delivery system have improved. PhilHealth now has an Outpatient and Diagnostic Package limited to indigent beneficiaries. This addition creates nearly comprehensive coverage for indigents. In 2011, 23 Case Rates was introduced and in 2013, All Case Rates was fully implemented. All other beneficiaries have access to nearly all comprehensive services, excluding some outpatient care. PhilHealth has an accreditation program for private hospitals. Some key reform indicators to date include: Estimated coverage is 100% Average period for payment of providers is estimated at 70 to 75 days. The law requires PhilHealth to reimburse providers and/or members within 60 days. A recent move , implemented a "simplified reimbursement scheme" wherein 95% of the amount of the claim is reimbursed after a rapid assessment of member and provider eligibility and the remaining 25% follows after detailed review of the claims. On average, 90 out of every 100 claims are paid, 3 to 4 are denied, and 6 to 7 are returned to health care providers for more information. 28% of claims were submitted by public providers and 72% by private providers. Funding and Revenues Membership Categories All premiums are pooled nationally and in effect, there is cross-subsidization across districts. The national government payment is dependent on the availability of funds. Coverage The benefits package is essentially the same for each membership category, PhilHealth deduction will depend upon the final diagnosis. The exception is for indigents and Overseas Filipino Workers (OFWs) who have additional outpatient primary care benefits (with the providers paid by capitation) however these benefits are available only through public providers. Benefits PhilHealth and beneficiaries have access to a comprehensive package of services, including inpatient care, catastrophic coverage, ambulatory surgeries, deliveries, and outpatient treatment for malaria and tuberculosis. Those identified as indigent and OFW are also entitled to outpatient primary care benefits (PCB1) or TSEKAP. Inpatient care includes room and board, medicines, diagnostic and other services, professional fees and operating room services under the "all case rate" payment scheme. The case rate amount will depend upon the final diagnosis and each diagnosis has a corresponding fixed amount or package. The case rate amount shall be deducted by the HCI from the member's total bill, which shall include professional fees of attending physicians, prior to discharge. Catastrophic conditions, ambulatory surgeries including ambulatory dialysis, deliveries and outpatient malaria and TB-DOTS care. Outpatient benefits include day surgeries, radiotherapy, dialysis, outpatient blood transfusion, TB-DOTS, malaria treatment,