MANILA, Philippines - The Philippine Health Insurance Corp. (PhilHealth) will soon bare its list of erring doctors and hospitals.
PhilHealth yesterday said it plans to post on its website excerpts of the final decision against erring healthcare providers and professionals to inform the public of the status of their accreditation.
The plan is part of the proposed procedural revisions in the implementing rules and regulations (IRR) of the PhilHealth Charter.
PhilHealth recently held a public consultation on the proposed changes in the IRR. The revision was initiated by the sub-committee of the PhilHealth board of directors on appeal on administrative cases (CAAC) and the Legal Department.
The revisions primarily dealt with the quasi-judicial powers of PhilHealth in relation to violations committed by stakeholders consisting of healthcare providers, healthcare professionals and members against the PhilHealth Charter and its IRR, PhilHealth issuances, and other policies relative to the implementation of the National Health Insurance Program (NHIP).
Alfredo Pineda II, PhilHealth vice president for the Arbitration Office, said a substantial part of the proposed revision involved processes and internal procedures aimed at streamlining and delineating the specific roles of concerned offices within the corporation in connection with its quasi-judicial powers in fact-finding, investigating, prosecuting and adjudicating cases against erring healthcare providers and members.