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Case-based payment ng PhilHealth i-audit

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PARA maprotektahan ang Philippine Health Insurance Corporation (PhilHealth) mula sa panloloko at iba pang uri ng scam, dapat umanong i-audit ang kasalukuyang case-based payment ng ahensya.

“The case based payment system has to be reviewed. Other options for paying providers should be explored and implemented,” ayon kay Senador Risa Hontiveros.

Ginawa ni Hontiveros ang mungkahi kasunod ng mga seryosong alegasyon ng fraud at financial misma­nagement na nagresulta sa kawalan ng tiwala ng publiko sa PhilHealth.

“We need to have more stringent procedures to protect the public health sector against bad and abusive practices.

And if these procedures are already in place, they sorely need to be revi­sited and implemented,” ani Hontiveros.

Suportado naman ni Hontiveros ang hakbang ng PhilHealth na gamitin ang ‘strategic provider payment mechanism’ tulad ng Diagnosis Related Group (DRG) na nakapaloob sa Universal Health Care (UHC) Law.

“The DRG is a system used to classify various diagnoses for in-patients into groups and subgroups so that insu­rance can accurately pay the hospital bill,” paliwanag nito. (Dindo Matining)

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