Marcos admin urged to focus on PhilHealth, claims system

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(FILE PHOTO)

Metro Manila (CNN Philippines, May 28)— A private hospital group is hoping for better and seamless transactions with the Philippine Health Insurance Corporation (PhilHealth) as the government prepares for the takeover of the new administration.

In a public briefing on Saturday, Dr. Rene Jose de Grano, president of the Private Hospitals Association of the Philippines (PHAPI), zeroed in on their member hospitals’ experience with the payment of claims from the state health insurer.

“[I]yon po ang palagay ko na ang dapat pagtuunan ng pansin ng bagong administrasyon, na sana po ay hindi tayo magkaroon ng problema sa ating mga claims sa PhilHealth nang sa ganoon po ay hindi magkaroon ng problema ang operasyon ng ating mga private hospitals na masyadong nagre-rely dito po sa mga reimbursement,” de Grano said.

[Translation: That is what I think the new administration should focus on, that hopefully we won’t have problems with the claims from PhilHealth, so that we won’t have problems with the operations of our private hospitals, which rely too much on these reimbursements.]

The PHAPI official also expressed hope that PhilHealth’s organization would become orderly and efficient under the incoming leadership.

“Kung maaayos po natin ang organisasyon ng PhilHealth nang sa ganoon po ay makaayon dito po sa mga hinihiling ng ating mga pribadong ospital,” he noted.

[Translation: If we can fix the organization of PhilHealth, in accordance with the wishes of our private hospitals.]

At the height of the COVID-19 pandemic, the health insurer faced backlash for failing to settle billions of pesos worth of claims from private hospitals, some of which even threatened to cut ties with the agency.

PhilHealth earlier vowed it continues to pay reimbursements.

“[D]oon po sa nakaraang mga buwan, nakapagbigay naman po ang PhilHealth… at least noong mga ibang kabayaran nang sa ganoon po ay at least eh maipagpatuloy ng mga hospital ang kanilang operasyon,” De Grano said.

[Translation: In the past few months, PhilHealth was able to pay, at least for some claims so at least hospitals can continue their operations.]