PhilHealth, private hospitals to reconcile unpaid claims—Bong Go

October 26, 2019

SENATOR Christopher Lawrence “Bong” Go assured the government will continue to provide quality and accessible medical services for all Filipinos.  

Asked for a reaction to the recent statement of DOH Secretary Francisco Duque III that there is underinvestment in health in the Philippines, Go said that he is looking into the matter closely.

“I am still making the committee report based on the hearing that we conducted on the proposed 2020 budget. We will report for work on Monday in the Senate. We will check the department’s offices that have been underspending,” he said.

“I assure the public that I will not allow the health services in the whole Philippines to be affected,” he said.

Go said that at a meeting he initiated last Thursday between the Private Hospitals Association of the Philippines, Inc. (PHAPi) and the Philippine Health Insurance Corporation (PhilHealth), the two parties have committed to work together to reconcile unpaid claims and resolve issues between private hospitals and PhilHealth.  

“They have reached an agreement to work together to resolve their issues when they talked in my presence yesterday. Ang importante hindi maapektuhan ang serbisyo sa mga pasyente,” he said.

Go met with PHAPi President Rustico Jimenez and PhilHealth President Ricardo Morales during which PhilHealth and PHAPI committed to reconcile outstanding claims of private hospitals, as well as to crack down on alleged fraudulent claims.  

“Naiintindihan ko ang mga hospital na dapat sila mabayaran. Ang concern ko lang dapat hindi mapabayaan ang mga pasyente. Dapat hindi ma-hamper ang serbisyo,” Go said.  

PhilHealth explained that its management wants to make sure the outstanding claims are not fraudulent. He appealed for cooperation from private hospitals to settle outstanding accounts.  

The leadership of PhilHealth assured private hospitals that it is ready to hear their concerns. PhilHealth will have its regional officials sit down with the management of various hospitals to reconcile claims. PhilHealth also noted that it will conduct quarterly regional “reach-out” forums wherein hospitals will be invited to raise their issues and concerns.  

Go reiterated that it is important to ensure that funds of PhilHealth are not wasted and are utilized properly to benefit patients in need of medical attention.

“Now their lines are open to complaints. So it’s not true that private hospitals will pull out from PhilHealth,” Go said.