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NHIA paying service providers rapidly to avert Cash and Carry|2/26/2020

The National Health Insurance Authority (NHIA) is on course paying service providers who submit their claims vouchers on time.

This is to avert the return of quality health care services delivery to Cash and Carry as Ghana is poised to attain 100 percent of Universal Health Coverage (UHC) by 2030.  

For the records, the NHIA has so far paid over Ghs91 million to its accredited service providers covering this year (2020) alone.

 In the order of payments, a total of 4,292 service providers comprising 2,993 public health facilities, 1,038 private health facilities, 228, Mission health facilities and 33 Quasi-Government health facilities have been paid.  

The public health facilities  received Ghs49, 845,207.91 representing 69.7% of the payments whiles the private service providers have been paid Ghs26,033,139.75 pegged at 28.3%.    Mission health facilities (CHAG)  have received Ghs15,173,008.28 representing 16.5% and Quasi-Government service providers have been paid Ghs846,565.84 pegged at 0.9% of the total payments made so far. 

Similarly, Ghs857 million was paid as Claims to service providers in the year 2019. Service providers now receive their reimbursements in an average of six months in arrears instead of over 12 months as it used to be.  

The four NHIA Claims Processing Centers around the country have put in place more efficient measures to speed up the vetting and payment process. All these are done to ensure that NHIS members receive quality healthcare. 

Genesis  

The National Health Insurance Scheme (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 instrument 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 accounting for more than 85% of funds that flow into healthcare facilities to treat NHIS members. 

 The scheme is credited with improvements in the healthcare-seeking behaviour of many people in Ghana who now tend to seek medical attention earlier than before, thereby avoiding unnecessary deterioration in their health conditions. 

 The NHIS continues to provide financial access to healthcare for many people who otherwise could not afford the cost of their healthcare. 

  More people are visiting various NHIS credentialed health institutions across the country on account of the Scheme. In fact, the NHIS in November 2019, recorded the highest active membership since its inception and is still growing. 

 Through, claimspayment@nhia.gov.gh, Service Providers who have any enquiries regarding their claim's vouchers submitted have the opportunity to reach out to the Authority.

   Source: Abdul Karim Naatogmah    


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