SC declares with finality against Philhealth in eye doctor’s case

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The Supreme Court recently declared final and executory their July 2019 decision in favor of an ophthalmologist whose accreditation as a healthcare professional was illegally suspended by the Philippine Health Insurance Corp. (Philhealth).

The SC’s resolution reads, in part: “In this petition for review on certiorari filed by Dr. Mario D. Reyes, M.D. , we remind Philippine Health Insurance Corporation that it cannot impose any penalty beyond what is provided for under the law.”

Reyes asked Philhealth’s then-Board of Directors to reconsider the 12-year suspension imposed upon him, but was denied. In their resolution, the SC reminded Philhealth that it is the government, specifically the Board of Medical Examiners, that determines who may practice medicine and not PAO, and therefore Philhealth should not have adopted in toto PAO’s suspension of Reyes.

“A quasi-judicial body should have a clear grasp of the law in order to avoid injustice. This case has reached the appellate courts, and private resources and government time have been wasted,” Hofileña said.

 

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