‘Medical Referral program extensively assists patients’
The CNMI Medical Referral Services Program has been assisting patients as much as they can, even providing logistic support to those who have private insurance, according to program director Ronald D. Sablan.
He said the program has three satellite offices in Guam, Hawaii, and the Philippines where CNMI residents usually travel to seek medical care not available on Saipan.
Sablan said the cost they spend for patients varies from place to place.
“The cost of living depends where they are getting treated. The costs in Guam is different from that in Hawaii.”
He added that they help patients under their program by providing transportation, hotel, stipend, and other basic needs. “For example in the Philippines, we provide transportation from the airport to the hotel, hotel to the hospital, and vice versa.”
“But if the patient has a private insurance we only provide transportation services. Patients with private health care providers choose their own hospital, so the only part we do is to provide transportation services,” said Sablan.
“The medical stipend must also be commensurate where the patient is referred to whether in the Philippines, Guam, or Hawaii. Hawaii has the higher stipend since expenses there are also high,” he added.
And with Medicaid not honored in the Philippines, the program shoulders 80 percent of the bill with the patient only paying the 20 percent share. Most of the patents seeking treatment in the Philippines are U.S. citizens and the program pays for the expenses.
“We make sure patients get the proper treatment and not get overbilled. We review their hospital billing and we help patients by paying their medical bills,” said Sablan. “We assist them as much as we can.”
Patients then issue promissory notes to them and that is why the program incurred close to $5 million in bills from the promissory notes they have issued. And Sablan said they have asked the help of the Attorney General’s Office if they could refer the problem to a collection agency.
The program sends an average of over 800 patients a year for medical referrals with the largest going to the Philippines to seek treatment. Expenses for the Philippines reach $2.1 million annually.
Sablan is asking the Legislature for an operating budget of $8.4 million for the coming fiscal year, more than double the proposed $4 million of Gov. Ralph DLG Torres. The program is one of the core areas that Torres identified.
The program has already spent $5 million in actual expenditures for FY 2016 with $2.1 million in the Philippines alone. The program would only need less than half of the $8.4 million if they were not paying the expenses incurred by Medicaid patients.
It seems from my attempted past multiple experience with the referral program, the higher the”local status” they are sent to Hawaii, then the Phil etc.
With the completion of Medical City in Guam ALL should be sent to Guam where medicaid could be accepted.
While it takes time for all new hospitals to be able to accept many of the insurances, this Medicaid (and VA) should be pursued as this alone will be a very big cost saving advatage, this along with limiting the number of “escorts” to only one and not the whole family so they can all go on vacation and a shopping spree.
There is also a new Medical City at Clark, Angeles City and also Cebu Pacific flies out of Clark. (but not known if they fly from there to Guam, but they have local flights from Manila to Clark.to avoid the traffic and driving time of about 3 hours..
I have not had to deal with any critical care on Guam from this Hospital, but have been involved in the transfer of a very close friend from a Subic hospital to Medical City (at the request of the first hospital) and the Clark facility was outstanding very professional from the Doctors and Nurse down. EVERYTHING was able to be done in house.
When my close friend arrived at Clark he was already on his death bed.
He had dialysis for about 8 years while developed heart problems, then had a transplanted kidney from a friend, 7 years earlier, and was gong to have another as his transplanted one was failing, he had again been having heart problems and then came down with Pneumonia while in the first hospital, which ended up killing him.
I am told that Guam is the state of the art for everything and is in the forefront such as the facility at Clark, Phil.