The Commission on Audit said several healthcare institutions in seven regions did not give senior citizen discounts for a total of 196,695 cases, with the amount of undeducted discounts totaling P535.626 million.
for a total of 196,695 cases, with the amount of undeducted discounts totaling P535.626 million.
The remaining P422.526 million were paid by the senior citizens themselves or by other government agencies extending medical assistance, such as local government units, the Office of the President, the Department of Social Welfare and Development, and the Philippine Charity Sweepstakes Office. “As a result, claims are processed and reimbursed without recomputing the accuracy of the applied discounts,” the auditors said, noting that “PhilHealth should have established controls to ensure that adjudicators validated the proper deductions to avoid overpayment of claims to [healthcare institutions].”
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