asd Flashcards
How many deceased senior citizens are still in the PhilHealth database according to the COA?
4,062
This figure represents deceased members included in the PhilHealth Members Database (PMD) and billings.
What percentage of PhilHealth’s total enrollees have incomplete or erroneous details?
15.55 percent
This equates to 1.3 million enrolled beneficiaries.
What was the total number of enrollees in PhilHealth mentioned in the COA report?
8.5 million
What major issue did the COA identify regarding data management in PhilHealth?
Deficiency in collection and management process controls
What percentage of health-care institutions contacted by COA responded regarding deceased patients?
3.41 percent
Only 63 out of 1,846 accredited hospitals responded.
What error was most common among the beneficiaries’ details found by the COA?
Encoding only a beneficiary’s middle initial instead of the full middle name
This involved 1.25 million beneficiaries.
What is the estimated minimum overbilling made by PhilHealth based on the duplication of senior citizens?
P666.66 million
This estimate assumes half of the duplicated entries are unique.
How much funding did President Marcos claim PhilHealth has reserved?
P500 billion
What is the budget allocated by PhilHealth for benefit expenses this year?
P244 billion
What amount is allotted for administrative expenses in PhilHealth’s budget?
P12 billion
True or False: PhilHealth has no budget for next year according to Health Secretary Teodoro Herbosa.
False
Herbosa stated that PhilHealth has a big budget of P284 billion approved by the PhilHealth board.
Fill in the blank: The COA flagged PhilHealth for having ________ entries for 1.3 million beneficiaries.
incomplete or erroneous
What is the total budget for expenditures that PhilHealth has?
P260 billion
How much of PhilHealth’s benefit expenses budget has been used as of the end of October?
63 percent
What is the proposed budget for PhilHealth in 2025?
P61 billion
