PhilHealth owes hospitals P7 million each on average: group | ABS-CBN
ADVERTISEMENT
Welcome, Kapamilya! We use cookies to improve your browsing experience. Continuing to use this site means you agree to our use of cookies. Tell me more!
News
PhilHealth owes hospitals P7 million each on average: group
PhilHealth owes hospitals P7 million each on average: group
ABS-CBN News
Published Aug 24, 2021 09:02 AM PHT
|
Updated Aug 24, 2021 12:07 PM PHT
MANILA - PhilHealth owes members of the Philippine Hospital Association an average of P7 million each, its president said Tuesday.
MANILA - PhilHealth owes members of the Philippine Hospital Association an average of P7 million each, its president said Tuesday.
The embattled state insurer had said it only owed P12.9-billion worth of claims in different stages of processing contrary to the P86 billion claim of hospitals.
The embattled state insurer had said it only owed P12.9-billion worth of claims in different stages of processing contrary to the P86 billion claim of hospitals.
The P86 billion is the total amount that hospitals spent on patients without reimbursement from PhilHealth, said PHA president Dr. Jaime Almora. The PHA has some 1,100 members, he added.
The P86 billion is the total amount that hospitals spent on patients without reimbursement from PhilHealth, said PHA president Dr. Jaime Almora. The PHA has some 1,100 members, he added.
"In-add together lang 'yun, 'yun ang ginastos ng ospital as of June 20," he told ABS-CBN's Teleradyo.
"In-add together lang 'yun, 'yun ang ginastos ng ospital as of June 20," he told ABS-CBN's Teleradyo.
ADVERTISEMENT
PhilHealth owes hospitals some P13.6 billion in denied claims, with P13 billion to P16 billion in-process claims, and P46 billion Return to Hospital (RTH) claims, according to Almora.
PhilHealth owes hospitals some P13.6 billion in denied claims, with P13 billion to P16 billion in-process claims, and P46 billion Return to Hospital (RTH) claims, according to Almora.
The state insurer had imposed policy after policy that posed problems for hospitals such as the payment recovery policy, where PhilHealth would reimburse claims but later take them back, he said. This was followed by the alleged fraudulent claims that PhilHealth said it was investigating, he added.
The state insurer had imposed policy after policy that posed problems for hospitals such as the payment recovery policy, where PhilHealth would reimburse claims but later take them back, he said. This was followed by the alleged fraudulent claims that PhilHealth said it was investigating, he added.
"Nag-alma sila. Ito ba ay strategy para hindi tayo bayaran na? Hindi na nga tayo binabayaran, tatawagin pa tayong manloloko," he said.
"Nag-alma sila. Ito ba ay strategy para hindi tayo bayaran na? Hindi na nga tayo binabayaran, tatawagin pa tayong manloloko," he said.
(They complained, is this a strategy to not pay us? They're not paying us and also calling us frauds.)
(They complained, is this a strategy to not pay us? They're not paying us and also calling us frauds.)
"Parang isang kalabaw. 'Yung kalabaw pinagtatrabaho mo, di mo na pinapakain, di mo na pinapainom tapos pinapalo mo pa. Kami po ang beast of burden natin."
"Parang isang kalabaw. 'Yung kalabaw pinagtatrabaho mo, di mo na pinapakain, di mo na pinapainom tapos pinapalo mo pa. Kami po ang beast of burden natin."
(We're like carabaos. They are hit while not being fed. We're the beast of burden in this situation.)
(We're like carabaos. They are hit while not being fed. We're the beast of burden in this situation.)
Read More:
PhilHealth
PhilHealth debt
Philippine Hospital Association
rembursement
false claims
fraudulent claims
Jaime Almora
ADVERTISEMENT
ADVERTISEMENT