Republic of the Philippines

DEPARTMENT OF HEALTH
Office of the Secretary BAGONG PILIPINAS

NOV 1 11
2024
DEPARTMENT ORDER
No.2024- 0476
SUBJECT: Guidelines on the Demonstration of the Functionality of Selected Public
Health Care Provider Networks

I. RATIONALE

Republic Act (RA) No. 11223, otherwise known as the Universal Health Care (UHC)
Act, seeks to progressively realize guaranteed equitable access to quality and affordable
healthcare goods and services, and financial risk protection for all Filipinos. Furthermore,
the Act envisions the integration of local health systems (LHS) into Province-wide or City-
wide Health Systems (P/CWHS)), that is anchored on primary care and people-centered care.

Relative to this, the Department of Health (DOH) issued Administrative Order (AO) No.
2020-0019 (Guidelines on the Service Delivery Design of Health Care Provider Networks)
and 2020-0021 (Guidelines on Integration of the Local Health Systems into P/CWHS) to
guide the UHC Integration Sites (IS) in exhibiting managerial, technical and financial
integration, pursuant to Section 41.d of the UHC Act. In addition, AO No. 2020-0037
(Guidelines on Implementation of the Local Health Systems Maturity Level) provides the
monitoring framework for LHS integration and serves as a reference for the provision of
technical assistance (TA) from various stakeholders. Currently, the 91 UHC IS are
progressing towards managerial and technical integration but are lagging in terms of
financial integration due to several factors such as the need for up-to-date policies and
operational guidelines on the utilization and management of the Special Health Fund (SHF),
challenges of Local Government Units (LGUs) with pooling their resources into the SHF,
and varying competencies of the local leaders and health officers especially in Public
Financial Management.

For this purpose, this guideline is hereby issued to expedite the demonstration of
functional integration of the LHS through the pilot implementation of major financial
reforms such as PhilHealth network contracting, All Case Rates-based Global Budget (ACR-
GB), prospective payments, integrated procurement process, and digitized supply chain
management system and integrated health information system in selected Health Care
Provider Network (HCPN) Demonstration sites. The documentation and findings gathered
from the demonstration sites shall aid in streamlining policies and procedures for LHS
integration reforms and provider payment reforms.

II. OBJECTIVES

This Order aims to provide guidance on expediting the demonstration of the LHS
functionality of the selected public HCPN Demonstration sites. Specifically, this Order aims
to:

A. Establish the appropriate policies, mechanisms, and governance structure to

spearhead the implementation of reforms in the HCPN Demonstration sites
particularly in financial integration;

Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila ® Trunk Line 651-7800 local 1108, 1111, 1112, 1113
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 B. Set the selection and engagement criteria to become an HCPN Demonstration Site;
and
C. Provide general directions on documentation, monitoring, and evaluation of the
HCPN Demonstration Sites.

III. SCOPE OF APPLICATION

This Order shall apply to all DOH Central Offices/Bureaus, Centers for Health
Development (CHDs), PhilHealth and its Regional Offices, and the Ministry of Health
Bangsamoro Autonomous Region in Muslim Mindanao (MOH-BARMM) pursuant to
Republic Act No. 11054 or the Bangsamoro Organic Act, where the potential HCPN
Demonstration Sites may be located, and other concerned stakeholders.

IV. DEFINITION OF TERMS

For this Order, the following terms are defined as follows:

A. All Case Rate (ACR) - refers to the fixed rate or amount that PhilHealth shall reimburse
for a specific illness or case of a member, regardless of member category, who is
admitted to an accredited healthcare institution. Such amount or rate shall cover the fees
of health care professionals, and all facility charges including, but not limited to, room

and board, diagnostics and laboratories, drugs, medicines, and supplies, operating room
fees and procedures, and other fees and charges that may apply.

Contracting - refers to a process where providers and networks are engaged to commit
and deliver quality health services at agreed cost, cost sharing, and quantity in
compliance with prescribed standards.

Functional Integration - refers to the P/CWHS with operationalized and

institutionalized network management support systems based on Level 3 of the Local
Health Systems Maturity Level.

Global Budget (GB) - a prospective payment method where the insurer pays a fixed
amount for a specified period to cover aggregate expenditures to provide an agreed-
upon set of services.

. Health Partners - refer to local and international health stakeholders providing technical
and/or financial support to any level of the government to contribute to the attainment of
health goals of improving health outcomes, financial risk-protection, and health system
responsiveness.

. HCPN Demonstration Sites - refer to selected UHC Integration Sites that attained the
requirements in this policy to pilot the reforms of the UHC Act specifically the PhilHealth
network contracting, All Case Rates-based Global Budget (ACR-GB), prospective
payments, integrated procurement system, and digitized supply chain management
system.

. Local Health Systems Maturity Levels (LHS ML) — refers to the framework used to
monitor the progress of LHS integration as provided by the UHC Act and its
Implementing Rules and Regulations (IRR).

. PhilHealth GAMOT - refers to one of PhilHealth’s standalone outpatient benefits which

covers select essential medicines used in the outpatient management of cases and shall
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 function as the pharmaceutical service delivery arm within a provider network.
known as the Outpatient Drug Benefit of PhilHealth or the PhilHealth Guaranteed
It
is also

Accessible Medications for Outpatient Treatment (GAMOT).

I. UHC Integration Sites (UHC IS) — refer to provinces, highly urbanized cities, and
independent component cities that have signified their commitment to integrate their LHS
into province-wide or city-wide health systems.

V. GENERAL GUIDELINES

A. The HCPN Demonstration site shall serve as the pilot area to strategically demonstrate
functional integration of the
local health systems into PACWHS. Its
implementation shall
be complementary to the LHS ML and other UHC policies related to local health systems
integration and provider payment reforms of PhilHealth.

B. A project management structure shall be created to support and monitor the strategic
demonstration of UHC reforms in the HCPN Demonstration site. This shall be a
collaboration among the DOH-Central Office, CHDs, PhilHealth Central Office,
PhilHealth Regional Offices (PROs), LGUs, and other health partners.

C. Selection of the HCPN Demonstration Sites shall be based on the pre-identified

requirements set by DOH and the administrative network requirements set by PhilHealth
and in coordination with the CHDs and Health Partners. There shall be at least one (1)
HCPN Demonstration Site per Universal Health Care-Health Services Cluster (UHC-
HSC) and this may either be a province, HUC, or ICC. The Department of Health shall
issue through a Department Circular the UHC IS qualified and ready for network
contracting, however, priority will be given to preselected sites namely Benguet, Laguna,
Aklan and Sarangani. A transitory provision after a year of implementation may be
released depending on the assessment of DOH and PhilHealth.

D. The existing Memorandum of Understanding (MOU) signed by the LGU which

committed to LHS integration shall remain valid and shall not be affected by the LGU
engagement as an HCPN Demonstration Site. Additional deliverables for the HCPN
Demonstration site shall be stated in PhilHealth’s modified Memorandum of Agreement
(MOA) and Service Level Agreement (SLA) templates to be issued in a PhilHealth
Circular.

E. The HCPN Demonstration site shall be entitled to financial and non-financial support and
incentives from the DOH, PhilHealth, and health partners to achieve functional
integration of the LHS. Such support and incentives shall include but not be limited to
financial grants and subsidies from DOH; prospective payments from PhilHealth; and
donations/financial grants and technical assistance from health partners.

F. Financial grants and subsidies from national government agencies; income from
PhilHealth payments; donations and financial grants from civil society organizations, and
official development assistance; shall accrue in the Special Health Fund subject to
existing guidelines on the Special Health Fund.

G. A monitoring and evaluation (M&E) framework shall be developed to measure the

processes and results of the interventions in the HCPN Demonstration Sites at the level
of the population, health facility, and healthcare provider. This shall be aligned with the
existing M&E tools such as LHS ML and LGU Health Scorecard, among others. The
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 DOH and PhilHealth may engage internal and external providers to assist in the
monitoring and evaluation of this intervention.

H. There shall be established avenues for inter-LGU knowledge exchange or Community of

Practice for the DOH, PhilHealth, HCPN Demonstration sites, and health partners
through conduct of regular discussions on innovations, good practices (as guided by AO
No. 2021-0061 or Guidelines on the Identification, Documentation, and Replication of
Good Practices in Health), implementation bottlenecks, and recommendations to achieve
the intended goals.

I. The documentation and lessons from the provision and implementation of DOH
interventions and PhilHealth circulars to the HCPN Demonstration Sites shall be the basis
and evidence in the enhancement and development of guidelines/circulars towards the
full implementation of the integration of local health systems.

VI. SPECIFIC GUIDELINES

A. Project Management
1. There shall be two (2) main streams: the (1) Central Management Group; and (2)
Implementation Group. A Department Personnel Order (DPO) shall be issued to
reflect the specific functions, deliverables, and designation of officials and staff into
the two (2) Groups and its Secretariat. Experts, local implementers, patient groups,
and development partners shall be invited as resource persons.

The Central Management Group shall provide technical and operational

directions for the strategic demonstration of UHC integration reforms. The group
shall ensure proper orientation and capacity building to the DOH implementing
units to be led by the appropriate technical bureaus. The policies created by the
Central Management Group shall be revisited/updated periodically, and
amendments shall be informed by the feedback from the Implementation Group.

i. The Central Management Group shall be composed of bureaus/offices from DOH

and PhilHealth Central Office with mandates related to policy development,
planning, and setting directions on UHC for the HCPN Demonstration site. This
Group shall be co-chaired with the Undersecretary of the Universal Health Care-
Policy and Strategy Cluster (UHC-PSC) or its equivalent in case of change in the
office nomenclature and the PhilHealth President and Chief Executive Officer or
their designated representative or alternate.

ii. Representative/s from the UHC-HSC Area Leads and Technical Office (TO) shall
be invited during the conduct of activities, i.e., meetings/workshops by the
Central Management Group to observe and provide updates and technical inputs
during the above-mentioned activities.

iii. A Secretariat shall assist the Central Management Group in the preparation of
documents, consolidation of reports, and coordination with stakeholders with
regard to the policy-making for the HCPN Demonstration sites.

2. The Implementation Group shall oversee the cascade and operationalization of th

relevant policies provided and shall facilitate providing TA to the HCPN Demonstration

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 site through the guidance of the Central Management Group and appropriate technical
offices/bureaus.

i. The Implementation Group shall provide the necessary technical assistance and
assist in troubleshooting operational concerns. They shall also provide feedback
to the Central Management Group on the performance, challenges, and TA
needed by the HCPN Demonstration site, which shall be used to improve and
update policies and directives issued by the Central Management Group.

ii. The Implementation Group shall be composed of personnel from the concerned
PhilHealth Area Vice President, PhilHealth Regional Office, PhilHealth Local
Health Insurance Office (LHIO), DOH-Center for Health Development,
Provincial/City DOH Offices, and development/health partners. This Group shall
be chaired by the Nationwide UHC-HSC Undersecretary or its equivalent in case
of change in the office nomenclature and co-chaired by the PhilHealth Executive
Vice President and Chief Operating Officer or their designated representative or
alternate.

iii. Representative/s from the Bureau of Local Health Systems Development

(BLHSD) and the UHC Surge Team shall be invited as observer/s during the
conduct of activities, i.e., meetings/workshops, by the Implementation Group.
Likewise, the group may invite members of the Central Management Group to
participate in its conduct of activities.

iv. A Secretariat shall assist the Implementation Group in the preparation of

documents, consolidation of reports, and coordination with stakeholders about the
progress of implementation of the HCPN Demonstration site.

v. For this policy, the Implementation Group, with the support of CHD, UHC IS,
PhilHealth, Technical Support Staff, and/or health partners, shall lead in the
documentation of innovations and good practices of the HCPN Demonstration
sites.

3. Following the role of the Provincial/ City Health Officer in the integration of the
Local Health System into P/ACWHS (e.g. Section 19 of the UHC Act and its IRR and
the AO No. 2020-0021), The Project Management Unit (PMU) or its equivalent
of each HCPN Demonstration Site shall be headed by the Provincial/City Health
Officer and shall be responsible for the day-to-day operations during the duration of
the project guided by the policies set forth by the Central Management Group. The
development/health partners may be engaged and included as members of the PMU.

B. Selection and Engagement of HCPN Demonstration Sites

1. Pre-selection of HCPN Demonstration Sites. Only P/CWHS that fulfill the

following criteria shall be shortlisted as HCPN Demonstration Sites:

a. Local Health System Maturity Level Assessment

i. Preferred sites shall be UHC IS that have achieved 100% Preparatory Level
(Level 1) and at least 70% Organizational Level (Level 2) Key Result Areas
(KRAs) based on the LHS Maturity Level Report. These sites should have set
 up network guidelines, resource planning and sharing, and management
structures.

ii. The presence of an integrated management system is essential for a functional

P/CWHS. Hence, below are the fundamental KRAs and required level of status
for an integrated management system:

Characteristics/Key Result Areas (KRAs) Required

Status

I. Non-Negotiable KRAs
A. Unified Governance of the Local Health Systems (LG1)

= LG1 KRA 2.1: Organized Province-Wide Health Systems Achieved

(PWHS)
= LGI1 KRA 2.2: Expanded Membership and Functions of the Achieved
Provincial/City Health Board
B. Financial Management (Fin 1)
* Fin KRA 2.1: Opening of Special Health Fund (SHF)
1 Achieved
Depository Bank Account
II. Additional KRAs that at least ongoing status
A. Unified Governance of the Local Health Systems (LG1)
= LGI KRAZ2.3: Strengthened Provincial/City Health Office Ongoing/
Achieved

= LGI1KRA 2.4: Established Management Support Unit Ongoing/

(MSU) Achieved

B. Strategic and Investment Planning (LG2)

» LG2 KRA 2.1: Local Investment Plan for Health (LIPH) as Ongoing/
the strategic and investment plan of the PACWHS Achieved

» LG2 KRA 2.2: LIPH/Annual Operational Plan concurred Ongoing/

by concerned CHD Achieved

C. Financial Management (Fin 1)

= Fin KRA 2.2: Presence of Separate SHF Book of

1 Ongoing/
Accounts at Provincial HUC/ICC Level Achieved

= Fin KRA 2.3: Presence of Subsidiary Ledger for SHF in

1 Ongoing/
the Trust Fund of Component LGUs Achieved

= Fin 1KRA 2.4: Presence of Personnel in the Management Ongoing/

Support Unit (MSU) to
Assist the Board in the Achieved
management of the SHF
 D. Information Management System (Info 1)

= KRA 2.2: Functional electronic medical record (EMR) Ongoing/

System among Health Facilities within the P/CWHS Achieved

E. Medical Products, Vaccines, and Technology (MPVT1)

= MPVTI KRA 2.3: Presence of Pharmacist/Pharmacy Ongoing/
Assistant Achieved

F. Service Delive SD1

= SDI KRA 2.1: Presence of Technical Guidelines/ Manual Ongoing/

of Referral System Achieved
= SDI KRA 2.4: Presence of Public Health Unit in Public Ongoing/
Hospitals Achieved
= SDI1 KRA 2.5: Partnership with Apex Hospital/s Ongoing/
Achieved
= SDI KRA 3.2: Registration of all Constituents to a Primary Ongoing/
Care Provider (PCP) within the P/CWHS Achieved

b. Political Commitment. The commitment of political leaders in the P/CWHS is

necessary to support and facilitate the implementation of LHS integration in their
area of jurisdiction. An existing MOU signed between the UHC IS, DOH, and
PhilHealth for LHS integration shall serve as a sign of commitment to integrate
their local health systems.

c. Non-participation to any other PhilHealth Sandbox. LGUs that are currently

participating in a sandbox (e.g. Primary Care Provider Network (PCPN) Konsulta
Sandbox) shall not be considered as an HCPN Demonstration Site. However,
Sandbox Sites that meet the criteria of the Local Health Systems Maturity Level
Assessment (Section VI.B.1.a) may transition to HCPN Contracting, provided
there is no overlap between the contract terms for PCPN, HCPN or any
PhilHealth’s network contracting.

d. Presence of Health Partner/s. UHC IS with Health Partners shall be preferred,

but not required. The Health Partner/s shall assist the PMU of the HCPN
Demonstration Sites and the Implementation Group. However, CHDs with the
assistance of the Implementation Group shall strengthen their support to the PMU
of HCPN Demonstration Sites without Health Partners to ensure the attainment of
their functional integration.

. Engagement as HCPN Demonstration site. A pre-selection process shall be the

basis for UHC IS in determining the HCPN Demonstration Sites. It is expected that
the identified HCPN Demonstration Sites shall be ready to comply with the
requirements of the DOH and PhilHealth for public health care provider network on
network contracting. Formalization of engagement of a UHC IS as a HCPN
Demonstration Site shall commence through the signing of PhilHealth’s
Memorandum of Agreement and Service Level Agreement (SLA).
C. Network Contracting

Contracting components shall be assessed to determine the readiness of the PACWHS

to be contracted by DOH and PhilHealth in operating and sustaining a well-functioning
integrated health system. The network contracting of the HCPN Demonstration site, at
the minimum, shall follow the requirements and minimum components stipulated in
Sections 18 and 19 of the UHC Act and its IRR.

1. The DOH shall continue to contract the PPCWHS, including the HCPN Demonstration
Site, through the Terms of Partnership (TOP) for the delivery of population-based
services. The DOH shall likewise provide the necessary support and incentives which
include financial and non-financial grants to help the HCPN Demonstration Site to
achieve a functional integrated local health system.

2. PhilHealth shall field test its health financing reforms through the HCPN
Demonstration Site. Expected policies to be implemented shall include the shift
towards prospective payments, the contracting of HCPN, and the implementation of
innovative benefits, namely ACR-GB, Konsulta+SDG, and the PhilHealth GAMOT.
Guidelines on the specific network contracting including the network standards, and
other provider payment reforms shall be issued by PhilHealth separately.

PhilHealth shall also provide TA to the HCPN Demonstration site in establishing the
information technology linkages to the PhilHealth information systems for policy
implementation, and benefit payment, among others.

. Demonstration of the Integrated Governance and Management Systems

The LHS ML shall serve as the general framework in the monitoring and evaluation
of the progress of the LGUs that are committed to the integration and shall provide the
pathway to progressively realize the integration of local health systems into P/CWHS.
Relative to this, the HCPN Demonstration site is expected to achieve the following
integrated governance and management systems during the implementation duration:

LHS ML Activities
Characteristic
LG1: Unified Integrated Governance
Governance of the = Joint decision-making across all levels through the
Local Health P/CHB
Systems » Functional Health Service Delivery Division and Health
Systems Support Division
= Network contracting with DOH and PhilHealth
LG2: Strategic and Implementation of Special Health Fund (SHF)
Investment Planning; * Transfer of funds from DOH and PhilHealth to SHF
Fin 1: Financial » Exclusive use of the SHF for health and health-related
Management programs, projects, and activities
Infol: Information Integrated Health Information Systems
Management System =
Interoperable electronic supply/chain/logistics
management systems and integrated procurement within
MPVTI: P/CWHS
Procurement and » Functional EMR across the network including APEX
Supply Chain =
Availability of essential medicines in all public health
Management | facilities through the integrated procurement process
 SD1: Referral Accessible Care within the public HCPN
System = Accessible care within the network through a coordinated
referral from primary care facilities to referral facilities
(secondary/tertiary/ Apex) and vice versa
=
Implementation of Case Management Protocol

E. Monitoring and Evaluation (M&E)

1. Regular progress monitoring shall be conducted by the DOH and PhilHealth, through
the Management Groups (i.e. Central and Implementation). This may be done through
the continued use of LHS ML, learning fora or community of practice, and policy
summits, among other methods.

. The development/health partners and the PMU of the HCPN Demonstration Site shall
document the challenges, innovations, and good practices to be submitted to and
discussed with the Implementation Group.

. A baseline and end-line data collection shall be conducted to evaluate the outputs,
outcome, and impact of the interventions in the HCPN Demonstration sites following
the previously signed Tripartite MOU between the LGU, DOH, and PhilHealth
specifically Article II on Integration Outcomes, Outputs, and Principles.

A third-party evaluator shall assess the results of the intervention and shall provide
recommendations to the DOH and PhilHealth based on its findings. The HCPN
Demonstration Site M&E shall be anchored in the M&E framework as stipulated in
AO No. 2021-0026 or Monitoring and Evaluation of Universal Health Care Act.

F. Support from the Development/Health Partners

Recognizing the impact of support being provided by the Development/Health Partners

to the UHC IS in achieving the levels and key result areas of LHS ML, the HCPN
Demonstration Sites may endeavor to engage Development/Health Partners for this
project and include them as part of the HCPN Demonstration Sites PMU.

As such, existing and newly-engaged Development/Health Partners may continue to

provide or extend support to the HCPN Demonstration Sites for the purpose of operation
and resource provision/sharing throughout the duration of the project (as applicable);
assist in documentation of innovations and good practices; organize/participate in the
local health systems integration learning sessions; and on-site technical assistance to
achieve functional integration.

VIL.ROLES AND RESPONSIBILITIES

A. Department of Health shall:

1. Provide PhilHealth the list of UHC identified as eligible for HCPN Contracting
IS

based on the result of pre-selection;

2. Establish a management group that shall monitor the progress of DOH’s
interventions, PhilHealth engagement, and performance of HCPN Demonstration
sites;
3. Provide technical guidance to help achieve the demonstration of the functionality
of the HCPN Demonstration Sites;
 Provide support to the HCPN Demonstration Sites during the actual
implementation;
Consult with relevant stakeholders, including technical partners, LGUs, and the
private sector in implementing this HCPN Demonstration;
Identify interim operational and site-specific guidelines for implementation in
specific or across all HCPN Demonstration Sites based on the different efforts of
all actors, and the actual program implementation on the ground;
7. Engage with Development/Health Partners who are supporting the HCPN
Demonstration Sites; and
8. Co-develop the M&E framework with the third-party evaluator.

B. PhilHealth shall:
1. Review and assess the Department of Health list of eligible UHC IS as HCPN
Demonstration Sites for PhilHealth’s network contracting;
2, Establish a dedicated team to provide technical support to the DOH and HCPN
Demonstration Sites in complying with the network contracting requirements;
Develop policies relevant to the operationalization of the HCPN Demonstration
Sites, and other policies related to provider payment reforms;
Consult with relevant stakeholders necessary to fully operate the policies
mentioned in Section VI. C.2;
Provide support to the HCPN Demonstration Sites during the actual
implementation;
Engage with Development/Health Partners who are supporting the HCPN
Demonstration Sites; and
Co-develop the M&E Framework with the third-party evaluator.

VIII. SEPARABILITY CLAUSE

In the event that any part, section, or provision of this guideline is declared invalid or
unconstitutional by a court of competent jurisdiction, the other provisions of this
guidelines, insofar as they are separable from the invalid ones, shall remain in full force
and effect.

IX. EFFECTIVITY
This Order shall take effect immediately.

OD@KO J. HERBOSA, MD
ecretary of Health

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 ANNEX A: REFERENCE DOCUMENTS

A. Relevant Laws and Policies

Republic Act No. 11223, Universal Health Care Act and its Implementing Rules
and Regulations
DOH-DBM-DOF-DILG-PhilHealth Joint Memorandum Circular 2021-001,
Guidelines on the Allocation, Utilization and Monitoring of, And Accountability
for the Special Health Fund
Administrative Order No. 2020-0019/0019A, Guidelines on the Service Delivery
Design of Health Care Provider Networks
Administrative Order No 2020-0021, Guidelines on the Integration of the Local
Health Systems into Province/City-wide Health Systems
Administrative Order No 2020-0037, Guidelines on the Implementation of the
Local Health Systems Maturity Level
Administrative Order No 2020-0018, Guidelines on Contracting Province-wide
and City-Wide Health Systems
Administrative Order No 2020-0022, Guidelines on the Development of Local
Investment Plan for Health
Department Memorandum No. 2023-0168, Interim Guidelines on the Use and
Management of the Special Health Fund
Department Memorandum No. 2020-0414, Official List of Universal Health
Integration Sites (UHC IS) as of 30 September 2020
10. Department Circular 2024-0237, List of Universal Health Care Integration Sites
Qualified for Health Care Provider Network Contracting
11. Department Circular 2024-0344, Updated List of Universal Health Care
Integration Sites Qualified for Health Care Provider Network Contracting based on
the F.Y. 2024 Local Health Systems Maturity Level Mid-Year Report
12. PhilHealth Circular 2023-0019, Implementing Guidelines for the PhilHealth
Konsulta with Sustainable Development Goals Related Benefits Package
13. PhilHealth Circular 2023-0029, Implementing Guidelines for the Outpatient Drug
Benefit Package
14. PhilHealth Circular 2024-0004, Implementation of an All Case Rates-Based
Global Budget in Health Care Provider Network Demonstration Sites
15. PhilHealth Circular 2024-0011, PhilHealth Prospective Payment mechanism
(3PM) for Health Care Provider Networks
16. PhilHealth Circular 2024-0015, Guidelines on Contracting Health Care Provider
Networks