Advanced reimbursements? Some senators want PhilHealth ‘IRM’ paused

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While Senate Minority Leader Franklin Drilon questioned the legal basis of such a scheme, he and other senators expressed alarm over PhilHealth’s apparent “favoritism” in releasing IRM funds to some HCIs.

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“If PhilHealth is efficient in processing claims and paying them on time, you have no reason to launch an IRM or an advanced payment system,” Drilon told reporters on Wednesday, August 12.

For instance, PhilHealth promptly released some P226 million in IRM funds to freestanding dialysis and maternity clinics, while several COVID-19 referral hospitals had to wait months to receive their share. “Until we are confident that a system can be put in place to ensure that PhilHealth funds are not being corrupted, the IRM has to be suspended,” she added, noting that the state insurer failed to address many questions during the Senate probe.

Of the total P14 billion in IRM funds PhilHealth released to HCIs as of June 9, only about P1 billion have been liquidated by the recipient HCIs, Zubiri said. This is because PhilHealth itself eased requirements on liquidations for HCIs swamped with COVID-19 cases. Of 33 HCIs in Western Visayas claiming their IRM share, 32 have yet to receive it. In Batangas, 3 COVID-19 referral hospitals have received less than 70% of their allotment. In Eastern Visayas, 10 public hospitals were still waiting for their IRM share as of Tuesday.in Davao City received the highest share of all hospitals in the country – P326 million – even if the Davao region ranked only 6th in the number of COVID-19 cases.

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