I. THIRD Party PHARMACY SERVICE PROVIDER
Background:
The Aquino Health Agenda (AHA) supports the provision and realization of the Universal Health Care for all Filipinos, also known as the Kalusuang Pangkalahatan (KP). With its execution, the PhilHealth aims to ensure that all Filipino have an access to quality health services that are efficiently delivered, equitably distributed, fairly financed and appropriate utilized by an informed and empowered public.
In order to achieve this, the National Health Insurance or PhilHealth will implement the Outpatient Benefit Package through Primary Care Benefits Package under its new brand called TSEKAP or Tamang Serbisyong Kalusugang Pampamilya. One of the objectives is to expand the number of services for primary care includes provision of maintenance medicines for non-communicable diseases such as hypertension and diabetes.
The targeted health service providers for TSEKAP are the Rural Health Units (RHUs) and Health Centers nationwide. However, implementation issue arising because the RHUs shall provide medicines for all beneficiaries of TSEKAP, most of the RHUs run by the Local Government Units (LGUs) this men that governance depends primarily on the prioritization of the local heal executives. Most of the RHUs and HCs are not capable of sustaining its "pharmacy services" due to lack of resources or funds to finance their pharmacy. This will lead us to unavailability of medicines that eventually will inhibit these health facilities to implement TSEKAP.
II. Business Concept
To answer the issue of a sustainable pharmacy services a strategy for improving supply of medicines in RHUs and HC s for PhiHealth TSEKAP package shall be put in place. The RHUs and HCs that cannot provide or sustain a pharmacy service will outsource it from a third party provider.
III. Objectives:
a. To provide PhilHealth accredited Rural Health Units with 32 essential medicines that will be utilized for the TSEKAP packages.
b. To develop a system between suppliers, health facilities provider and PhilHealth through public-private partnership.
IV. Business Model
The TSEKAP package will be first available of all National Health Targeting System (NHTS) members or as the PhilHealth sponsored members identified by the Department of Social and Welfare Development (DSWD). Beneficiaries of about 4.7 M families will be enlisted with TSEKAP providers and be assigned to a primary care physician. The outsourced pharmacy service provider will provide medicines for these patients and be paid by the PhiilHealth. Upon issuance of prescription by physician to NHTS patients, the patient will no longer leave the RHUs and HCs without medicines.
V. Business Offering
VI. Key Result Areas
VII. Business Organization
VIII. Target Customers
IX. Financial Forecast
X. Exit Strategy
XI.
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