By Nancy Carvajal
Officials of the Philippine Health Insurance Corporation (Philhealth) tipped off hospitals about the interim reimbursement mechanism (IRM) even before the resolution for the project was officially signed, Politiko has learned.
According to the National Bureau of Investigation (NBI), the tip off led to a surge in applications for the IRM.
“Nag-unahan sa application, even the resolution have yet to be signed, the reason was baka maubusan ng pondo, “ an investigator told Politiko on the condition of anonymity.
NBI agents said they also identified several violations by hospitals and Phihealth officials in the release of IRM funds.
Among the violations were; Philhealth released the funds without complying the public announcement policy before a project could be implemented, HCI with pending cases were given IRM funds,non-covid facilities also recieved funds, HCI used funds for non covid cases.
“Connivance between HCI’s and Philhealth officials and employees is very clear based on evidence gathered, “ the source said.
“Criminal cases can be filed against the HCI’s and Philhealth officials based on these documented violations,” the source added.