Issue of June 9, 2019
     
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2019
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PhilHealth not neglecting reports about ‘fake’ claims
by PNA release

An official of the Philippine Health Insurance Corporation (PhilHealth) belied reports claiming the agency’s negligence on the “ghost” kidney patients’ issue.

PhilHealth acting president and Chief Executive Officer Roy Ferrer said the corporation has exhausted all administrative remedies to address the fraudulent act.

Recently, a news report said Edwin Roberto and Liezl Santos, former employees of the WellMed Dialysis & Laboratory Center Corp. (WellMed) in Novaliches, Quezon City, claimed that PhilHealth continued paying for the dialysis of the center’s dead patients without checking the validity of the claims.

PhilHealth Board Member Roberto Salvador, whom Roberto and Santos approached regarding the issue in 2018, reiterated that the PhilHealth administration is taking all reports seriously.

PhilHealth Senior Vice President Rodolfo del Rosario said the corporation has filed 28 administrative cases for non-admitted or treated patients, misrepresentation by furnishing false or incorrect information and breach of warranties of accreditation or performance commitment against WellMed.

PhilHealth has also filed several cases against three doctors for possible involvement between November and December 2018.

“As to the criminal complaint, we have instructed our NCR (National Capital Region) office to file the appropriate criminal complaints before the regional trial court. More or less, it will take 45 to 60 days to resolve the cases, as of February despite the fact that the facility is still accredited, their payments have been suspended,” he added.

Stressing that PhilHealth’s current administration wants to provide excellent service with the UHC coming, Salvador said the Filipinos can trust them with the resolution they have promised regarding the issue.

Ferrer disclosed around 38 employees have been suspended for various violations.

“Some of those are middle-level managers, some of their cases are way back 15 years ago and no one dared to touch them but my attention was called by the Congress during one of the hearings, that there is mafia inside PhilHealth and there are lots of unresolved cases from the past administrations,” he said, urging the public to report to them fraudulent acts even if PhilHealth employees and officials are involved.


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