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Reinsurance seen shielding gov’t from PhilHealth cost blowouts

  • The Asian Development Bank (ADB) suggests that the government should consider reinsurance to mitigate its exposure to healthcare costs during epidemics and pandemics.
  • Reinsurance options, such as stop-loss reinsurance, can provide coverage when claims exceed a certain threshold, protecting PhilHealth from sudden increases in claims during pandemic events.
  • Reinsurance leads to advantages such as pandemic risk modeling, risk-based pricing, capital relief, and access to pandemic risk models.
  • PhilHealth has substantial reserves and surplus, but the ADB emphasizes the need for clear coverage policies for pandemics and epidemics to effectively manage premiums and reserves.

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