Effect of a case-capped, fee-for-service payment mechanism on accessibility and affordability of health care.

In response to a government audit report in 2021, the Philippine health insurance system transitioned its case-based payment system back into a fee-for-service model capped at individual case rates. This commentary discusses the adverse effects of this policy on health care accessibility and affordability in the country. A rapid review of data shows that it may have resulted in delayed insurance payments, increased denial rates, and reduced coverage, and weakened the strategic purchasing capacity of public health insurance, hugely affecting vulnerable populations and public health care facilities.

Estimating direct medical costs of type 2 diabetes mellitus in the Philippines: a protocol.

Introduction: Diabetes and its complications are a major cause of morbidity and mortality in the Philippines. The prevalence of diabetes in the Philippines has increased from 3.4 million in 2010 to 3.

A cost-utility analysis of cervical cancer screening and human papillomavirus vaccination in the Philippines.

Background: Cervical cancer is the second leading cause of cancer cases and deaths among Filipino women because of inadequate access to screening and treatment services. This study aims to evaluate the health and economic benefits of HPV vaccination and its combination with different screening strategies to find the most optimal preventive strategy in the Philippines.

Methods: A cost-utility analysis was conducted using an existing semi-Markov model to evaluate different screening (i.