Here’s a list of the 20 highest-costing illnesses in the Philippines in the January-March quarter of 2011, based on the total amounts of money spent by Philhealth to reimburse hospitals, doctors and other health provides for the treatment of these illnesses.
As you see in the list below, the top costing illness in the first quarter was pneumonia. In the new Case Rates payment system implemented by Philhealth for patients admitted starting September 1, 2011, the fixed Philhealth payment for each case of pneumonia (moderate risk) is 15,000 pesos, regardless of hospital category. For high-risk pneumonia, the fixed payment is 32,000.
The second cost-driving illness was chronic renal failure. In the Case Rates scheme, each hemodialysis is paid at a fixed rate of 4,000 pesos.
The third cost driving medical service — normal spontaneous child delivery — is paid at a fixed rate of 8,000 pesos if done in Level 1 hospitals and in maternity/lying-in clinics, and paid at a fixed rate of 6,500 pesos if done in Levels 2 to 4 hospitals. Newborn package benefits are worth 1,750 pesos.
|Rank||Illness||Amounts Paid in Million Pesos|
|2||Chronic renal failure||279.1|
|3||Single normal spontaneous delivery of child||271.5|
|4||Dengue haemorrhagic fever||262.4|
|6||Diarrhea and gastroenteritis||225.9|
|7||Single delivery by caesarean section||210.6|
|8||Other disorders of urinary system||172.5|
|9||Dengue fever (classic dengue)||141.5|
|10||Primary (primary) hypertension||108.1|
|12||Acute upper respiratory infections||91.4|
|13||Typhoid and paratyphoid fevers||79.9|
|14||Malignant neoplasm of breast||75.3|
|15||Gastritis and duodenitis||71.1|
|16||Chronic nephritic syndrome||65.9|
|18||Liveborn infant care||53.5|
Note: Data was sourced from the Philhealth website.