FAST FACTS: What is PhilHealth’s Interim Reimbursement Mechanism?

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PhilHealth’s Interim Reimbursement Mechanism, a program that allows the state health insurer to release funds to healthcare institutions, is under fire for alleged corruption.

The Philippine Health Insurance Corporation has been under fire following allegations of corruption, as a whistleblower said that aroundThe program being disputed is PhilHealth’s Interim Reimbursement Mechanism , a program that allows the state health insurer to release funds to healthcare institutions in times of"fortuitous events" like natural disasters, insurgencies, and wars.

The program enables hospitals, primary care facilities, ambulatory surgical clinics, freestanding dialysis centers, and maternity care providers to continuously provide healthcare services to affected Filipinos. It supposedly cuts long queues and tedious bureaucratic processes. In deciding if the HCI will receive financial aid, the insurance corporation checks the track record of the facility in rendering healthcare services to PhilHealth members. PhilHealth then releases IRM funds after the CEO signs it.

 

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