Data Insights create more possibilities to create
programs for the poor and indigent
"Bawat Filipino, Miyembro, Bawat Miyembro,
Protektado, Kalusugan Ng Lahat, Segurado"
(Every Filipino is a member. Every member is protected.
Everyone’s health is ensured.)
The Philippine Health Insurance Corporation (PhilHealth)
was established in 1995 with this vision and has then existed with a mandate to
ensure that all Filipinos have comprehensive social health insurance coverage
should they need medical attention. To date, the PhilHealth covers about 92% of
the Filipino population – just a little more and it has accomplished its vision
of universal health coverage.
While people only think of health insurance when they're
sick, PhilHealth’s vision – which includes ‘Kalusugan Ng Lahat, Segurado”
(Everyone’s health is ensured) – also includes plans to sustain a nation of
healthy citizens and protect the poor, marginalized and vulnerable Filipinos,
as well. A hale and hearty people can focus more on productive pursuits and
contribute significantly to a growing economy.
Run of Success
Two years ago, PhilHealth’s success run stumbled upon a
roadblock. The increase in membership resulted to a rise in claims and the
health insurance agency found out that their existing system could not
adequately meet the demands of the mounting scale of available data. They
needed a new way of organizing the influx of data and interpreting its
strategic and operational implications to have a single version of truth that
will allow management to create better programs and make a more informed
decision on how these programs can run.