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National Health Insurance Scheme


NHIA engages healthcare providers on Benefit Package |9/9/2021

The National Health Insurance Authority (NHIA) on September 7, 2021 begun a series of webinar training on the National Health Insurance Scheme (NHIS) Benefit Package for healthcare providers.


The month-long campaign, open to all credentialed healthcare providers and other key stakeholders in batches, is aimed at enhancing their knowledge of the NHIS benefit package and its operationalization, all in a bid to ensure that provision of expected basic quality health services is available to all NHIS members.


The Authority’s Director in charge of Provider Payments Directorate, Dr. Francis Asenso-Boadi, convened the three-hour long virtual meeting. A Deputy Director of Provider Payments Directorate, Mrs. Ruby Aileen Mensah-Annan gave a general presentation on the NHIS benefit package.  


In his opening remarks, Dr. Francis Asenso-Boadi said the meeting was to engage the active stakeholders to meet the healthcare needs of all NHIS members without taking any illegal payments from the members at the point of service use.


He implored the participants to clearly state their views and opinions to enable the NHIA’s Executive Management, address any issues that they have concerning the NHIS Benefit Package. He expressed dissatisfaction over the fact that some service providers demand for out-of-pocket payments (unauthorized fees) at the point of healthcare delivery, saying “Stop sabotaging the NHIS.”  


The Deputy Executive Director of the Christian Health Association of Ghana (CHAG), Dr. James Duah, who participated in the training programme said, “NHIS is the soul and spirit of healthcare service delivery in the country.”


The participants were straightforward in their comments and sought clarifications on nagging issues in relation to the NHIS Benefit Package.


The NHIA would undertake similar engagements to avert the return of Cash and Carry in health care delivery, as Ghana is poised to attain Universal Health Coverage (UHC) by 2030. 


The NHIS was set up to provide financial risk protection against the cost of basic health care for all residents in Ghana in 2003 with ACT 650 that got revised in 2012 to ACT 852.


Since its inception, the NHIS has over the years grown to become a major player for financing health care delivery in Ghana and in fact is the financial mainstay of over 4,600 credentialed healthcare service providers in the country and accounting for more than 85% of the funds that flow into healthcare facilities to treat NHIS members.


Source: Abdul Karim Naatogmah  

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