ASP Exam II Readings

B. HealthCareSystems

Republic Act 7875 (National Health Insurance Act of 1995) Articles I to VIII Link
Republic Act 9241 (An Act Amending Republic Act 7875, otherwise known as “An Act Instituting a National Health Insurance Program for All Filipinos and Establishing the Philippine Health Insurance Corporation for the Purpose) Sections 1 to 5 Link
TO BE INCLUDED IN DECEMBER 2019 EXAM! Universal Healthcare Act of 2018, Republic Act No. 11223 Link
Republic Act 10606 (National Health Insurance Act of 2013) Sections 1 to 26 Link
PhilHealth Circular # 27 s2013. CY 2014 PhilHealth Premium Contribution for the Employed Sector. Link
PhilHealth Circular # 31 s2013. All Case Rates (ACR) Policy No. 1 – Governing Policies in the Shift of Provider Payment Mechanism from Fee-for-Service to Case Based Payment. Link (Students are not expected to memorize the case rates.)
PhilHealth Circular # 35 s2013. ACR Policy No. 2 - Implementing Guidelines on Medical and Procedure Case Rates. Link (Students are not expected to memorize the case rates.)
Insurance Commission, Circular Letter No. 41-2016, Minimum Capitalization and Financial Capacity Requirements for HMOs Link
Insurance Commission, Circular Letter No. 20-2017, Accreditation of HMO Actuaries. April 4, 2016 Link
Insurance Commission, Circular Letter No. 19-2017, Guidelines on the Approval of HMO Products and Forms. April 4, 2016 Link