
The Philippine Health Insurance Corporation (PhilHealth) said it is committed to paying its obligations to different hospitals, saying that it has enough funds to cover the unpaid claims.
“Itong pagbabayad ng claims ay talagang pananagutan namin ito, hindi namin ito tatalikuran (This payment of claims is our obligation. It's our responsibility),” said PhilHealth Corporate Communications Head Rey Balena during a public briefing on Thursday, Nov. 4.
Balena said that they are already expediting the processing of claims of the various hospitals.
“Ginagawa na po ng Philhealth ang lahat ng aming makakaya para marelease na po natin yung mga bayad na iyan (We, at Philhealth, is already doing everything we can to release those payments),” he said.
“Moving forward, makakaasa po ang ating mga hospitals na dadating na po ang mga bayad natin especially doon sa COVID-19 claims (Moving forward, our hospitals can expect that we will provide the payment soon, especially for COVID-19 claims),” he added.
Balena said that they are already "mobilizing" their resources and augmented their human resource personnel to fast track the processing of claims.
When asked if PhilHealth would be able to pay the at least P20 billion reimbursement claims it owes to hospitals by December, Balena replied: “dapat po (it should be).”
He also reiterated that PhilHealth has sufficient funds to pay the hospitals.
“Hindi issue ang pangbayad sa ating mga claims. Meron po tayong sapat na pondo. Meron tayong matatag na pondo para ipagpatuloy ang pagbabayad (The payment of claims is not an issue. We have enough funds. We have funds to continue paying them),” said Balena.
Balena said that the COVID-19 pandemic has affected the operations of PhilHealth.
“Talagang bumagal po ang proseso natin sa pag process ng claims lalo na po doon sa mga nagke-claim para sa COVID-19 (Our processing of claims has really slowed down, especially for those who have claims related to COVID-19),” he said.
“But despite the constraints and limitations ay nakapag bayad po tayo ng kabuuang P152.8 billion na po. Iyan ay mula Enero 2020 hanggang October 28 ng taong ito (we have been able to pay a total of P152.8 billion. That’s from January 2020 to October 28 of this year),” he added.
The PhilHealth official also expressed hope that hospitals will reconsider their plans to disengage with the state-health insurer.
“Wala pa po kaming natanggap na sulat o notice na hind po sila magpapa accredit sa January 2022. At kami po ay umaasa na kung may mga plano man po ilan sa ating mga ospital na mag disengage sa PhilHealth, ay sana po mareconsider po nila ito (We have not yet received a letter or notice that they will no -longer accredit with us by January 2022. If some of our hospitals have plans to disengage from PhilHealth, we hope they will reconsider it),” said Balena.
“Ito po ay napaka seryoso ang magiging epekto sa ating bansa, in particular sa mga pasyente na walang kakayahan na magbayad fully ng hospitalization bill nila. At maraming kababayan po natin ang umaasa talaga sa benepisyo nila mula sa PhilHealth (This will have a very serious impact on our country, particularly on patients who are unable to pay their hospitalization bill in full. And many of our citizens really rely on their benefits from PhilHealth),” he added.