Anakalusugan Representative Mike Defensor argues that the policy is the root cause of corruption at PhilHealth.
Lawmakers urged the Philippine Health Insurance Corporation to scrap its all case rate system, which they claimed to be the root cause of corruption at the state health insurer, costing the government P102 billion in overpayments.
Defensor told PhilHealth chair Ricardo Morales that corruption will persist because the system forces the state health insurer to pay a specific amount, even if the patient’s medical expenses are much lower than that. While the case rate system remained in place, Defensor, said he does not blame Morales for the case rate system anomalies, since it was launched during the previous Aquino administration.
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