PHAPi to next administration: Ensure no more problems with PhilHealth claims

Published May 28, 2022, 4:09 PM

by Jel Santos

The Private Hospitals Association of the Philippines (PHAPi) on Saturday, May 28, urged the next administration to ensure that there will be no more problems in getting hospital claims from the Philippine Health Insurance Corporation (PhilHealth).

PHAPi president Dr. Jose Rene de Grano (Screenshot taken from PTV’s Facebook Live)

In the “Laging Handa” media briefing, Dr. Jose Rene de Grano said they are hoping that the next administration would ensure such for the continuous operations of private hospitals.

“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 nagri-rely dito po sa mga reimbursement ng ating mga claims sa PhilHealth (The new administration should focus on ensuring that hospitals will have no problem getting claims from PhilHealth to have continuous operations at private hospitals, which are very reliant to the reimbursement from PhilHealth claims),” he said, noting such was based on their experience in dealing with the state-health insurer.

De Grano said the next administration must fix the organization of PhilHealth for the sake of the country’s healthcare system.

He noted that some of their member hospitals located in far-flung areas have yet to receive their full PhilHealth claims.

“‘Yung iba po naming mga hospital lalo doon sa mga medyo malalayo ay sinasabi nila na hindi pa kumpleto ang kanilang kline-claim (Our hospitals located in far-flung areas have not received the complete amount they are claiming from PhilHealth),” the PHAPi president said.

According to De Grano, PHAPi and PhilHealth have a good relationship and are in communication with each other.

In 2021, many hospitals complained about the processing delays in their PhilHealth claims. The claims ballooned during the Covid-19 pandemic.

It can also be recalled that De Grano called for a “PhilHealth holiday” in December last year.