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CHN LEC > RA 7875 > Flashcards

RA 7875 Flashcards

1
Q

AN ACT INSTITUTING A NATIONAL HEALTH INSURANCE PROGRAM FOR ALL FILIPINOS

A

[REPUBLIC ACT No. 7875

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2
Q

principles of RA 7875:

priority to health as bringing about faster economic development and improving quality of life

A

Allocation of National Resources for Health –

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3
Q

principles of RA 7875:

give the highest priority to achieving coverage of the entire population

provide all citizens with the mechanism to gain financial access in combination with other government health programs.

A

Universality

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4
Q

principles of RA 7875:

provide for uniform basic benefits. Access to care must be a function of
a person’s health needs rather than his ability to pay

A

Equity

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5
Q

principles of RA 7875: meet the needs for personal health services at various
stages of a member’s life;

A

Responsiveness

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6
Q

principles of RA 7875:

Program shall be guided by community spirit. It must enhance risk sharing
among income groups,

A

Social Solidarity

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7
Q

principles of RA 7875:

balance economical use of resources

A

Effectiveness

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8
Q

principles of RA 7875: l adapt to changes in medical technology

A

Innovation

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9
Q

principles of RA 7875:

Program consultation with (LGUs),

A

Devolution

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10
Q

principles of RA 7875: provide effective stewardship, funds management

A

Fiduciary Responsibility

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11
Q

principles of RA 7875: encourage members to choose from among accredited health care
providers

use as a guide

A

Informed Choice

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12
Q

principles of RA 7875: build on existing community initiatives for its
organization

A

Maximum Community Participation

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13
Q

principles of RA 7875: required to enroll in the National Health
Insurance Program in order to avoid adverse selection

A

Compulsory Coverage

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14
Q

principles of RA 7875: responsible for providing a basic package of needed
personal health services to indigents through premium subsidy

A

Care for the Indigent

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15
Q

General Objectives.

A

provide mechanism to gain financial access

create the National Health Insurance Program , to serve as the means to help the people

prioritize and accelerate the provision of health services

establish the Philippine Health Insurance Corporation

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16
Q

person entitled to health care benefits

A

Beneficiary

17
Q

– Services that the Program offers

A

Benefit Package

18
Q

A payment mechanism negotiated with a health care provider who arrange for the delivery of health care services

A

Capitation

19
Q

the amount paid by or in behalf of a member to the Program

A

Contribution

20
Q

entitlement of an individual, as a member

A

Coverage

21
Q

procedure to identify a disease

A

Diagnostic Procedure

22
Q

natural or juridical person who employs the services o

A

Employer

23
Q

process enlist individuals as members

A

Enrollment

24
Q

equitable health care payment system under which physicians

A

Fee for Servic

25
Q

approach to the purchase of medical services

A

Global Budget

26
Q

a health care institution, which is duly licensed and accredited

A

Health Care Provider

27
Q

document issued by the Corporation to members

A

Health Insurance Identification (ID) Card

28
Q

person who has no visible means of income

A

Indigent

29
Q

set of informational services made available to an individual who is
confined in a hospital to afford him

A

Inpatient Education Package

30
Q

person whose premiums has been regularly paid

A

Member

31
Q

protocol administered at the barangay level to determine the ability of individuals

A

Means Test

32
Q

health insurance program currently being implemented by the Philippine Medical Care
Commission

A

Medicare

33
Q

Medicare consists of:

A

1) Program I, which covers members of the SSS and GSIS including their legal dependents;
and

2) Program II, which is intended for those not covered under Program I

34
Q

enablement of a member to avail of Program benefits

A

Portability

35
Q

l set of activities to review and ensure the quality of services

A

Quality Assurance

36
Q

REPUBLIC ACT No. 7875 was approved by

A

JOSE DE VENECIA, JR.

EDUARDO J. ANGARA

37
Q

what was this acts consolidation

A

Senate Bill No. 1783 and House Bill No. 14225

38
Q

This Act was finally passed by the Senate and House of Representatives on

A

February 7, 1995

CHN LEC (22 decks)

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