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National Health Insurance Scheme


NHIS Fraud sanctions weak – CEO|5/18/2017

The punishment meted out to persons found to have made fraudulent claims against the National Health Insurance Scheme (NHIS) is not harsh enough to deter other miscreants from engaging in similar acts, Dr. Samuel Yaw Annor, Chief Executive Officer of the National Health Insurance Authority (NHIA), has said.

According to him, if the scheme will be able to deal with corruption and fraud that bedevils it, then there is the need for tougher sanctions to be meted out to culprits just as is done in advanced countries.

Speaking on GHOne television on Wednesday May 17, Dr Annor said: “The problem that the scheme has had over the years is that [it] spent probably a year in carrying out investigations, [it] spent about three, four years in the court, the people are convicted, but if you look at the sentencing it is no motivation at all for people to stop cheating the scheme.

“They [NHIA officials] have tried to make representation to the Attorney General’s Office to grant them the right to prosecute for them to expand and strengthen their legal department to get special prosecution court so that crime against the scheme is not treated like any other crime.

“At the moment crime against the scheme is treated like any other crime, but in most countries it is not treated like that, because the only thing that stops fraud to insurance is deterrence.”

He further stated: “Ghanaians have had their own perception about how the scheme had run, people have had concerns about corruption, people have had concerns about inefficient use of their funds and these are areas that we are looking at very seriously.

“We need to cut out corruption, cut out fraud…get government again to widen the basket [to raise revenue to sustain the scheme].”

Source: Ghana/ClassFMonline.com/91.3FM

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