UHC & Policy
The Universal Health Care Act and the Role of Health IT
Republic Act 11223 mandates a unified, interoperable health system for all Filipinos. Vitasalus delivers the technology infrastructure that makes this mandate operational.
Republic Act 11223
What the Universal Health Care Act Requires
Enacted: February 20, 2019
The Universal Health Care Act of 2019 is the most comprehensive health legislation in Philippine history. It automatically enrolls every Filipino in the National Health Insurance Program, mandates the integration of health services across all levels of care, and requires a unified health information system to support service delivery, monitoring, and governance.
Automatic PhilHealth Enrollment
Every Filipino citizen is automatically enrolled in PhilHealth, eliminating coverage gaps and ensuring universal financial protection for health services.
Integrated Health Service Delivery Networks
Health facilities must be organized into Health Service Delivery Networks (HSDNs) that coordinate care across primary, secondary, and tertiary levels.
Unified Health Information System
The law mandates a national health information system that enables data sharing, monitoring, and reporting across all health facilities and agencies.
Health Technology Assessment
Evidence-based assessment of health technologies and interventions to guide benefit packages and resource allocation under the UHC framework.
DOH Alignment
Department of Health Standards and Directives
The Department of Health issues Administrative Orders that operationalize the UHC Act's health IT requirements. Vitasalus builds to these standards, ensuring that every system we deploy is compliant with current DOH directives and ready for future regulatory updates.
Health Information System Standards
DOH Administrative Orders define the technical standards for health information systems, including data formats, coding systems, and interoperability requirements.
Electronic Medical Records
DOH mandates the adoption of electronic medical records across all government health facilities, with defined data elements and reporting requirements.
Disease Surveillance and Reporting
Real-time disease surveillance and mandatory reporting to the DOH Epidemiology Bureau, enabled by connected health information systems.
Health Facility Registry
A national registry of all health facilities, maintained by DOH, that serves as the authoritative source for facility identification in health data exchange.
Claims Data Format
Structured claims data in PhilHealth-prescribed formats, generated automatically from clinical documentation.
Member Eligibility Verification
Real-time verification of PhilHealth membership and benefit entitlements at the point of care.
Case Rate Coding
Accurate ICD-10 coding aligned with PhilHealth case rate classifications for proper benefit computation.
Benefit Package Compliance
System-level enforcement of PhilHealth benefit package rules, reducing claim denials and administrative burden.
PhilHealth Integration
National Health Insurance Program Data Requirements
PhilHealth's claims processing, benefit delivery, and fraud detection systems depend on accurate, timely health data from connected facilities. Vitasalus implements the data formats, transmission protocols, and validation rules required for seamless PhilHealth integration.
Vitasalus in the UHC Ecosystem
How Vitasalus Operationalizes the UHC Mandate
The UHC Act creates the policy framework. Vitasalus provides the technical infrastructure that makes it work — connecting the systems, standards, and stakeholders that the law requires to function as one.
Interoperability Layer
We build and operate the middleware that connects DOH, PhilHealth, LGUs, and health facilities into a single, coherent data network.
Standards Implementation
We translate DOH Administrative Orders and PhilHealth data requirements into working technical implementations — so health facilities don't have to.
Compliance Automation
Regulatory compliance is built into the platform, not bolted on — reducing the compliance burden on health facilities and government agencies.
Policy Intelligence
Aggregated, de-identified data from the network gives policymakers the evidence base they need to monitor UHC progress and refine health policy.
Advancing UHC Through Technology
Vitasalus works with government agencies, health facilities, and technology partners to implement the interoperability infrastructure the UHC Act requires.