DOH revamps claims body as it cracks down on fraud


Posted at Jun 13 2019 03:28 PM

FILE PHOTO: Department of Health (DOH) Secretary Francisco Duque speaks at a press conference at the Department of Health in Manila, February 7, 2019. Jonathan Cellona, ABS-CBN News

MANILA - The Philippine Health Insurance Corp's claims screening arm was overhauled as part of the government's crackdown on fraud, Health Secretary Francisco Duque III said Thursday.

Duque, who is also ex-officio chairman of the PhilHealth, said he ordered the revamp of the accreditation committee after President Rodrigo Duterte ordered the agency's leadership to resign and give way to a "clean slate."

"All false claims are to be investigated and when warranted, charges will be filed," Duque said in a statement.

"I am warning all health providers and PhilHealth officials in the strongest possible terms: Do not cheat the system nor even attempt to do it. Tama na ang hocus pocus," he said.

"I will ensure that justice will be served to those who defraud the system," he said.

Duterte earlier said the PhilHealth lost some P154 billion to fraud, while its deputy spokesman, Rey Baleña, said payments to ghost beneficiaries amounted to only P300 million.