Push Admin

Zubiri details how PhilHealth losing millions due to fraud

Article (news)

Christian V. Esguerra, ABS-CBN News

<div class="embed-wrap"><figure data-feedback="fb:likes,fb:comments"><img src="https://sa.kapamilya.com/absnews/abscbnnews/media/2020/news/05/05/zubiri.jpg"/><figcaption>Senate Majority Leader Migz Zubiri attends the Senate&#x27;s session Monday, May 4, 2020, after a two-month break. Henzberg Austria, Senate PRIB</figcaption></figure></div>MANILA--A doctor was allegedly asked to cough up P7.3 million in grease money while certain hospitals fielded ghost patients and padded claims, squeezing millions of pesos out of the Philippine Health Insurance Corp. (PhilHealth), Senate Majority Leader Juan Miguel Zubiri said Tuesday.Zubiri identified at least 5 schemes used by some hospitals to defraud the state-run health insurance firm over the years, including cases where they allegedly paid people P1,000 each to pretend as patients &quot;to claim for more serious ailments.&quot;Some patients were sent home after receiving paracetamol but hospitals invented a more serious illness and sought reimbursement for room and medicines using their names, he said.In another example of &quot;upcasing,&quot; some hospitals merely provided patients with Losartan for hypertension, but allegedly sought reimbursement for mild stroke amounting to P25,000 per claim.Zubiri said there were also hospitals getting as much as P100,000 weekly by collecting from PhilHealth using 3 to 4 ghost patients.&quot;Pagnanakaw talaga ito,&quot; he said as senators resumed investigation into alleged corruption in the agency. &quot;This is no other than blatant fraud and corruption, which is utilising the funds and the money that should go to the proper patients that need our help.&quot;Zubiri cited the case of a doctor who allegedly admitted in a 2016 PhilHealth board meeting that he had been asked to shell out P7.3 million so his clinic could reimburse claims amounting to P73 million for cataract removal surgeries.He asked the Senate to invite Dr. David Gosengfiao of the Pacific Eye Institute in the next hearing to detail his experience with PhilHealth.Zubiri also called attention to the case of a certain Pamela del Rosario and her parents who were allegedly used by a Region 1 hospital as ghost patients to claim P1.7 million.But no case has been filed against the hospital&#x27;s officials, he said.&quot;Paano natin mauubos ang katiwalian sa Philhealth kung wala namang kaso na pina-file at walang tao na kinukulong dyan sa Loob ng PhilHealth?&quot; he said.

A doctor was allegedly asked to cough up P7.3 million in grease money while certain hospitals fielded ghost patients and padded claims, squeezing millions of pesos out of PhilHealth, Senate Majority Leader Juan Miguel Zubiri said Tuesday.

A doctor was allegedly asked to cough up P7.3 million in grease money while certain hospitals fielded ghost patients and padded claims, squeezing millions of pesos out of PhilHealth, Senate Majority Leader Juan Miguel Zubiri said Tuesday.

Zubiri details how PhilHealth losing millions due to fraud

News

Entertainment

Lifestyle

Sports

Metro.Style

More

BINI

Sudoku

Word of the Day

Lotto

Horoscope

News

Zubiri details how PhilHealth losing millions due to fraud

Christian V. Esguerra,

ABS-CBN News

Published August 11, 2020 02:55 PM PHT

Read More:

Philhealth corruption

Juan Miguel Zubiri

upcasing

David Gosengfiao

Pacific Eye Institute

Senate investigation

PhilHealth

PhilHealth scam

ABS-CBN Newsletter

Your go-to source for the latest news, entertainment highlights, exclusive interviews, and updates on your favorite Kapamilya stars.

ABS-CBN Newsletter

Your go-to source for the latest news, entertainment highlights, exclusive interviews, and updates on your favorite Kapamilya stars.

Sign Up

I have read and agree to the Terms and Privacy Policy.

ABS-CBN is the leading media and entertainment company in the Philippines, offering quality content across TV, radio, digital, and film. Committed to public service and promoting Filipino values, ABS-CBN continues to inspire and connect audiences worldwide.

Corporate

Investors

Governance

International Distribution

Corporate

Governance

Investors

International Distribution

NPC Seal of Registration

Privacy Policy

AI Policy

Terms of Service

Advertise with Us

© 2026 ABS-CBN Corporation. All Rights Reserved.

NPC Seal of Registration

Privacy Policy

Terms of Service

AI Policy

Advertise with Us

© 2026 ABS-CBN Corporation. All Rights Reserved.

NPC Seal of Registration

Privacy Policy

Terms of Service

AI Policy

Advertise with Us

© 2026 ABS-CBN Corporation. All Rights Reserved.