PACC identifies 36 PhilHealth execs linked to alleged overpayments

Philippine Health Insurance Corporation (PhilHealth)

The Presidential Anti-Corruption Commission (PACC) on Wednesday identified at least 36 officials of the Philippine Health Insurance Corp. (PhilHealth) who were allegedly involved in the overpayments scam made to hospitals.

PACC Commissioner Greco Belgica, who did not further disclose the names of the officials, said the partial report on their office’s findings into the alleged anomalies of the state-owned insurance firm has been submitted to the Office of the President last Monday.

In an interview, Belgica revealed one of the reasons why PhilHealth lost at least Php 154 billion since 2013 is due to the non-systematic way of checking the validity of claims.

“Ang bulk ng problema diyan sa PhilHealth, ‘yung mga ospital claim nang claim ng receivables nila na sobrang taas na hindi nila bina-validate,” Belgica said.

He also noted how some people already found a way to take advantage of their situations by upcasing their claims.

“Yung sipon ginagawang pneumonia so tumataas ‘yung presyo. Ito naman PhilHealth parang ATM, bayad lang ng bayad. Para tayong siningil sa restaurant pero hindi natin tinignan yung [bill],” he said.

Belgica said the corruption is prevalent in the regions.

“Per region ang transaction diyan sa PhilHealth, doon naman ang yarian sa corruption dahil operational,” he stated.

On Tuesday, during a Senate hearing, resigned anti-fraud officer Thorrsson Montes testified that the “mafia members” were behind the Php 15 billion stolen money inside the agency. He also claimed that he was ordered by Morales to talk to Belgica to fix the issue of supposedly overpriced COVID-19 test kits.

READ: Montes reveals P15-B funds stolen by PhilHealth execs; claims Morales used him to iron out overpriced COVID-19 test kits

Belgica, meanwhile, responded, “Hindi puwede ang hilutan sa PACC lalo na sa opisina ko. Anyone who attempts that, pahuhuli ko…If that would have happened, baka may nakulong na po.”

The PACC commissioner said he could not remember meeting Keith personally.

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