MEDIA STATEMENT ON FRAUD AND MAFIA IN PHILHEALTH

PHILHEALTH

THE Philippine Health Insurance fully supports investigations of the joint Senate Blue Ribbon Committee and the Committee on Health on issues hounding the Corporation.

Under its new management, PhilHealth has hit the ground running in addressing issues of fraud raised in local media and official reports. It has begun this effort by investigating credible reports of corruption.  As a result, from January to July 2019, 753 admin cases were filed against various health care providers and members for violation of revised IRR 7875 as amended by RA 9241 and RA 10606 filed by the Prosecution Department to Arbitration Office, while 921 counts are for filing of formal charges against various health care providers and 6,138 counts are for the resolution of the Prosecution Department. More will be filed if warranted.

Aside from filing cases, management is planning systemic reforms to prevent opportunities for future corruption such as intensified identification of fraudulent providers, institutionalizing automated data analytics strategies and strengthening and fast tracking legal processes.

Transparency is important in restoring public trust in the Corporation and we will strive to be as transparent as possible in these investigations.

We assure the general public that the Corporation is doing everything and exhausting all efforts to minimize any loss and resolve issues we are currently being confronted with.