are usually independent practitioners who 'practice' in hospitals. Salaried government physicians are allowed to also engage in private practice. Efforts to implement case payments essentially focus on bundling the payment for the health facilities. Among PhilHealth's work in incentive-based payments is a scheme that has been piloted in 30 local government hospitals since 2002 but has not spread. The scheme is called the Quality Improvement Demonstration Study (QIDS). It utilizes clinical vignettes to measure quality of care. If a hospital meets a set quality of care index score, physician payments are increased. Clinical vignettes focus on the illnesses of children less than six years of age. Another incentive scheme is increased payment for health professionals practicing in areas where there is a lack of doctors. Claims processing Claims processing and availability in accredited hospitals has been improved. Hospitals have installed the ICHP Portal System. It is established to provide a link between accredited institutional health care providers and Philhealth through online connections that shall ensure verification of eligibility information. Members don't need to fill out forms if they have updated premium contributions and PhilHealth records, but they may have to present their PhilHealth IDs. Members also don't need to submit their member data records. Claims are submitted to 17 regional claims processing centers. These centers initially review claims for eligibility. Review is input manually with data encoded into the claims processing information system. Once the claim is approved for payment, checks are prepared for the signature of regional heads. Electronic reimbursements are planned but has yet to be implemented. Monitoring and evaluation PhilHealth conducts its own Monitoring and Evaluation, though the law mandates that University of the Philippines National Institutes of Health engages in monitoring of the scheme. Evaluations on the PhilHealth program are ongoing. The Department of Health (to which PhilHealth is an attached agency) monitors and analyses data, including number and value of claims, number of accredited providers, number and value of premiums paid, number of members, etc. Frauds and controversies In 2013, fraudulent claims Juan Miguel of Regional 1 started fire with against the state-health insurer were estimated at 4 billion pesos. However, the state failed to prosecute erring doctors, private and public hospitals, and public officials. AFP Medical Center, St. Luke's Hospital, Philippine Orthopedic Hospital, University of Santo Tomas Hospital, East Avenue Medical Center, Cardinal Santos Medical Center, Medical City, National Kidney and Transplant Institute, General