Samu’t saring scheme ang ibinunyag ng mga resource persons para makakulimbat nang limpak-limpak na pera ang mga matataas na opisyal ng Philhealth.

Kagabi nang nakipagpulong ang Task Force Philhealth sa mga resource persons at dito lumabas ang katiwalian sa loob ng ahensiya.

Ayon kay Department of Justice (DoJ) Usec. at Spokesman Markk Perete, ibinunyag daw ng mga resource person na tumanggi nang banggitin ang kanilang pangalan ang ang iba’t ibang fraudelent schemes ng umano’y mga empleyado ng Philhealth officers at empoyees mula sa main at regional offices.

Ang naturang mga tiwaling empleyado ay nakikipagsabwatan daw sa mga doktor, ospital at maging mga bangko na siyang nagsisilbing remittance center.

Kinabibilangan daw ng naturang schemes ang bayad sa mga peke o fraudulent claims laban sa corporation, malversation ng premiums at exploitation ng ilang unscrupulous personalities ng case rate system ang ang interim reimbursement mechanism at marami pang iba.

Ibinunyag din ng mga resource persons ang pang-aabuso sa Legal Department and Information Technology office na sinasabing ginawa para mapadali ang paggawa ng mga naturang scheme.

Bago nga ang hearing ay nag-convene muna ang mga miyembro ng task force na pinangunahan ni Justice Sec. Menardo Guevarra dahil na rin sa utos ni Pangulong Rodrigo Duterte.

Napagkasunduan ng mga ito na magsasagawa ng hearings na bu kahit ang ilang miyembro ng agencies ay itutuloy pa rin ang kanilang imbestigasyon at audits.

Pero kailangan daw na i-coordinate pa rin sa task force ang ano mang aksiyon kung ano man ang kahihinatnan ng kanilang imbestigasyon laban sa mga isinasangkot na mga opisyal maging ang kanilang mga kasabwat.

Ang endorsement naman ay gagawin ni Geuvarra na siyang ring convenor ng Task Force at ang mga miyembro nito ay ang Office of the Ombudsman, Commission on Audit (COA), Civil Service Commission (CSC), Presidential Anti-Corruption Commission (PACC), Office of the Special Assistant to the President, Anti-Money Laundering Council (AMLC), National Bureau of Investigation (NBI) at National Prosecution Service (NPS).

“Task Force PhilHealth yesterday held its first investigative hearing with two individuals formerly connected with the Philippine Health Insurance Corporation as resource persons. The individuals (who requested anonymity) informed the Task Force of the different fraudulent schemes allegedly employed through the years by PhilHealth officers and employees, both at its main office and regional offices, in collusion with some doctors and hospitals, and even banks which act as remittance centers.  These schemes include the payment of false or fraudulent claims against the corporation, malversation of premiums, and the exploitation by some unscrupulous personalities of the case rate system and the interim reimbursement mechanism, among others.  The resources persons likewise highlighted abuses and flaws in the corporation’s Legal Department and Information Technology office that allegedly made the proliferation of these schemes possible. Before the hearing, the members of the Task Force – convened by the Secretary of Justice upon orders of the President – met to discuss administrative and logistical matters relating to their work.  They agreed to conduct hearings as a whole even as member agencies continue their respective investigations and audits.  It was however agreed that any action by the agencies regarding PhilHealth will be coordinated through the Task Force and any action towards the prosecution of PhilHealth officers and employees and their cohorts will be made through the Task Force and with the endorsement of the Secretary of Justice. The participating agencies in the Task Force likewise reported the investigations currently pending with them, and undertook to expedite the completion of their work with the assistance of the Task Force.  They likewise agreed to harmonize efforts in the lifestyle checks currently underway and to be conducted by the different offices and agencies. Justice Secretary Menardo Guevarra is convenor of the Task Force that counts among its members the Office of the Ombudsman, the Commission on Audit, the Civil Service Commission, the Presidential Anti-Corruption Commission, the Office of the Special Assistant to the President, the Anti-Money Laundering Council, the National Bureau of Investigation and the National Prosecution Service,” base sa inilabas na statement ni Perete.