Private hospitals demands PhilHealth to settle P6-billion debt; PhilHealth in response: Di namin alam san kinuha yan - The Daily Sentry

Wednesday, November 14, 2018

Private hospitals demands PhilHealth to settle P6-billion debt; PhilHealth in response: Di namin alam san kinuha yan



Photo from Manila Bulletin

State-run Philippine Health Insurance Corp.(PhilHealth) owes private hospitals in the country P6 billion in unpaid bills, said Dr. Rustico Jimenez, president of the Private Hospitals Association of the Philippines (PHAP).

In an interview, Jimenez said private hospitals are now demanding from the PhilHealth to settle its unpaid claims supposedly amounting to billions of pesos in order for them to continue their operations to their patients.

Domino Effect.

Jimenez also warned that if PhilHealth's failure to settle its alleged unpaid debt it may resulted to some of the private hospitals to shut down its operation or refuse non-emergency patients.


"Kasi usually ang sasabihin nila nag-change sila ng system, yung sa computer. Alam naman natin kung gaano kabagal ating internet. Eh baka magsara na mga ospital dahil sa bankrupt,"

Photo from PhilHealth 
This may also lead to a scenario affecting patients of halting provision of healthcare services to members of PhilHealth by the accredited hospitals that cannot survive or continue operation due to non-payment of mounting claims from PhilHealth.

"Baka later on gusto pa ng mga ospital na mag-survive eh baka wala nang pera," he said.

Slow Process?

The official also pointed that of the 17 PhilHealth agents all over the country,

only three regularly reimburse private hospitals within 60 days while others were five months to one year because based on records as of October 2018, its average turnaround time of claims processing nationwide is 33 days from the time that claims are received at regional offices or branches.

Jimenez said some of their more or less 900 members are mulling severing ties with PhilHealth, a resort that will surely hit patients. He said this would be tackled during their annual convention this week.

Private Hospitals Association of the Philippines | Photo from Rappler

"Kaya po sabi namin siguro magdi-discredit na lang kami sa PhilHealth para sisingilin na namin yung pasyente pag pumasok sa hospital. So yung sinasabi nilang mako-cover lahat ng pasyente ay di magtatagumpay," he said.

Jimenez also cleared issues that they are threatening the corporation, but rather telling the truth in order for them to plan for a perfect course of action.

It expressed dismay over PHAPs threat to withdraw the accreditation of some of their members, or to deny patients of their PhilHealth benefits.

P6-B Debt? 

While PhilHealth in response, has denied the multi billion debt allegation made by Jimenez, saying "yung P6 billion 'di namin alam kung saan niya kinuha iyon. Sa data namin, wala namang ganun.”

Dr. Gigi Domingo, spokesperson for Philhealth said “at the moment, there are one million number of claims and 70 percent of these worth P7.3 billion will be processed within 60 days [since the claim was filed]. Our average turnover time is 33 days. Of course, nagpa-process pa kami." she said in an interview with GMA News online.


“The remaining claims are those referred back to hospitals kasi may requirements, or documents na kulang, or those [claims which were] denied. Maraming rason kung bakit 'di napaprocess,” she added.

Reconciliation

Domingo also urged PHAP to meet with them to see the developments of their reconciliation activities on the ground as well as to thresh out other important concerns on the issue at hand.

“Mag-usap sana kami, mag reconcile kami ng figures. Lagi naman kami nag-uusap. Yung PHAP, kausap ang Presidente namin nung October. We attend their conventions kung saan-saan. Open naman lahat ng lines ng communication. Member pa nga ang PHAP ng accreditation committee namin,” Domingo said.

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Source: GMA News1,| GMA News2