3 weeks COA: PhilHealth ‘overpaid’ hospitals, clinics over P936.65 M MB
Over P6.88 billion in audit disallowances were incurred by the Philippine Health Insurance Corporation (PhilHealth) for various financial transactions that the Commission on Audit found irregular, disadvantageous to government, or outright fraudulent. COA, in its 2019 annual audit report for the graft-ridden agency, also revealed that PhilHealth had overpaid hospitals, clinics, and other health care institutions of over P936.65 million for the year in review. Auditors revealed that pneumonia has been the medical case with the highest overpayment that reached P105.93 million and a difference of 117.67 percent from the actual charges. They stressed that this is “highly unusual.” ... more