Relationship of Hospital Expenses and Case Rate Package among Postpartum Women in a Level-1 Public Hospital

Every Filipino should be protected against out-of-pocket expenditures. A retrospective and cross-sectional study was conducted to determine the relationship of cost of hospitalization and all case rate (ACR) by reviewing their Statement of Account (SOA). Majority of 143 postpartum women were more than 25 years old, primigravida (50.4%), living in urban barangays (76.2%), PPIUD insertion (40.6%), experienced maternal complications (44.1%), 3-4 days of length of stay (46.1%), and delivered spontaneously (NSD01, 56.6%). The hospital's collection of professional fees was significantly lower than the national standard of 30% (z-test=1.00, SD=6.75). The result showed 95% confident that the mean difference between the cost of hospitalization and ACR was between 25.79% and 27.99%. (t-test=1.96, SD 6.75). While the cost of hospitalization was significantly higher than the PhilHealth All Case Rate (ACR) package (z-test =19.79, SD=2,458, alpha=0.05). Chi-square test analysis revealed that there was no correlation between age of postpartum women and type of residence (x2=0.733), and between age and parity (x2=1.25E-07). Moreover, the average days of LOS of postpartum women (first ACR, 3.882 ? 1.828 days) significantly longer than postpartum women (second ACR, 3.714 ? 2.082 days, z=7.21). The cost of hospitalization was consistently higher compared to the current PhilHealth ACR.