The Philippines Transformational Healthcare Insights, 2016

Current Trends and Challenges Encountered in the Road to Achieving Universal Healthcare Coverage

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The Philippines is a part of the Association of Southeast Asian Nations (ASEAN) community and one of the fastest growing healthcare markets in the region. With regard to healthcare, the Philippine Government has been looking at ways to achieve 100% enrolment to PhilHealth by 2020. One of the means is by mandating all Filipinos to enrol to PhilHealth. Currently, PhilHealth’s coverage is at about 92%. An ageing population, urbanisation, and the rising middle class have led to an increasing demand for healthcare services, as more people can afford quality healthcare. Due to the huge gap in the Philippines’ healthcare delivery system, abundant opportunities are available for key private participants to invest in the healthcare sector. Private hospitals, pharmaceutical producers, and healthcare IT companies are expanding into the Philippines market, partially owing to the recently launched AEC. Lack of infrastructure and human resources is putting a strain on the healthcare delivery system in the Philippines. The bed-to-population ratio is quite low and there is still a huge gap in the number of doctors and nurses required to cater to the needs of the growing population.

The healthcare delivery system in the Philippines is dominated by the public sector (regional, provincial, municipal, and barangay level) while being supported by private healthcare service providers. The implementation of Universal Health Care (UHC) is already driving the demand across all sectors of healthcare. However, the Philippines still requires a strong focus on infrastructure and skilled manpower. The shortage of qualified personnel is a huge problem, especially in high-skill fields such as radiology. The private sector is playing a huge role in helping the government address the gaps in healthcare services. Generics is evolving into a huge market due to the demand for low-cost medicine and strong government support. Production of raw materials for medicines is now 100% open to foreign ownership, creating an opportunity for the Philippines to emerge as a regional raw materials manufacturing hub. Areas such as healthcare technology and diagnostics, that can improve access to health information for making better healthcare choices, are growing faster.

The key components of the Philippines healthcare market are as follows:

Healthcare Industry: An industry that develops and provides solutions and/or services across the care spectrum for diagnosis, treatment, and prevention

• Therapeutics: Pharmaceuticals
• Medical Products: All forms of medical products used in imaging, treatment, and diagnosis of diseases
• Healthcare IT: Consists of software, solutions, and maintenance services sold to providers, but does not include hardware
• Healthcare Services: Primary, secondary, and tertiary care, specialty clinics, and diagnostic lab services

Table of Contents

The Philippines Transformational Healthcare Insights, 2016Executive SummaryThe Philippines Country HighlightsThe Philippines PredictionsScope and SegmentationCEO’s PerspectiveThe Philippines Macro Environment OverviewThe Philippines—Demographic TrendThe Philippines—Demographic Trend (continued)The Philippines—Middle Income TrendThe Philippines Healthcare Expenditure OverviewThe Philippines—Total Healthcare ExpenditureThe Philippines—Healthcare Expenditure per CapitaThe Philippines—Public and Private Healthcare ExpenditurePhilippines Healthcare Infrastructure OverviewPublic and Private Healthcare Delivery SystemPublic and Private Healthcare DeliveryThe Philippines Hospital ClassificationTotal Public and Private Hospitals with ClassificationThe Philippines—Total Hospital BedsThe Philippines Healthcare Insurance OverviewThe Philippines’ UHC Scheme and Private InsuranceThe Philippines’ UHC Scheme and Private Insurance (continued)The Philippines Healthcare Value Chain OverviewThe Philippines Healthcare Value ChainThe Philippines Healthcare Value Chain (continued)Hospital Reimbursement Process Under PhilHealthThe Philippines Healthcare ChallengesChallenges—InfrastructureChallenges—Infrastructure (continued)Challenges—Human ResourcesChallenges—Epidemiological TransitionGrowth Opportunities and Companies to ActionGrowth Opportunity 1—Private HospitalsGrowth Opportunity 2—Healthcare TechnologyGrowth Opportunity 3—PhilHealthGrowth Opportunity 4—Strengthening EconomyGrowth Opportunity 5—MicroinsuranceGrowth Opportunity 6—Increasing Demand for healthcare Services in Aged CareStrategic Imperatives for Success and GrowthConcluding ThoughtsConcluding ThoughtsHow are Stakeholders Responding?Legal DisclaimerThe Frost & Sullivan StoryThe Frost & Sullivan StoryValue Proposition: Future of Your Company & CareerGlobal PerspectiveIndustry Convergence360º Research PerspectiveImplementation ExcellenceOur Blue Ocean Strategy




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