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Group puts blame on PhilHealth for ghost dialysis scam, and other issues

Philippine Health Insurance Corporation (PhilHealth)

The Private Hospitals Association of the Philippines (PHAP) blamed the management of the Philippine Health Insurance Corp. (PhilHealth) for the various issues hounding the state-owned corporation, including the ‘ghost dialysis’ scam.

PHAP president Dr. Rustico Jimenez said on Tuesday, June 11, that the appointed officials of PhilHeath do not have the qualifications to run the agency since they lack the experience of running a hospital.

Kung mapapansin ninyo for the last five Presidents (of the Philippines) o apat, puro OIC (Officer-In-Charge) lang kasi they are not qualified to be (PhilHealth) president dahil kulang sila under the PhilHealth law,” Jimenez said during DZRH’s Isyu.

Jimenez further revealed that they submit a pre-payment form to PhilHealth before performing a dialysis to the patient since the agency has records of all their members.

However, PhilHealth refuses to pay for the dialysis of the patient after the treatment saying that the member has already used the 90 sessions allocated to him/her per year.

Ang masama after na-magclaclaim kami, sasabihin ng PhilHealth natapos na yung 90 sets so hindi na namin kayo pwedeng bayaran. Eh nagawa na namin yung serbisyo at saka pre-approved nila iyan,” Jimenez stressed.

Due to the various problems hounding PhilHealth, Jimenez supports the call of President Rodrigo Duterte to revamp the agency ‘top to bottom’.

Former Special Assistant to the President and incoming senator Christoher ‘Bong’ Go said that the Chief Executive asked for the resignation of the PhilHealth’s acting Chief Executive Officer Roy Ferrer and the agency’s board of members.

READ: Prez Duterte threatens to sack Philhealth execs if they will not submit resignations

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