Private hospitals threaten to bill Philhealth members in full

[taga_ipil]

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The Private Hospitals Association of the Philippines, Inc. (PHAPI) said it is now mulling on enforcing a new scheme, where members of Philippine Health Insurance Corporation (Philhealth) may have to pay for the full cost of their medical bills before they could reimburse it.
PHAPI president Dr. Rustico Jimenez said they plan to launch the new system next week amid Philhealth’s continuous long delays in paying for its standing obligations for its members. .
“By next week, private hospitals will accept Philhealth patients but will not remove the Philhealth part (of their bill),” Jimenez said.
He said the patients must then directly file their claims before Philhealth.
“This will allow them (PHAPI members) to have money to pay our salaries and suppliers…so that hospitals will not close,” Jimenez said.
Jimenez said this was the compromise PHAPI members have agreed upon to allow them to recover their expenses in providing service to Philhealth covered patients.
“There are cases when the payments to some hospitals are already six months delayed. This made them restless. Some even wanted to stop accepting Philhealth patients,” Jimenez said.
Jimenez said the Department of Health (DOH), which supervises Philhealth, attributed the delays to its automation program.
PHAPI officials, however, blame the payment delays to possible mismanagement in Philhealth.
PHAPI has around 600 member hospitals nationwide or more than half of the private hospitals accredited by DOH.



SOURCE:
https://ph.news.yahoo.com/private-ho...155927118.html

[Dorothea]

six months ang delay sa reimbursement? dili pud ta ka blame sa hospitals ana. Pero as usual, ang mga philhealth members gihapon alkanse.

[beyee]

Sad news...

Not the type to complain but give what is due ui. We pay our taxes on time though
it's way too hefty against our basic pay plus the deductions made just to pay all these
government agencies yet on their end they can't even do their job. Tsk tsk

Ang casualty tawn between private sectors and government agencies k Kita tawn Mga
empleyado na pirte kayod og trabaho. Pilipinas, where's the fun in that? Lols

[<SMILE>]

This should be investigated and corrected,
sakto kaayo ang rason sa PHAPI 6 months is way too long.
Perhaps Philhealth should eliminate red tapes or transactional debacles,
kay daghan ra ba gyud kaayo gasalig ini nila.

[taga_ipil]

6 Months wa ka bayad... 3 months ang ilang reimbursement! haska nalang jud ka inutil!

[towperuX]

kaluoy pud kung ma confine ta..nagbayad tag insakto sa philhealth tapos langay langayon ug bayad ang mga hospital..this should be probed

[taga_ipil]

Pag-admit nimo sa hospital kung highblood ka murag mo grabe cguro... faeta...

[cliff_drew]

Does the PHAPI already consulted this problem to Philheath before going to press release?

[psyche54]

Pag-bonus pa mo ug minilyon mga board of directors sa Philhealth.. Unya kitang mga ordinaryong manunghaay ani ron ang mag-suffer..

Tuwad na daan na ni.....

[amingb]

Unsaon ngano kaha delay loslos man jud ning Goberno nato .. basin gigamit napud nas mga Politico ang funds ana ...

Dili raba equal ang contri ana ang dako2x sueldo mas dako ug contri .. pero ang benefits makuha equal ras tanan ...

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Kinahanglan najud ug Rebellion mag himo ug bag-ong republika .. kay dili na madala ning Pinas oi .. puros tinonto nalang ang gihimo aning atong Goberno ....