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| rte a ae be 3. pa OFFICE OF THE PRESIDENTIAL ADVISER Oh 4 PEAGE proccas | } in tS . | © Apu ofthe Piipines PHILIPPINE HEALTH INSURANCE CORPORATION Citystate Cite, 109 Shaw Boulevard, Pasi City ee Call Center (02) 4 (on) 401-7aaa 10 February 2016 USEC LUISITO G. MONTALBO Executive Director Office of the Presidential Adviser on Peace Process 7/F Agustin 1 Bldg, F. Ortigas Jr, Road Ortigas Center, Pasig City Attention: ASEC HOWARD B, CAFUGAUAN “Assistant Secretar jor Programs Office ofthe Presidential Adviser on Peace Process Dear USEC Montalbo: Greetings of Peace! This is to respectfully submit the 4" quarter report of the enrollment of former combatants and. fund utilization under the PHIC-OPAPP-PAMANA Sponsored Program for CY 2015, Likewise, we would like to endorse the PhilHlealth Identification Number (PIN) cards and Member Data Records (MDRs) of the RPA located in Quezon City. For coordination, Kim Exro shall facilitate the necessary technical assistance for the availment of PhilHicalth benefits and other related program services to former combatants and their dependents. ‘Thank you for your continued support to the National Health Insurance Program. Respectfully yours, G- () ceamphitheatn —} wwoefaccbook comvPhitcath — YwG) wow youtube comfeamphitheath IM actioncener@phitheah gov ph Pillar 1: Health Insurance Program (PHIC) (as of November 2015) aneaiae hab BENEFICIARIES PROJECTS: a oe SUBMITTED LIST OF ‘TARGET ENROLEES* ACTUAL ENROLEES** MNLF 3,000 185 169 CNN 1,554 286 145 2013 CPLA 1,219 51 43 RPA 727 279 197 TOTAL 6,500 801 (12.32%) 554 (69.16%) MNLF 3,000 3,000 1,372 CNN 1,554 401 287 Health Insurance Program 2014 CPLA 1,219 1,169 611 RPA 727 412 345 TOTAL 6,500 4,982 (76.65%) 3,306 (66.36%) MNLF 7,000 3777 3,219 CNN 800 933 497 2015 CPLA 1,374 1,239 891 RPA/CPD 727/10,000 422/7,066 6,220 TOTAL 19,901 15,687 (78.83%) 11,405 (72.70%) Note: *Percentage is “Submitted List of Enrolees vs. Target” **Percentage is “Actual Enrolees vs. Submitted List of Enrolees” Philippine Health Insurance Corporation PAMANA FY 2013-2015 Summary of Financial Accomplishments as of December 2015 Status of Fund Disbursement Programs and| Year | Allocation Disbursement Projects Remaining Rate Obligated Disbursed Funds for Release 2013 | 15,600,000 | 867,600.00 | 867,600.00 5.56% Health Insurance 2014 | 15,600,000 | 4,576,800.00 | 4,576,800.00 29.34% Program 2015 | 47,762,400 | 26,064,000 | 26,064,000.00 | 1,308,000.00 54.57% (645 FRs) Issues, Concerns and Recommendations Issues and Concerns Responses and Recommendations Action Items Low utilization of funds allocated for the enrollment of FRs (PAMANA enrollment targets versus actual enrollees) Expand registration to families within the Conflict Affected Areas (CAAs) Utilization of the Primary Care Benefit Package (PCB) in RHUs/Health Care Providers Benefit payment as of December 31, 2015 is Php 6,833,940.00 Conduct of ALAGA KA (Alamin at Gamitin Para sa Maayos na Buhay) in CAAs and Implementation of Tsekap (Tamang Serbisyo sa Kalusugan ng Pamilya)