Hospital group: Only 15% settled in PhilHealth’s unpaid COVID-19 claims

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Metro Manila (CNN Philippines, August 3) — A hospital association said the Philippine Health Insurance Corporation has only paid 15% of the total claims for COVID-19 cases worth tens of billions of pesos since March 2020.

The assertion comes as health facilities prepare for another possible surge in COVID-19 cases believed driven by the more transmissible Delta variant.

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Philippine Hospital Association President Dr. Jaime Almora even told CNN Philippines’ The Final Word that some member hospitals have yet to receive any amount from the state health insurer.

Ngayon nga na kailangang kailangan ng financial lifeblood ng mga hospital, ngayon pa na hindi sila nagbayad, so it’s a big mystery. Sana itong mystery na ito magkaroon naman ng miracle para mabayaran na,” he said.

[Translation: At a time when hospitals very much need a financial lifeblood, they decided not to pay, so it’s a big mystery. I hope this mystery will have a miracle so that it will all be settled.]

The unpaid claims are essential in ensuring unhampered hospital operations. They are used to cover health workers’ salaries, medical equipment and supplies, and to expand bed capacity if needed to accommodate more COVID-19 patients.

In May 19, Almora already sounded the alarm on the alleged failure of PhilHealth to pay hospitals their COVID-19 claims since the start of the health crisis, causing severe financial distress for both public and private hospitals.