PhilHealth coverage of claims payment scheme expanded

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The government’s pandemic response managers have expanded the coverage of the claims payment program of PhilHealth to include hospitals in all high-risk and critical areas in the country, Malacañang announced. | LeilasINQ

These areas would also be considered priority in the COVID-19 vaccine allocation, human health resource deployment and other relevant pandemic responses.The decision comes amid complaints from private hospitals that PhilHealth has yet to settle their unpaid health claims during the pandemic.

Dr. Jose de Grano, president of Private Hospitals Association of the Philippines Inc. , said PhilHealth had unpaid health claims amounting to P28 billion for the period from March to December 2020 to some 700 PHAPI-member hospitals. He said PhilHealth’s debts could reach up to P50 billion if public hospitals and other private health facilities were included.De Grano said the DPCM was applied only to the NCR Plus bubble and that only P10 billion was allocated for this.

But he said several hospitals refused to process health claims because, under the DPCM, only 60 percent would initially be paid to hospitals and the 40 percent will be paid upon completion of processing requirements.The payment is also subject to a 2-percent expanded withholding tax for private hospitals.For more news about the novel coronavirus clickFor more information on COVID-19, call the DOH Hotline: 86517800 local 1149/1150.

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