“For instance, they have four case rates for new coronavirus disease or COVID-related ailments. Instead of package rates, Defensor said PhilHealth should just pay for the actual cost of a member’s hospitalization, treatment and medicines and just consider case rates as the “limits” in a move to conserve the agency’s funds. And yet, Philhealth officials see no evil, hear no evil, speak no evil. They are even defending their case rates,” he added. Health Secretary Francisco Duque lll, who serves as PhilHealth board chairman, has already ordered the review of IRM but Defensor said that he should instead just order the scrapping of both the case rates system and the IRM.
Source: Philippine Daily Inquirer August 24, 2020 01:52 UTC