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SPMC GETTING THE LION'S SHARE OF IRM FOR COVID? A thread 🇵ðŸ‡ðŸ‘Š
The largest public hospital in the Philippines has been under the spotlight for receiving the largest Philhealth reimbursement for COVID-19 response. But why exactly is that the case? Let's see:
The largest public hospital in the Philippines has been under the spotlight for receiving the largest Philhealth reimbursement for COVID-19 response. But why exactly is that the case? Let's see:
-WHAT ARE IRMs AND HOW ARE THEY COMPUTED?-
✅The IRM program allows Philhealth (PHIC) to send hospitals advanced cash aid to respond to unexpected events
✅Per PHIC Circular 2020-007: IRM computation is Ave. Reimbursement/Day from last year x No. of Days Covered
✅The IRM program allows Philhealth (PHIC) to send hospitals advanced cash aid to respond to unexpected events
✅Per PHIC Circular 2020-007: IRM computation is Ave. Reimbursement/Day from last year x No. of Days Covered
✅On 2018+2019, SPMC contributed on ave. PHP1.2-B/year income to PHIC, translated to PHP113-M/month, or PHP3.76-M/day.
✅Should PHIC cover 90 days, SPMC would get PHP339-M in IRMs -- close to the actual IRM of PHP326-M
✅Higher reimbursement to PHIC = Higher IRM
✅Should PHIC cover 90 days, SPMC would get PHP339-M in IRMs -- close to the actual IRM of PHP326-M
✅Higher reimbursement to PHIC = Higher IRM
