The Private Hospitals Association of the Philippines Inc. (PHAPi) revealed that some private hospitals are looking at the possibility of disengaging from the Philippine Health Insurance Corp. (PhilHealth) over the latter’s continuous failure to pay reimbursement claims.

“They already signified that they will no longer renew their accreditation with PhilHealth,” PHAPi president Jose Rene de Grano said.

He said that hospitals in Metro Manila, Iloilo, Cagayan Valley and General Santos City are now planning to end their connections with the state insurer. 

He also added that other hospitals are also set to announce their decision not to renew their PhilHealth accreditation.

De Grano explained that PhilHealth failed to come up with solutions regarding unpaid claims by the end of October. 

The said claims are mostly for Covid-19 patients. 

“We’ve had so many meetings with them since August. Our deadline for PhilHealth to make some good solutions to what we are asking is end of October,” he said.

“PhilHealth paid the recent claims but we do not understand why they have not paid the hospitals’ Covid-19 claims in 2020. It’s been more than a year already,” De Grano complained.

He said that PhilHealth had already claimed that it paid P10 billion worth of claims but they want to know where these payments went. 

De Grano noted that hospitals find it hard to maintain their operations due to PhilHealth’s unpaid obligations. Ronald Espartinez