Culpability report on dialysis scam out soon: Health chief

ABS-CBN News

Posted at Jun 11 2019 03:33 PM | Updated as of Jun 11 2019 04:26 PM

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MANILA -- Health Secretary Francisco Duque III on Tuesday said his office will release "very soon" a report on who should be held accountable over the alleged misuse of state health insurance funds on "ghost" dialysis treatments.

In a recent report by broadsheet Philippine Daily Inquirer, a former employee of WellMed Dialysis Center in Quezon City bared that the clinic made payment claims for dead patients from PhilHealth from 2016 to 2018.

"Natukoy na namin iyung opisina na nagkulang (we have identified the office that came up short)," Duque told ANC.

"We will very soon publish the culpability of the office or the committee that allowed these claims to be processed in spite of evidence showing that the processing of claims should have been stopped much earlier."

PhilHealth-Metro Manila as early as February urged the agency's central office to stop payments for WellMed, said Duque.

But the accreditation committee, he said, rejected the recommendation in May and directed PhilHealth-Metro Manila to submit additional evidence.

"Hindi naman ito (this is not a) criminal proceeding where the evidence you need is proof beyond reasonable doubt," he said.
 
President Rodrigo Duterte wants a "clean slate" for PhilHealth and has ordered his board appointees, including acting president Roy Ferrer, to tender their courtesy resignation, said Duque.

Duterte, he said, also wants a third party to assess the operations and financial management of PhilHealth.

WellMed has said it "would not, in any way, consent to, or participate in any 'ghost dialysis' or fraudulent scheme."

The National Bureau of Investigation arrested on Monday the owner of the dialysis center, Dr. Brian Sy, on charges of estafa, falsification of public documents, and violation of the PhilHealth law.