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Wilbert Lee Pushes for Reforms to Maximize PhilHealth Benefits

Filipinos learning about expanded PhilHealth coverage during a public seminar.

Wilbert Lee Pushes for Reforms to Maximize PhilHealth Benefits Congressman Lee Pushes for Reforms to Strengthen PhilHealth Benefits   Bicolano lawmaker Wilbert Lee is advocating for systemic reforms to ensure that the expanded PhilHealth benefits truly benefit Filipinos. Speaking during a recent health committee hearing, Lee called for the government to invest in public hospital upgrades and resolve systemic issues in PhilHealth claims processing. “Ang expanded PhilHealth benefits ay makakatulong lamang kung may sapat na kagamitan ang ating mga ospital. Kailangan ng konkretong solusyon para sa kakulangan sa pasilidad,” Lee said.   Ensuring Access to Diagnostic Tools for PhilHealth Patients Lee highlighted the lack of essential medical equipment in many public hospitals, such as PET scans, CT scans, and MRI machines. He pointed out that while PhilHealth benefits now cover these diagnostic procedures, patients in underserved areas often have to travel to major cities for testing, creating additional burdens for them and their families. “Paano makikinabang ang ating mga kababayan kung ang PET scan ay nasa iilang ospital lang?” Lee asked. He urged the Department of Health to accelerate its Health Facilities Enhancement Program (HFEP) to ensure that all Filipinos, regardless of location, can access life-saving services covered by PhilHealth benefits.   Comprehensive Solutions to Improve PhilHealth Services Lee also proposed an amnesty program for hospitals and doctors with unresolved PhilHealth claims, which he said often lead to service disruptions. He emphasized the importance of resolving these cases to prevent hospitals from being suspended, which ultimately affects patients’ access to care. PhilHealth CEO Emmanuel Ledesma Jr. expressed strong support for Lee’s reforms, highlighting how they address long-standing issues in the healthcare system. Lee concluded by calling for a collaborative effort between the government and private sector to improve PhilHealth benefits and healthcare access for all Filipinos.   #PhilHealthBenefits #HealthReforms #HospitalImprovements #QualityHealthcare #PhilHealthExpansion Healthcare Policy Previous Post Latest Posts 28 Jan 2025 Wilbert Lee Pushes for Reforms to Maximize PhilHealth Benefits 22 Jan 2025 Public Hospitals Need Upgrades to Support New PhilHealth Benefits 20 Jan 2025 Lee Calls for More Equipment, Improved Hospitals to Fully Realize PhilHealth Benefits Categories Healthcare Policy Public Health Initiatives Healthcare Ethics and Legal Issues Healthcare Access and Equity Spread the News

Lee Calls for More Equipment, Improved Hospitals to Fully Realize PhilHealth Benefits

Patients waiting for CT scan and PET scan services in a government hospital.

Lee Calls for More Equipment, Improved Hospitals to Fully Realize PhilHealth Benefits Congressman Wilbert Lee Advocates for Improved Hospitals to Maximize PhilHealth Benefits Bicolano Congressman Wilbert Lee has emphasized the need for public hospital improvements to ensure that Filipinos can fully benefit from the expanded PhilHealth benefits. During the House Committee on Health hearing, Lee pointed out that the lack of essential medical equipment in public hospitals further hinders access to the services that PhilHealth benefits are meant to provide. “Ang mga benepisyo ng PhilHealth ay nasasayang kung walang sapat na kagamitan at pasilidad,” Lee said. He called on the Department of Health (DOH) to fast-track the procurement of diagnostic tools such as CT scans, PET scans, and MRI machines under the Health Facilities Enhancement Program (HFEP).   Gaps in Medical Equipment Hinder Access to PhilHealth Benefits Lee stressed that while PhilHealth benefits cover some diagnostic tests and treatments, many public hospitals across the country lack the necessary equipment to deliver these services. “Napakarami nating kababayan ang hindi nakikinabang sa PhilHealth dahil kailangan pa nilang bumiyahe nang malayo para sa CT scan o MRI,” he explained. Currently, only a few hospitals, such as the Philippine General Hospital (PGH) and the National Kidney Transplant Institute (NKTI), have PET scan machines. This limitation delays critical diagnoses and treatments, especially for Filipinos in rural areas who rely on PhilHealth benefits to reduce medical costs.   Amnesty for Hospitals to Improve Healthcare Access To complement the expanded PhilHealth benefits, Lee also proposed a measure providing amnesty for hospitals and doctors with unresolved cases involving denied PhilHealth claims. According to Lee, these unresolved cases often lead to penalties and hospital suspensions, disrupting healthcare services for patients. “Kailangan nating i-address ang mga problema sa claims para mas maraming ospital ang makapagbigay ng serbisyo,” Lee said. PhilHealth President Emmanuel Ledesma Jr. expressed full support for the proposal, stating that resolving these cases would improve the overall healthcare system. Lee reiterated his commitment to fighting for improved PhilHealth benefits, better public hospitals, and affordable healthcare for all Filipinos. “Ang layunin natin ay libreng gamot at pagpapagamot para sa lahat. Kailangang magtulungan ang gobyerno at pribadong sektor para makamit ito.”   #PhilHealthBenefits #HospitalUpgrades #HealthcareForAll #MedicalEquipment #BetterPublicHospitals Healthcare Policy Previous Post Latest Posts 20 Jan 2025 Lee Calls for More Equipment, Improved Hospitals to Fully Realize PhilHealth Benefits 15 Jan 2025 LEE DEMANDS DOH TO PROVIDE MORE EQUIPMENT IN PUBLIC HOSPITALS, SEEKS AMNESTY ON HOSPITALS, DOCTORS WITH UNRESOLVED CASES 11 Jan 2025 Manoy Wilbert 'Wise' Lee: Strengthening Healthcare Amid Rising Medical Costs Categories Healthcare Policy Public Health Initiatives Healthcare Ethics and Legal Issues Healthcare Access and Equity Spread the News

LEE DEMANDS DOH TO PROVIDE MORE EQUIPMENT IN PUBLIC HOSPITALS, SEEKS AMNESTY ON HOSPITALS, DOCTORS WITH UNRESOLVED CASES

LEE DEMANDS DOH TO PROVIDE MORE EQUIPMENT IN PUBLIC HOSPITALS, SEEKS AMNESTY ON HOSPITALS, DOCTORS WITH UNRESOLVED CASES Healthcare Policy   “Walang kwenta ang mga dagdag benepisyo kung walang mga gamit at ospital.” This was the statement of Manoy Wilbert Lee as he reiterated his call for the Department of Health (DOH) to fast-track provision of medical equipment, including Positron Emission Tomography (PET) scan, Computed Tomography (CT) scan and Magnetic Resonance Imaging (MRI), and other diagnostic tests and facilities in public hospitals. During the House Committee on Health hearing on the increase in Philippine Health Insurance Corporation’s (PhilHealth) benefit packages on Wednesday, Lee underscored that the improved services should be complemented by equipping hospitals and other medical facilities with medical equipment needed by Filipino patients.   “Masasayang lang ang mga dagdag na coverage kung wala namang mga gamit at makina. Napakarami nating kababayan na kapag sinabihan na kailangang magpa-CT scan, hindi na bumabalik dahil mahal ang gagastusin. Ngayong may sasagutin na ang PhilHealth, hindi pa rin ito agad mapakinabangan dahil ilan lang ang ospital na may ganitong pasilidad. Ang PET scan equipment, NKTI (National Kidney Transplant Institute) at UP Philippine General Hospital lang ang meron, gaano pa katagal ang hihintayin nila?” Lee said. It can be recalled that the Bicolano lawmaker sealed commitments from the DOH and PhilHealth last September 25, 2024 which include submitting an implementation plan with definite timeline of acquiring medical equipment for public hospitals under the Health Facilities Enhancement Program (HFEP). Moreover, Lee in his bid to complement the new PhilHealth benefits, raised his plan to file a bill granting amnesty for cases involving hospitals and doctors and payment of denied claims due to late filing and penalty reductions for employers.   “Maraming kaso na maliliit at mga kasong dahil sa double entry or double payments. Nabanggit ko na po ito nung 2023 pa, mga kaso na P2,000 ang halaga, pero ang penalty ay aabot ng P300,000, tapos suspendido pa ang ospital, na dahilan kung bakit hindi makatanggap ng PhilHealth patients,” Lee stated. “Kailangan po natin na mas maraming ospital na nakakapagbigay ng serbisyo sa ating mga kababayan. Kung masususpinde sila at haharap sa mga kaso na kung tutuusin ay maliit lang naman, sa huli, apektado ang kanilang serbisyo,” he added. During the said hearing, the solon from Bicol secured a commitment from PhilHealth to support the said measure.   “From the side of PhilHealth, 100 percent support po. It will solve a lot of problems. We are with you 100 percent,” PhilHealth President and CEO Emmanuel Ledesma Jr. said. While Lee acknowledges the success of PhilHealth for the new benefits, a result of his persistent push since he exposed the billions of available funds of the state health insurer in September 2023, he stressed that the lack of hospitals and facilities would hamper the delivery of quality and accessible healthcare benefits to Filipinos. “Ang ipinaglalaban natin, libreng gamot at pagpapagamot. Magtulungan tayo, ang gobyerno at pribadong sektor, para makamit ito at talagang mapagaan ang pasanin ng taumbayan. Hindi pwedeng kanya-kanya at maging pabigat pa tayo sa isa’t isa!” Lee said.   A staunch health advocate, Lee paved the way for the implementation of improved PhilHealth benefits such as the not less than 95% increase in coverage of 9,000 case rates, inclusion of optometry and free prescription glasses, free dialysis, expanded coverage for breast cancer treatment, new benefit package for kidney transplant and heart ailments, and outpatient emergency care services, among others. The Bicolano lawmaker then reiterated the importance of an effective information dissemination campaign on the health benefits for all Filipinos nationwide.   “Bukod sa dagdag na mga benepisyo, dagdag na mga kagamitan at ospital, dapat pagsikapan pa natin ang pagbibigay-alam sa mga Pilipino ng mga serbisyong libre at sagot na ng gobyerno. Paano nila mapapakinabangan ang mga ito kung hindi nila alam?” asked Lee. “Dapat mawala na ang pangamba ng ating mga kababayan na magkasakit dahil sa takot na malubog sa utang at kahirapan ang kanilang pamilya. Ang layunin ko: Gamot Mo, Sagot Ko!” he said.  Previous Post Latest Posts 15 Jan 2025 LEE DEMANDS DOH TO PROVIDE MORE EQUIPMENT IN PUBLIC HOSPITALS, SEEKS AMNESTY ON HOSPITALS, DOCTORS WITH UNRESOLVED CASES 09 Jan 2025 Manoy Wilbert 'Wise' Lee: Doubling Down on PhilHealth Benefits Amid Rising Health Care Costs 08 Jan 2025 Amid expected 18% increase in PH health care costs LEE TO DOH, PHILHEALTH: RAMP UP MORE BENEFIT INCREASES WITH BILLIONS OF FUNDS Categories Healthcare Policy Public Health Initiatives Healthcare Ethics and Legal Issues Healthcare Access and Equity Spread the News