experience that's
[3:13:31] utusan lang ako ng non-medical because what they want to protect their business model uh i don't think
[3:13:39] i i don't think i would agree to that and number two for the doh because yung maifip po uh why can't we
[3:13:50] function much like an hmo if an hmo deals with the hospital po kasi they will determine professional
[3:13:59] fees laboratory fees room fees they will dictate ito po yung presyo namin and usually the hospitals
[3:14:08] would agree because they will they will they will say i have this number of patients that can
[3:14:13] potentially go to your hospital ganun po ang model nila my tip on the other hand when we provide such
[3:14:23] assistance to patients who are in need anong nangyayari po same price that's what what is declared
[3:14:31] samantalang kayo po yung regulator you have uh an ace up your sleeve to tell them we want lower rates
[3:14:40] why don't we weaponize that sorry for the word i will weaponize that if i were in your shoes because
[3:14:47] and sorry ako po ay shareholder ng ibang hospital para ng full transparency
[3:14:51] ang akin lang po ah kahit na masaktan yung business models namin i think doh is in in the right
[3:14:59] position to declare that and dictate the prices and the rates kasi ang akin po in the end sino
[3:15:07] ba dapat ang una natin pagsisilba kundi yung silipino people lalo na yung mga may sakit na nga because again
[3:15:14] i go back injury leads to penury and if that penury happens mas marami tayong kailangan tulungan through other
[3:15:20] means bswd comes into play the doh with their other programs come into play nasana na prevent
[3:15:27] natin if only we all agreed on certain things so yun lang po eh ang akin ah we should protect first
[3:15:37] the filipino patient more than any business model even if it affects some business models we are all
[3:15:43] part of so in the number thank you thank you um honorable akop of uh mr chair yes uh may i suggest in our
[3:16:08] forthcoming hearing to also invite the insurance commission to participate in the committee hearing
[3:16:13] so that we can um siguro lengthily discuss adequately discuss yung tungkol dito sa hmos baka meron tayong
[3:16:23] ah meron tayong model na pwedeng makita the without necessarily raising the premium rates for um
[3:16:30] um hmos baka pwede nga yung mga charges na below lang naman pwede na nilang sagutin and then we'll come
[3:16:39] into play um depende po kung anong mapag-usapan natin para lang po they're on board at uh mapag-usapan
[3:16:45] pa natin naman thank you thank you honorable montez yes uh honorable hatim i support what um
[3:16:52] um um mentioned earlier no kasi ang napapansin ko din sa ground um ang mga doctors ayaw talaga
[3:17:01] magpakalatas ng maib sa pf so ang lumalabas nito mas malakas bang hmo kesa gobyerno yun yun diba kasi ang
[3:17:11] it's uh ang government ang ang doctors on the ground dapat 50 percent ang pwede mag cover nang
[3:17:18] maib at least diba pero on the ground hindi nangyayari gusto nila kung i cover ng maib dinudobble nila
[3:17:27] professional fee nila so ang lumalabas talaga mas malakas po ang hmo kesa gobyerno thank you uh
[3:17:37] uh last year during the budget hearing uh secretary herbosa promised that professional fee
[3:17:47] Of doctors in DOH hospitals and DOCCs can be covered by MAEFIP. Not necessarily full, but mayroon percentage. At the very least, may percentage.
[3:18:06] Pero I'll start to say, as I speak, marami pa rin ang mga doctors sa DOH hospitals and DOCCs na ayaw tumanggap ng bayad from MAEFIP to the professional fee.
[3:18:23] May I ask the Department of Health to please remind them.
[3:18:30] Kasi ang promise ni Secretary Ted Herbosa is isuspend niya yung privilege to practice.
[3:18:39] Their practice in the DOH hospital is a privilege. Isuspend niya kung hindi sila tumatanggap ng MAEFIP.
[3:18:47] Unfortunately, personal experience, marami sila ayaw nila talaga ang MAEFIP.
[3:18:55] So, I hope the DOH is aware of this.
[3:19:01] Yes, Honorable Adam.
[3:19:04] I forgot to mention.
[3:19:06] With what the PhilHealth did po, I said DOH and PhilHealth together play an important role.
[3:19:15] But they cannot solve this problem between them.
[3:19:19] They're doing the right things for me based on what I've seen in the past 20 years.
[3:19:24] I've been practicing for 20 years po.
[3:19:25] I've been a victim as well as of how bad PhilHealth can serve us po.
[3:19:30] From a doctor's standpoint and from a hospital operator's standpoint.
[3:19:37] But when PhilHealth opened up its floodgates po, sorry for the pun, sumama po yung private sector eh.
[3:19:47] A case in point would be the dialysis center.
[3:19:50] When you increased po, from 2,600 to 4,000, that was bad for the private sector.
[3:19:58] Because it wasn't commensurate po what services you added to the amounts that was also added.
[3:20:05] But when you made it 6-3, a lot of players came into play po and became part of the self-network.
[3:20:15] Now, DOH doesn't have to provide the capital outlay for the facilities.
[3:20:23] They don't have to provide for the health personnel, the equipment.
[3:20:30] The private sector chimed in and then just waited for PhilHealth to pay.
[3:20:35] Nung bumilis po yung payment at tumas yung payment, the private sector became a willing partner po.
[3:20:41] And I think we can work on that.
[3:20:43] Kasi yo, kaya ho umaayaw ang private sector, imagine po, indulge me in this one.
[3:20:51] Let's put up a clinic.
[3:20:54] I put up a pediatric facility po 16 years ago just to prove a point to my parents.
[3:21:01] I opened it up.
[3:21:03] DOH didn't know what to do with me.
[3:21:05] Walang specialty center for pedya na infirmary level.
[3:21:09] So, when they kept forcing me to become level 1, I didn't have the money to fork out to build it to a level 1.
[3:21:17] Nabanggit ni Doc Domingo yung ministerial management po ninyo.
[3:21:23] I hated that, honestly.
[3:21:25] And check, check, check.
[3:21:27] They weren't looking at what I was delivering.
[3:21:29] I invested on that.
[3:21:35] And then, PhilHealth comes in, pays me 6 to 9 months later.
[3:21:40] Now, if I have 10 patients po with pneumonia, at back then, it was 15,000, I think.
[3:21:45] Around 15,000 yung health package.
[3:21:48] If I discharge 5 patients po, 3 patients na po of pneumonia, that's around 45,000.
[3:21:55] Imagine, in 10 days, it's 450,000.
[3:21:59] That's 10 days.
[3:22:00] In 1 month, it's 1.5 million.
[3:22:03] If it's 6 months, how much na?
[3:22:06] 7.5.
[3:22:07] That's over what I already invested in.
[3:22:11] Ngayon, sinong tao ang papasok sa ganung scheme?
[3:22:18] Kokonte.
[3:22:19] If not, wala.
[3:22:20] So, the only way that facility survived was I sacrificed my professional fee for 16 years.
[3:22:27] Just to prove a point.
[3:22:30] That's the only way I could pay my staff.
[3:22:32] Hindi kaya talaga.
[3:22:34] Because of what PhilHealth was paying and what I could charge over it on top of it.
[3:22:38] The point being, what you're doing po can be revisited to also be done on other illnesses or disease conditions.
[3:22:51] Where in the private sector, we'll rally behind what we're trying to do.
[3:22:58] May pera sila eh.
[3:22:59] They have the means.
[3:23:01] Pero we have to find those para mabawasan yung burden po sa inyong dalawa.
[3:23:08] Sana po, mahanap po ninyo yun para lalong mabawasan yung burden on your agencies.
[3:23:13] But at the same time, it decreases a lot the burden on the Filipino people.
[3:23:19] Thank you po.
[3:23:21] Thank you.
[3:23:23] Honorable, ako.
[3:23:24] Yes, Honorable, ako.
[3:23:25] Dagdag ko lamang po sa sinabi ninyo kanina yung sa ma-e-fip na professional fee.
[3:23:32] Gusto ko din pong malaman sa DOH kasi nga po commitment yun ni Secretary Robosa last time.
[3:23:38] Ano po ba talagang dahilan kung bakit ayaw nila?
[3:23:40] Ang sabi po kasi nila ay parang matagal ang payment.
[3:23:44] At gano'n po ba katagal ang turnaround time within which nababayaran natin yung mga doktor para ayawan po nila yung ganong klaseng ano?
[3:23:56] Sir Domingo?
[3:23:58] Thank you, Mr. Chair.
[3:23:59] Uno po sa lahat, and this is not to flatter, Antipolar is in very good hands.
[3:24:03] From brilliance in legal minds and investigation, nakikita ko namang yun yung medical and health.
[3:24:09] So we're very happy for the younger Congressman Ako to be on board and now helping us.
[3:24:15] He speaks the language of health reform.
[3:24:17] That's why I'm very comfortable responding to his questions.
[3:24:20] At hindi ko talaga siya babulahin.
[3:24:22] Definitely walang bulahan.
[3:24:23] Matagal po yung payment nung ma-e-fip.
[3:24:26] Ang difficulty po kasi dyan, connecting to the question of the Honorable Mondes,
[3:24:31] it depends on the region.
[3:24:33] Sa mga region po na hindi ganong karami yung ospital,
[3:24:36] I would say mabilis.
[3:24:37] Pero pag usapin ng NCR 4A3,
[3:24:42] which are the three big clusters na andun yung mga ospital,
[3:24:45] wag na muna natin isama si 7, si Cebu,
[3:24:48] tsaka si 11, si Davao.
[3:24:50] It really takes time.
[3:24:51] Because the processing of ma-e-fip,
[3:24:53] just like any other government transaction,
[3:24:55] requires obligation, request, ORS, disbursement voucher,
[3:24:59] yung mga quadruplicate po na pinipinimahan natin lahat sa opisina natin.
[3:25:03] For each and every patient with attachments.
[3:25:05] So ang ginagawa po niyong ibang ospital,
[3:25:08] karamihan ng ospital,
[3:25:09] na in-advise na namin sila,
[3:25:11] wag nilang hakayaang nag-iipon.
[3:25:13] Kasi iniakala nila batch processing is efficient.
[3:25:16] It's efficient for the clerk, with due respect,
[3:25:18] for the clerk doing the work.
[3:25:19] But for the doctors,
[3:25:20] it's not efficient.
[3:25:21] Kasi nag-discharge ka January,
[3:25:25] and nagbabatch processing,
[3:25:26] at the fastest,
[3:25:28] siguro makakawag kung quarterly yung submission,
[3:25:30] three months later,
[3:25:31] tasasabayan ka pa ng isang katerba na pasyente.
[3:25:34] So that's one.
[3:25:35] The solution is digitalization.
[3:25:36] Everyone's favorite solution.
[3:25:38] And again, we're going to try to do this,
[3:25:41] piloting dun sa mga six provinces
[3:25:43] na kinokonnect namin yung EMR,
[3:25:45] tsaka yung ibang mga statements of account.
[3:25:47] So, bago ka lang po makalimutan,
[3:25:49] since sabanggit po yung insurance commission,
[3:25:51] in addition, Mr. Chair,
[3:25:52] I would like to suggest for the committee
[3:25:54] to please invite the Association of Health Maintenance Organizations
[3:25:57] of the Philippines Incorporated,
[3:26:00] or AMHOPI,
[3:26:01] and yung isa pa,
[3:26:02] the Philippine Association of Health Maintenance Organizations Incorporated,
[3:26:05] or yung PAMO.
[3:26:07] Sila po yung ano,
[3:26:08] kasi para lang maka-respond sila.
[3:26:09] Kasi ako naman po,
[3:26:11] speaking also as a doctor,
[3:26:12] and Dr. Akop and the other doctors will know,
[3:26:14] ayaw na namin na binabarat kami.
[3:26:16] Hindi naman lahat,
[3:26:16] pero may mga HMO na parang,
[3:26:18] ano ba naman yan,
[3:26:19] 50 pesos,
[3:26:20] 100 pesos na PF in 2026 for a specialist.
[3:26:24] So, nakikita niyo po yun sa Facebook eh,
[3:26:25] yung mga cheque.
[3:26:27] Anyway,
[3:26:27] at tinaparinig ko rin yun sa public,
[3:26:29] kasi ito na yung forum na para sa mga kapwa-doktor,
[3:26:32] na tama yung point ni Dr. Akop eh,
[3:26:35] parang bakit natyagaan natin mga doktor yung hindi lahat,
[3:26:38] pero yung mga HMO na nambabarat.
[3:26:40] Samantalang yung ma-ifif,
[3:26:41] na kahit pa pano,
[3:26:42] hindi naman ganun kababa,
[3:26:43] pero syempre,
[3:26:44] kulang pa rin,
[3:26:45] ay hindi natin tinatanggap.
[3:26:47] So, pero medyo palaisipan yun.
[3:26:49] But to spear the point dun sa PF,
[3:26:51] sabi ko kay Director Napulan,
[3:26:53] nag-issue na ho kami,
[3:26:54] si Secretary Erbosa,
[3:26:55] when he made that commitment,
[3:26:57] already issued a reminder.
[3:26:59] Sabi ko,
[3:26:59] baka naman kasi enforcement,
[3:27:01] meaning,
[3:27:02] alam naman po natin,
[3:27:03] medicine is a very confidential transaction,
[3:27:06] meaning,
[3:27:07] ang behavior ng ating mga mamamayan is,
[3:27:10] naku,
[3:27:11] baka ayaw ko naman awayin si doktor,
[3:27:12] or kawawa naman si doktor,
[3:27:14] or okay naman siya,
[3:27:15] hindi ko nalang i-report, etc.
[3:27:16] or mag-report na na sila after the fact.
[3:27:19] But I was whispering to him na,
[3:27:21] we will provide an anonymous,
[3:27:23] para bang complaint inbox or something,
[3:27:26] para kung maka-pick up sila,
[3:27:27] lalo na sa DOH hospitals,
[3:27:29] kasi nga administrative control namin yun eh,
[3:27:31] na it is a contractual obligation
[3:27:33] for all DOH physicians
[3:27:35] to follow the policy of the department.
[3:27:37] Otherwise,
[3:27:37] they have no business practicing
[3:27:39] in those hospitals.
[3:27:40] So,
[3:27:41] hindi naman hunin na lahat,
[3:27:42] malamang mga konti lang po yan,
[3:27:44] pero,
[3:27:45] mabuti nang ma-identify sila,
[3:27:46] para ma-rectify po natin.
[3:27:48] Thank you, Mr. Chair.
[3:27:49] Thank you,
[3:27:50] Yusef Domingo.
[3:27:52] Atin?
[3:27:54] Mr. Chair,
[3:27:55] ayaw ko lang bitawan yung sa HMO,
[3:27:56] kasi for several committee hearings,
[3:28:01] laging na-discuss ang professional fee rates
[3:28:04] of our doctors.
[3:28:05] Ang laging rason is,
[3:28:06] we cannot impose on the physicians.
[3:28:10] Ang sagot is,
[3:28:11] usual sagot is,
[3:28:12] we have to talk with the societies.
[3:28:15] Pero,
[3:28:15] how come ang HMO can demand rates?
[3:28:20] So,
[3:28:21] yun ang million dollar question
[3:28:23] na I think this is the best time
[3:28:26] inside committee
[3:28:28] na pwede natin i-discard.
[3:28:32] Thank you.
[3:28:37] Yes, last.
[3:28:39] Honorable Tino?
[3:28:40] Opo.
[3:28:41] Chair,
[3:28:42] may dalawa tayong resource person
[3:28:43] mentioned something about market power
[3:28:45] or yung monopsoni power.
[3:28:49] Ibig sabihin,
[3:28:50] malaking,
[3:28:50] napakalaking purchaser po.
[3:28:52] Single biggest purchaser
[3:28:54] of medical services
[3:28:57] or health services.
[3:28:59] So,
[3:29:01] you have tremendous power to set,
[3:29:04] to set rates,
[3:29:05] di ba?
[3:29:07] At ang,
[3:29:07] kasi nga tayo,
[3:29:08] may,
[3:29:09] public health system
[3:29:12] tapos private health system
[3:29:14] na malaki.
[3:29:16] Kasi nga,
[3:29:16] hindi pa nakocover
[3:29:17] ng public health system.
[3:29:20] So,
[3:29:20] importante po dito
[3:29:21] na makontrol natin
[3:29:23] yung rates,
[3:29:25] di ba?
[3:29:26] Para hindi naman talaga
[3:29:27] pagkakitaan
[3:29:28] ng labis
[3:29:29] yung kalusugan.
[3:29:32] Okay.
[3:29:32] So,
[3:29:33] importante po yung role nyo.
[3:29:34] I mean,
[3:29:34] ako nang gagawin,
[3:29:35] I mean,
[3:29:36] after,
[3:29:36] so,
[3:29:37] familiar tayo sa
[3:29:38] yung epekto
[3:29:40] ng voucher system
[3:29:41] ng DepEd,
[3:29:43] they set
[3:29:45] certain rates.
[3:29:46] Of course,
[3:29:47] education is different.
[3:29:48] Pwede mo sabihin,
[3:29:49] mas standardized yung
[3:29:50] product nila,
[3:29:52] costing,
[3:29:52] etc.
[3:29:52] But they set rate
[3:29:54] per region,
[3:29:55] HCR,
[3:29:56] 22,500 per student.
[3:29:59] Ang naging resulta nun,
[3:30:01] maraming providers
[3:30:02] na tinarget talaga
[3:30:04] yung servisyo nila
[3:30:04] at that cost
[3:30:06] at that quality
[3:30:07] para wala nang
[3:30:08] top-up
[3:30:10] yung
[3:30:11] yung mga
[3:30:12] estudyante.
[3:30:13] And,
[3:30:15] apparently,
[3:30:16] it's successful
[3:30:16] for many of them.
[3:30:17] In other words,
[3:30:18] tumatakbo sila,
[3:30:19] mainly,
[3:30:20] from the
[3:30:21] government
[3:30:22] subsidy.
[3:30:24] Okay,
[3:30:24] so,
[3:30:26] I think parang
[3:30:26] ganun yung
[3:30:27] gustong
[3:30:28] sabihin dito
[3:30:29] na,
[3:30:31] katulad ng sinabi
[3:30:31] ni Dr. Akov,
[3:30:32] when you
[3:30:33] still have set
[3:30:34] the rates
[3:30:35] at a
[3:30:36] correct price point,
[3:30:39] ayun,
[3:30:40] I encourage
[3:30:40] na pumasok
[3:30:41] yung mga
[3:30:41] private providers.
[3:30:43] Okay,
[3:30:44] so may ganun.
[3:30:45] Pero,
[3:30:46] there's another,
[3:30:46] there's a wildcard
[3:30:47] here which is,
[3:30:49] which is,
[3:30:50] by fifth.
[3:30:54] Plus,
[3:30:54] meron pang
[3:30:55] other
[3:30:56] government funding.
[3:30:58] Yung,
[3:30:59] apart from
[3:31:00] yung nire-remit
[3:31:01] sa,
[3:31:02] ng,
[3:31:03] ng Pagcore,
[3:31:04] ng PCSO,
[3:31:06] napupuntahan pa yan,
[3:31:07] diba?
[3:31:07] Tapos yung DSWD pa.
[3:31:10] So,
[3:31:10] essentially,
[3:31:11] dahil,
[3:31:11] mas paluwag to,
[3:31:15] this can subsidize
[3:31:17] the higher rates
[3:31:19] in the private sector.
[3:31:21] Essentially,
[3:31:22] parang ganun na
[3:31:22] ang isang malaking
[3:31:24] gamit nun,
[3:31:26] apart from
[3:31:26] paying for
[3:31:29] what field health
[3:31:30] cannot cover.
[3:31:32] Okay,
[3:31:33] so,
[3:31:34] yeah,
[3:31:35] I agree with
[3:31:36] Dr.
[3:31:37] Ackhoff
[3:31:38] na,
[3:31:38] baka dapat,
[3:31:39] itong,
[3:31:40] one,
[3:31:40] essentialize yung mga
[3:31:41] pondo,
[3:31:43] ideally,
[3:31:45] diba nga,
[3:31:46] ideally,
[3:31:46] isa na lang dapat,
[3:31:48] isa na lang dapat,
[3:31:49] diba?
[3:31:50] Para,
[3:31:52] may isang
[3:31:53] standard,
[3:31:54] standard set of rates
[3:31:56] tayo,
[3:31:57] diba?
[3:31:58] Okay,
[3:32:00] sa ngayon,
[3:32:02] my fifth
[3:32:04] plus all the others,
[3:32:05] hindi ba pwedeng
[3:32:05] magkaroon din
[3:32:06] ng standard rate?
[3:32:08] Kasi discretionary
[3:32:12] yan ngayon,
[3:32:13] tama po ba?
[3:32:14] What is preventing
[3:32:15] that being implemented?
[3:32:20] O nasa,
[3:32:22] dapat ba,
[3:32:22] mas dito akong magtanong?
[3:32:24] Sa hanay natin?
[3:32:29] Yun po,
[3:32:30] so,
[3:32:32] I think,
[3:32:34] yun ang isang
[3:32:35] dahilan kung bakit
[3:32:38] may abuso,
[3:32:41] pwedeng may abuso
[3:32:42] na nangyayari
[3:32:43] because,
[3:32:45] yun na nga,
[3:32:46] sinasabi,
[3:32:47] ah,
[3:32:47] may maka-isip naman,
[3:32:48] so pwedeng mas mataas
[3:32:49] yung rate.
[3:32:49] Yung gano'n,
[3:32:50] diba?
[3:32:51] Ayun po.
[3:32:53] Richard,
[3:32:54] may I very briefly
[3:32:55] also add
[3:32:57] to what the
[3:32:58] honorable thing
[3:32:58] you said?
[3:32:59] If I remember
[3:33:00] correctly,
[3:33:01] when we were
[3:33:02] drafting the UHC,
[3:33:04] the very intent
[3:33:04] really was
[3:33:05] to reach a point
[3:33:07] where PhilHealth
[3:33:08] being the single
[3:33:09] purchaser of goods
[3:33:10] and services,
[3:33:12] parang makakapagdikta po siya
[3:33:13] ng presyo
[3:33:15] ah,
[3:33:17] ng,
[3:33:18] I remember pa din,
[3:33:19] um,
[3:33:19] back then,
[3:33:20] Mr. Chair sabi,
[3:33:21] eh,
[3:33:21] baka wala nang
[3:33:22] mga ospital,
[3:33:23] sumali,
[3:33:24] ah,
[3:33:24] mag-contract out
[3:33:25] sa PhilHealth
[3:33:25] kasi ganito-ganya.
[3:33:27] And we were saying
[3:33:28] din na,
[3:33:29] kapag maayos
[3:33:30] ang patakbo
[3:33:30] ng PhilHealth,
[3:33:31] nakakapagbayad siya
[3:33:32] ng tama,
[3:33:33] tama ang presyong
[3:33:34] binabayad niya
[3:33:35] sa pinuprocure na goods,
[3:33:38] mag-uunahan silang
[3:33:39] mag-co-contract out
[3:33:40] sa PhilHealth
[3:33:41] dahil ang kahit
[3:33:42] napapano,
[3:33:43] kailangan nilang
[3:33:43] i-consider na yung tubo
[3:33:45] at kita nila
[3:33:46] manggagaling
[3:33:46] sa PhilHealth payment.
[3:33:48] So,
[3:33:49] mamamatay ang negosyo nila
[3:33:50] kung ang mga ospital nila
[3:33:52] ay hindi
[3:33:53] accredited
[3:33:53] sa PhilHealth.
[3:33:54] So,
[3:33:55] napaka-importante
[3:33:56] accredited sila
[3:33:57] sa PhilHealth
[3:33:58] para makapartake sila
[3:33:59] doon sa servisyo
[3:34:01] na ibibigay ng PhilHealth
[3:34:02] para sa lahat.
[3:34:03] So,
[3:34:03] I think that is
[3:34:04] the direction,
[3:34:05] that is the
[3:34:06] intent
[3:34:07] of the
[3:34:07] universal
[3:34:08] healthcare.
[3:34:08] It's just that
[3:34:09] we were
[3:34:09] sidelined,
[3:34:11] we grappled
[3:34:11] with a lot
[3:34:12] of challenges
[3:34:13] and its
[3:34:13] implementation,
[3:34:15] kaya hindi pa po
[3:34:15] natin ma-achieve
[3:34:16] a Chilean.
[3:34:17] And I am hopeful
[3:34:18] that in the coming
[3:34:19] years,
[3:34:19] what we're doing
[3:34:20] in the committee,
[3:34:21] we are reviewing,
[3:34:22] we are trying
[3:34:23] to fix
[3:34:23] the gaps,
[3:34:27] clogging
[3:34:28] the loopholes.
[3:34:29] Darating po tayo
[3:34:30] sa point,
[3:34:30] napangarap natin
[3:34:32] na ganyan po
[3:34:33] dapat ang PhilHealth.
[3:34:34] And even the
[3:34:34] HMOs will have
[3:34:36] to beg
[3:34:37] sa PhilHealth
[3:34:39] na ito,
[3:34:40] pwede ba ganto,
[3:34:41] PhilHealth
[3:34:41] ang magdidikta
[3:34:42] ng rates doon.
[3:34:43] But in the meantime,
[3:34:45] hindi pa po tayo
[3:34:46] nakakarating doon,
[3:34:47] I guess we have
[3:34:48] to content
[3:34:49] with what we have
[3:34:50] right now
[3:34:51] and try to improve
[3:34:52] yung proseso
[3:34:53] natin in the
[3:34:54] implementation.
[3:34:55] That's why
[3:34:55] we really have
[3:34:56] to support
[3:34:57] yung mga reforms
[3:34:58] na ito sa PhilHealth
[3:34:59] and BBOH
[3:35:00] to be able
[3:35:00] to reach
[3:35:01] the point
[3:35:02] na pinangarap
[3:35:03] natin
[3:35:03] para sa UHC.
[3:35:04] Thank you po,
[3:35:05] Mr. Chair.
[3:35:05] Mr. Chair,
[3:35:06] Fahimi.
[3:35:07] Thank you,
[3:35:08] Honorable Montez.
[3:35:08] Yes,
[3:35:09] Dr. Mercado.
[3:35:10] So I agree po
[3:35:11] with our
[3:35:12] Honorable
[3:35:12] Acop and
[3:35:13] Honorable Montez.
[3:35:15] So there are
[3:35:15] inherent
[3:35:16] what you call
[3:35:17] market failure
[3:35:17] in healthcare.
[3:35:19] Anytime po
[3:35:19] na we increase
[3:35:20] inflationary
[3:35:21] then tumataas.
[3:35:22] So hindi lang po
[3:35:23] it's a matter of
[3:35:24] giving us the fund
[3:35:25] and also
[3:35:26] paying additional.
[3:35:28] It's more
[3:35:28] how we negotiate
[3:35:29] so that's
[3:35:30] one way
[3:35:31] is how we pay.
[3:35:32] So that's why
[3:35:33] we're shifting
[3:35:34] to a prospective
[3:35:35] payment
[3:35:36] either through
[3:35:36] capitation
[3:35:37] or global payment.
[3:35:38] So yun po
[3:35:39] pwede natin
[3:35:40] discuss offline
[3:35:41] but those are
[3:35:42] things we're
[3:35:42] slowly
[3:35:42] bearing towards.
[3:35:44] Kaya po
[3:35:44] yung nakita
[3:35:45] yung slide
[3:35:45] kanina
[3:35:46] there are
[3:35:47] big private
[3:35:48] hospitals
[3:35:49] now willing
[3:35:49] to go
[3:35:50] NBB
[3:35:50] because po
[3:35:51] inaano na
[3:35:52] namin
[3:35:52] magbultuhan
[3:35:54] tayo.
[3:35:55] Otherwise po
[3:35:56] if it's a
[3:35:57] fee-for-service
[3:35:58] mag-aano lang
[3:35:59] mag-over-indicate
[3:36:00] lang po
[3:36:00] nung indication
[3:36:01] for admission
[3:36:01] as she said
[3:36:02] kung tumas
[3:36:03] ngayon
[3:36:03] ng aming rates
[3:36:04] dami
[3:36:04] nagpapa-admit
[3:36:05] kahit di
[3:36:05] naman
[3:36:06] indicated
[3:36:06] yung admission.
[3:36:07] So yun po
[3:36:07] yung mga
[3:36:08] ginagawa
[3:36:08] apart from
[3:36:09] obviously
[3:36:10] auditing
[3:36:11] so
[3:36:11] ipapasok na
[3:36:12] po namin
[3:36:13] yung AI
[3:36:13] para makita
[3:36:14] po namin
[3:36:15] indicated
[3:36:15] ba talaga.
[3:36:16] So kailangan
[3:36:17] din po
[3:36:17] pangalagaan
[3:36:18] on that
[3:36:18] side
[3:36:18] in terms
[3:36:19] of
[3:36:19] abuse
[3:36:20] fraud
[3:36:20] and
[3:36:20] wastage
[3:36:21] and
[3:36:21] also
[3:36:21] in terms
[3:36:22] of our
[3:36:22] payment
[3:36:23] methodology
[3:36:23] prospective
[3:36:25] payment
[3:36:26] methodology.
[3:36:27] Thank you
[3:36:27] pa.
[3:36:28] Thank you
[3:36:28] Dr.
[3:36:29] Mercado
[3:36:29] on that
[3:36:30] note
[3:36:30] we will
[3:36:33] be having
[3:36:34] another
[3:36:34] meeting
[3:36:35] of the
[3:36:38] subcommittee
[3:36:38] on UHC
[3:36:40] oversight
[3:36:41] the topic
[3:36:43] will be
[3:36:43] on the
[3:36:44] health
[3:36:45] financing
[3:36:46] so we'll
[3:36:47] have more
[3:36:47] discussion
[3:36:47] on financial
[3:36:49] aspects
[3:36:50] HMOs
[3:36:51] and for
[3:36:55] the information
[3:36:56] of the
[3:36:56] members
[3:36:57] you've been
[3:36:58] given copies
[3:36:58] of the
[3:36:59] framework
[3:36:59] on the
[3:37:00] oversight
[3:37:01] UHC
[3:37:04] next meeting
[3:37:07] which will
[3:37:08] be
[3:37:08] scheduled
[3:37:09] after
[3:37:10] Sona
[3:37:10] so
[3:37:13] again
[3:37:14] may I
[3:37:15] remind
[3:37:15] our resource
[3:37:16] person
[3:37:16] to please
[3:37:17] submit
[3:37:17] to this
[3:37:18] committee
[3:37:18] your
[3:37:19] official
[3:37:19] position
[3:37:19] and
[3:37:21] before
[3:37:22] we
[3:37:22] adjourn
[3:37:22] we'd
[3:37:23] like
[3:37:23] to
[3:37:23] thank
[3:37:23] you
[3:37:24] team
[3:37:25] members
[3:37:26] of
[3:37:26] the
[3:37:26] committee
[3:37:26] and
[3:37:27] our
[3:37:28] resource
[3:37:28] persons
[3:37:28] distinguished
[3:37:29] resource
[3:37:29] persons
[3:37:30] President
[3:37:31] Mercado
[3:37:31] USEC
[3:37:32] Domingo
[3:37:33] and
[3:37:34] the OH
[3:37:36] and
[3:37:36] Phil
[3:37:36] Health
[3:37:36] Family
[3:37:37] and
[3:37:38] other
[3:37:38] distinguished
[3:37:39] resource
[3:37:40] persons
[3:37:41] this
[3:37:41] morning
[3:37:41] maraming
[3:37:41] maraming
[3:37:42] salamat
[3:37:42] see you
[3:37:43] on
[3:37:43] our
[3:37:43] next
[3:37:44] meeting
[3:37:44] just
[3:37:47] a
[3:37:47] gentle
[3:37:47] reminder
[3:37:48] for
[3:37:48] the
[3:37:48] committee
[3:37:49] on
[3:37:49] health
[3:37:49] members
[3:37:49] we have
[3:37:50] a
[3:37:50] one o'clock
[3:37:50] meeting
[3:37:51] 13th
[3:37:52] committee
[3:37:53] meeting
[3:37:53] one o'clock
[3:37:54] and
[3:37:59] I move
[3:38:05] to
[3:38:05] adjourn
[3:38:06] Mr.
[3:38:06] Chair
[3:38:06] there's
[3:38:09] a
[3:38:09] Julie
[3:38:09] second
[3:38:10] motion
[3:38:10] to
[3:38:11] adjourn
[3:38:12] hearing
[3:38:12] no
[3:38:12] objection
[3:38:13] this
[3:38:13] meeting
[3:38:14] is now
[3:38:14] adjourned
[3:38:15] I
[3:38:17] to
[3:38:18] people
[3:38:18] so
[3:38:18] I
[3:38:19] play
[3:38:21] I
[3:38:21] know
[3:38:22] I
[3:38:22] can't
[3:38:23] hear
[3:38:24] a
[3:38:24] one
[3:38:25] go
[3:38:25] on
[3:38:27] go
[3:38:27] and
[3:38:27] put
[3:38:29] cent
[3:38:30] he
[3:38:32] beyond
[3:38:33] I
[3:38:33] have
[3:38:34] put
[3:38:34] him
[3:38:35] and
[3:38:35] and
[3:38:36] that
[3:38:36] could
[3:38:37] see you
[3:38:38] see you
[3:38:39] again
[3:38:39] there's
[3:38:39] a
[3:38:40] addition
[3:38:40] to
[3:38:41] him