Settle P18B unpaid claims of hospitals, solon urges PhilHealth | Inquirer News
Close  

Settle P18B unpaid claims of hospitals, solon urges PhilHealth

/ 12:09 PM June 16, 2020

Photo by Radyo Inquirer

MANILA, Philippines — A lawmaker is urging the Philippine Health Insurance Corp. (PhilHealth) to settle the P18 billion unpaid claims of accredited hospitals in the country.

Under House Resolution No. 970, Cagayan de Oro 2nd District Rep. Rufus Rodriguez quoted the Philippine Hospitals Association of the Philippines, Inc. (PHAPi) as saying that PhilHealth allegedly owed its members P14 billion as of December 2018 and an additional P4 billion in 2019.

ADVERTISEMENT

“This is very urgent especially because we are still facing this COVID-19 pandemic and we all need the full operations of our hospitals with the necessary medical personnel,” Rodriguez said.

“We don’t want our hospitals to close, downscale services nor lay off medical personnel because of non-payment of claims by PhilHealth,” he added.

FEATURED STORIES

Rodriguez likewise noted that due to the unpaid claims, PHAPi members “have signified their intention ‘to hold back or hold in abeyance’ their accreditation with PhilHealth, which would be very detrimental to the Filipino people.”

PHAPi is composed of 733 hospitals nationwide, with a total bed capacity of more than 44,700 beds.

Rodriguez cited as one of the reasons many private hospitals are struggling to respond to the pandemic is because “they are running out of funds.”

The lawmaker added that some hospitals are even resorting to obtaining emergency loans and retrenchment of some of their employees “to ensure their sustainability.”

“As an example, the University of Sto. Tomas Hospital has reduced its manpower and implemented cost-efficiency measures following ‘significant losses’ inflicted by the COVID-19 pandemic and the delay in PhilHealth payments,” Rodriguez said.

Rodriguez, however, noted that PhilHealth has previously denied that it owed UST and other hospitals large amounts in unpaid claims.

In the same resolution, Rodriguez cited claims that PhilHealth accreditation of some hospitals in Mindanao was revoked over alleged upcasing or the practice of declaring that a patient has a different ailment to get higher reimbursement.

ADVERTISEMENT

Their accreditation was revoked “when no decision has been reached on the complaints against them and that they were not given the opportunity to be heard in a formal hearing.”

INQUIRER.net has reached out to PhilHealth for a comment but has yet to receive a response as of posting time.

For more news about the novel coronavirus click here.
What you need to know about Coronavirus.
For more information on COVID-19, call the DOH Hotline: (02) 86517800 local 1149/1150.

The Inquirer Foundation supports our healthcare frontliners and is still accepting cash donations to be deposited at Banco de Oro (BDO) current account #007960018860 or donate through PayMaya using this link .

Read Next
Don't miss out on the latest news and information.

Subscribe to INQUIRER PLUS to get access to The Philippine Daily Inquirer & other 70+ titles, share up to 5 gadgets, listen to the news, download as early as 4am & share articles on social media. Call 896 6000.

TAGS: Coronavirus, COVID-19, Philhealth
For feedback, complaints, or inquiries, contact us.


© Copyright 1997-2021 INQUIRER.net | All Rights Reserved

We use cookies to ensure you get the best experience on our website. By continuing, you are agreeing to our use of cookies. To find out more, please click this link.