'Nadadaya po ang taong-bayan,' Cavite congressman Boying Remulla tells PhilHealth.
House Senior Deputy Majority Leader Jesus Crispin"Boying" Remulla said the Philippine Health Insurance Corporation allows the"unjust enrichment" of hospitals whenever the state health insurer overpays them and does not take back the unspent funds.zeroed in on PhilHealth's all case rate policy, which several lawmakers believe is the root cause of the perennial corruption in the government-owned and controlled corporation.
“Dapat po hindi gano’n ang sistema ng ospital dahil ito po ay kawanggawa na ng gobyerno para ho both sa hospital and the patient. Pero 'pag nag-o-overpayment, Mr Morales,’ yan po nadadaya po ang taong-bayan. Don’t you realize that, Mr Morales?”The case rate is a fixed amount that PhilHealth will reimburse for a specific illness, including payments for healthcare professionals and use of medical facilities.
In the same hearing, Remulla asked Morales if PhilHealth has an existing reimbursement mechanism for overpayments. “Ito pong case rate na ito, dahil law of average ang lumalabas dito, ‘yung mga for example below case rate ang ginastos, ang logic po dito, ‘yung mapupunta 'yung savings nila doon naman sa mga sumobra sa case rate,”Remulla did not accept that response, saying it was merely Morales’ “justification” for the scheme and did not directly answer his question.
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