INDUSTRY
Healthcare & Government
CLIENT
Philippine Health Insurance Corporation (PhilHealth)
YEAR
2025 to Present
DELIVERABLES
System Development
The Background
To modernize outpatient medicine benefits under PhilHealth’s YAKAP program, we developed PhilHealth GAMOT (Guaranteed and Accessible Medications for Outpatient Treatment) as a digital healthcare solution designed to improve access to essential medicines for Filipinos.
This platform streamlines patient registration, benefit claiming, budget allocation, and prescription management while integrating pharmacy and laboratory operations. This supports YAKAP’s preventive care by providing eligible outpatient members and their dependents with access to up to ₱20,000 worth of free medication annually across 75 types.
The Challenge
PhilHealth needed a standardized system for the rollout of its expanded healthcare benefit program under the YAKAP initiative. The following are the identified challenges:
The Solution
ThinkBIT, in partnership with PhilHealth and the Asian Development Bank, developed PhilHealth GAMOT, a comprehensive web-based application to facilitate end-to-end processing of free medicine under the YAKAP program, from prescription until disbursement. This system integrates multiple services into a single platform.
Key Features
Budget Tracking & Management
Ensure controlled and transparent allocation. Enables budget monitoring per patient.
Pharmacy Inventory Management
Tracks medicine availability and medical supplies across partner pharmacies.
Doctor Prescription Capability
Allows healthcare providers to issue digital Unique Prescriptions Security Codes (USPC) for verification within the platform.
Laboratory Module
Supports diagnostics workflows and integrates lab-related processes into patient care.
The Insights
The launch of the Philhealth GAMOT web application delivered efficiency in disbursal and accessibility to medicines.
It also improved access to healthcare benefits, enhanced budget transparency, provided better coordination accross stakeholers (doctors, pharmacies, and laboratories), and improved the proram scalability of YAKAP.
Improved access to healthcare. Patients can easily access benefits and get medicines.
Better budget transparency. Provides a tracking system ensuring accurate and controlled fund usage.
Stronger system coordination. Stakeholders were given the ability to work seamlessly on a single platform.
