{
  "id": "ph-philhealth-caserate-cabg",
  "title": "PhilHealth CABG case-rate ceiling",
  "metric": "PhilHealth CABG (coronary artery bypass graft) benefit case-rate ceiling (per case)",
  "unit": "PHP per case",
  "kind": "cost",
  "volatility": "annual",
  "direction_note": "a higher case-rate ceiling = more of the bypass bill PhilHealth absorbs; private open-heart packages (e.g. Cardinal Santos ₱1.2–1.4M) still sit well above the ceiling, and the gap is out of pocket",
  "publisher": "No Margin Left",
  "source": {
    "label": "Philippine News Agency — \"PhilHealth expands heart surgery coverage\"",
    "url": "https://www.pna.gov.ph/articles/1245173"
  },
  "license": "CC BY 4.0",
  "license_url": "https://creativecommons.org/licenses/by/4.0/",
  "attribution": "No Margin Left, \"PhilHealth CABG case-rate ceiling\" (PhilHealth CABG (coronary artery bypass graft) benefit case-rate ceiling (per case)). CC BY 4.0. https://nomarginleft.com/data/ph-philhealth-caserate-cabg.json",
  "canonical": "https://nomarginleft.com/data/ph-philhealth-caserate-cabg.json",
  "csv": "https://nomarginleft.com/data/ph-philhealth-caserate-cabg.csv",
  "retrieved": "2026-05-30",
  "stale": false,
  "observations": [
    {
      "date": "2025-03",
      "value": 660000,
      "range": [
        660000,
        960000
      ],
      "source": {
        "label": "Philippine News Agency — \"PhilHealth expands heart surgery coverage\" (CABG case-rate ceiling raised March 2025)",
        "url": "https://www.pna.gov.ph/articles/1245173"
      },
      "confidence": "sourced",
      "checked": "2026-05-30",
      "note": "PhilHealth raised the CABG case-rate ceiling to a ₱660,000–960,000 band in March 2025; the band varies by procedure/complexity. `value` carries the band floor (₱660,000); `range` carries the full ₱660,000–960,000 band.\n",
      "rationale": "Up from a prior flat ₱550,000 (stated in ph4 of the-stroke-and-cardiac-uninsured-bill as \"up from PHP 550,000\"). The ₱550,000 predecessor carries no standalone effectivity date in the source sidecar and is therefore recorded here, not entered as a dated observation.\n"
    }
  ],
  "corrections": []
}