Initial payment ng PhilHealth sa COVID claims itinaas pa sa 80%

Initial payment ng PhilHealth sa COVID claims itinaas pa sa 80%

December 15, 2021 @ 5:41 PM 10 months ago

Manila, Philippines – Itinaas pa ng state-run Philippine Health Insurance Corporation sa 80 porsyento ang kanilang payment scheme para sa hospital claims sa paggamot sa COVID-19 cases.

Sa Palace briefing, sinabi ni PhilHealth spokesperson Gigi Domingo na ito ay upang mapabilis ang settlement ng unpaid dues sa mga ospital.

Tinutukoy rito ni Domingo ang Debit Credit Payment Method (DCPM) kung saan babayaran ng PhilHealth ang 80% ng hospital claims habang ang natitirang halaga ay babayaran oras na makumpleto ang pagproseso ng mga kailangan.

“We will be releasing the third wave of payment [for COVID-19 cases] under DCPM. Our message to health facilities, this is nationwide, and as long as they are managing COVID-19 cases, they are qualified for this [DCPM],” ani Domingo.

“From 60%, this will be raised to 80% [initial payment] so as to expedite the payment process because we know this is much needed by hospitals.”

Tiniyak din nito sa mga ospital at publiko na tinatrabaho ng PhilHealth ang mga delay dulot ng pandemya.

“The delays were really due to policy issues we had to settle. Initially, there were considerations if we are going to pay for a probate case when there is no RT-CR test which showed the person is positive for COVID-19, or on whether should we pay for remdesivir [which is a medicine administered COVID-19 patients]. These are the policy issues.”

“We also had to comply with government quarantine restrictions where only 30% of the office’s capacity must be occupied, but we are trying to implement a lot of reforms on claims processing,” dagdag pa nito.  RNT/FGDC