Whistleblowers earlier estimated that the insurance company lost P154 billion to various types of fraud, including reimbursements for “ghost” dialysis patients, overpayments, false claims and “upcasing” of common ailments. ‘Murky swamp’Citing COA reports, Lacson said the irregularities in PhilHealth prompted state auditors to disallow the disbursement of P27 billion of its funds from 2014 to 2018. The amount was drawn out of the P30-billion Interim Reimbursement Mechanism (IRM), a special fund intended for hospitals treating COVID-19 patients. And as a matter of protocol, dialysis centers were not allowed to accommodate COVID-19 patients. Some of their patients were already dying.”“We’re not dealing with dialysis patients.

Source: Philippine Daily Inquirer August 04, 2020 20:45 UTC