philippine-health-insurance-corp | ABS-CBN News

How suspension of premium hike will affect PhilHealth programs

ABS-CBN News
Posted at Jan 03 09:22 PM

A PhilHealth official said the suspended rate hike will have a slight effect on the insurer’s programs. Read more »

Mga pribadong ospital pumalag sa alegasyon ukol sa 'downcasing'

ABS-CBN News
Posted at Jun 01 05:47 PM

Pumalag ang isang grupo ng mga pribadong ospital sa mga ulat na natanggap ng PhilHealth ukol sa umano'y 'downcasing' o ginagawang simple ang malalang sakit. Read more »

PhilHealth urged to withdraw circular on claims payment

ABS-CBN News
Posted at Aug 24 10:11 PM

PhilHealth is urged to withdraw an order which suspends payments to hospitals with allegedly questionable claims for COVID-19 treatments. Read more »

PhilHealth denies claims it has P86-B debt to hospitals

Katrina Domingo, ABS-CBN News
Posted at Aug 23 02:28 PM

The Philippine Health Insurance Corp (PhilHealth) on Monday denied that it owed P86 billion to hospitals since the start of the COVID-19 pandemic, saying its unpaid claims only amounted to P12.9 billion. Read more »

Philhealth expands outpatient dialysis coverage to 144 sessions

ABS-CBN News
Posted at Jul 08 01:49 AM

A patient can avail of a total coverage of up to P374,400 this year for their treatment, PhilHealth says. Read more »

PhilHealth launches probe on over 15,000 'false claims' made by health facilities

Sherrie Ann Torres, ABS-CBN News
Updated as of May 13 01:29 AM

The supposedly false claims were submitted to PhilHealth from 2019 to 2021, according to the PhilHealth's spokesperson, and are currently under case build-up.    Read more »

PhilHealth says patients admitted in hospital tents covered by COVID-19 packages

ABS-CBN News
Posted at Apr 02 09:32 PM

The Philippine Health Insurance Corp (PhilHealth) on Friday said patients in confined in hospital tents would be covered by the state insurer's COVID-19 packages. Read more »

COA flags PhilHealth’s payment schemes over susceptibility to fraud

Adrian Ayalin, ABS-CBN News
Posted at Mar 03 07:14 PM

COA noted that PhilHealth's All Case Rate Payment Scheme sped up the reimbursement process but lacked control mechanisms to detect and prevent fraud. Read more »

'It wasn't stolen': PhilHealth says 'missing' P15B went to hospitals for COVID-19 expenses

ABS-CBN News
Posted at Jan 28 08:25 AM

The Philippine Health Insurance Corp on Thursday rejected claims that the alleged missing P15 billion funds were stolen, saying they went to hospitals to address the COVID-19 pandemic. Read more »

P13 bilyon na IRM fund, na-liquidate na: PhilHealth

Michael Joe Delizo, ABS-CBN News
Posted at Jan 09 01:02 AM

Ayon kay PhilHealth spokesperson Rey Balena, “all properly accounted for” ang P14.97 bilyon na pondo sa IRM na tinanggap ng 711 pagamutan sa buong bansa.  Read more »

Go eyes amending Universal Health Care law to defer PhilHealth contribution hike

Katrina Domingo, ABS-CBN News
Posted at Jan 04 03:43 PM

Sen. Christopher "Bong" Go said he would urge the Senate to either amend the Universal Health Care (UHC) Act or craft a new measure to defer the scheduled increase of premiums for the Philippine Health Insurance Corp (PhilHealth). Read more »

8 PhilHealth execs suspended for 6 months over reimbursement funds mess

Adrian Ayalin, ABS-CBN News
Updated as of Oct 28 08:25 PM

The Office of the Ombudsman issued Wednesday a 6-month preventive suspension order against 8 officials of the Philippine Health Insurance Corporation (PhilHealth) over their involvement in the allegedly anomalous implementation of the Interim Reimbursement Mechanism (IRM).  Read more »

PhilHealth-Red Cross debt row affecting almost one-third of COVID testing in PH: OCTA group

John Gabriel Agcaoili, ABS-CBN News
Updated as of Oct 27 07:16 AM

The Philippine Red Cross' suspension of its COVID-19 testing this month largely affected the country's daily screening for possible infections, a group of analysts said Monday. Read more »

PhilHealth-PRC deal on COVID-19 tests 'irregular, illegal', says PhilHealth legal office

Sherrie Ann Torres, ABS-CBN News
Posted at Oct 26 08:16 PM

The Philippine Health Insurance Corp's (PhilHealth) memorandum of agreement with the Philippine Red Cross (PRC) for the provision of COVID-19 testing services is "irregular if not outright illegal," according to the agency's internal review. Read more »

PhilHealth 'perfidious, reckless,' says Gordon as state insurer yet to settle P1.1-B debt to Red Cross

Katrina Domingo, ABS-CBN News
Posted at Oct 26 07:22 PM

Philippine Red Cross chair Sen. Richard Gordon on Monday said the agency would stop the "construction of new provincial molecular laboratories" in several provinces after the Philippine Health Insurance Corp (PhilHealth) failed to settle its P1.1-billion debt. Read more »

PhilHealth delays payment of Red Cross debt anew pending DOJ review

Jorge Cariño, ABS-CBN News
Posted at Oct 22 04:31 PM

Philippine Health Insurance Corporation (PhilHealth) announced Thursday it has decided to defer payment of its almost P1 billion debt to the Philippine Red Cross (PRC), saying it would wait for the legal opinion of the Department of Justice (DOJ) on how to proceed with the settlement. Read more »

Resigned PhilHealth chief Morales files cyberlibel raps vs corruption whistleblower

ABS-CBN News
Updated as of Oct 16 05:47 PM

Ricardo Morales, former head of the embattled Philippine Health Insurance Corporation (PhilHeath), filed on Friday a cyberlibel complaint against whistleblower Thorsson Montes Keith who earlier uncovered the alleged systematic corruption and anomalies inside the state-run agency. Read more »

PhilHealth estimates 15.2 million are unregistered, calls on Filipinos to update membership

ABS-CBN News
Posted at Oct 14 08:52 PM

The government-owned insurance company estimates that more than 15.2 million people are still unregistered despite the Universal Health Care law aiming for 100% health insurance coverage in the country.  Read more »

COA flags PhilHealth's nearly P937-M overpayment to healthcare institutions in 2019

ABS-CBN News
Updated as of Mar 03 07:12 PM

The Philippine Health Insurance Corp. (PhilHealth) made an overpayment worth nearly P937 million last year to various healthcare institutions, must refund almost P468 million in employer share, and should recover nearly P153 million in unauthorized benefits to its employees, the Commission on Audit (COA) said in a recent report. Read more »

PhilHealth chief: Privatization to send signal that gov't is 'incapable, can't be trusted'

ABS-CBN News
Posted at Oct 01 05:28 PM

But Gierran said that while he respects Duterte's view, he is also worried what would happen to PhilHealth members if the agency is handed over to some private firm's hands.  Read more »