Philippine Health Insurance Corporation (PhilHealth) president and CEO Edwin Mercado plans to improve the agency's operations and combat fraud through digitization.
President Ferdinand R. Marcos Jr. has expressed support for Mercado's digitalization plan, noting that current manual processes for claims and applications are very slow.
Mercado believes a digital system will streamline claims processing, minimize fraudulent activities, and enhance transparency, helping to flag excessive or questionable claims.
The implementation of better technology is also intended to prevent system abuse and ensure public funds are used effectively for healthcare.
Beyond digitization, Mercado plans a comprehensive review of PhilHealth's internal processes, viewing the agency as a patient needing diagnosis and cure.
Mercado also has several ideas to make PhilHealth services more inclusive and expanded.
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