The Philippine Health Insurance Corporation reiterated on Monday that there is still no “hard evidence” yet that its officials were involved in fraudulent schemes as alleged by ‘whistleblowers’ in a Senate hearing.
PhilHealth spokesperson Dr. Shirley Domingo reported that they have already fired and filed cases against employees who conspired with some health care providers and doctors over fraudulent claims.
“We already said there is insurance fraud. Matagal na po namin iyang ina-address (we have long been addressing that),” she told ABS-CBN’s TeleRadyo.
“Pero as to collusion with employees, wala pa tayong hard evidence on that,” she added.
[But as to collusion with employees, we don’t have hard evidence on that yet.)]
Former employees who are now witnesses had accused PhilHealth officials of repeatedly approving fund release to favored hospitals and overpriced procurements, and pocketing P15 billion from state funds.
The state health insurer last week suspended its advance deposits for hospitals. This will not directly affect PhilHealth members who need medical coverage, Domingo said.
“The effect is on the hospitals na may problem sa financial liquidity nila (which have a problem with their financial liquidity),” she said. “We hope to be able to address all the issues within 2 weeks.”
PhilHealth is also planning a reorganization this year, said its spokesperson.
