COSTING THE NATIONAL HEALTH INSURANCE PROGRAM PREMATURITY BENEFIT PACKAGE- THE PHILIPPINE EXPERIENCE

Author(s)

Bacate ML1, Silvestre MA2, Capili DS2, Salaveria-Imperial ML3, Tan MC3, Reyes KA4, Nuevo CE4, Santillan M5, Zeck W6, Bermejo RA7, Co PA6
1University of the Philippines School of Economics, Quezon City, Philippines, 2Kalusugan ng Mag-Ina (Health of Mother and Child), Inc., Quezon City, Philippines, 3Dr. Jose Fabella Memorial Hospital, Manila, Philippines, 4Alliance for Improving Health Outcomes (AIHO), Inc., Quezon City, Philippines, 5Philippine Health Insurance Corporation, Pasig City, Philippines, 6UNICEF Philippines, Makati City, Philippines, 7UNICEF, Makati City, Philippines

OBJECTIVES: High rates of preterm birth and limited access to evidence-based, cost-effective interventions unsupported by fragmented and unsystematic financing hinder child mortality reduction locally. We aimed to cost a full spectrum of care for prematurity complications, to develop a comprehensive benefit package to ensure financial risk protection through the National Health Insurance Program. METHODS: Two frameworks of standard care algorithms and outcomes were developed in two birthweight categories (500-<1,500g; 1500-<2500g) and for women at <37 weeks using literature- and expert-panel-based data. Valuation of cost components was done. Gross costing was used for accommodation-related costs, where general service components were aggregated; modified microcosting for clinical-related costs, with patient and hospital specific costs identified; and modified bottom-up approach for patient-specific unit costs per service. Component costs from  11 hospitals and 3 maternity clinics surveyed nationwide were entered into a configured spreadsheet. RESULTS:

Conference/Value in Health Info

2015-11, ISPOR Europe 2015, Milan, Italy

Value in Health, Vol. 18, No. 7 (November 2015)

Code

PHP117

Topic

Economic Evaluation

Topic Subcategory

Cost/Cost of Illness/Resource Use Studies

Disease

Multiple Diseases

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