Activities of the N.H.I.A
DIVISIONS
The Authority is divided into three (3) Administrative divisions for purposes of management.
- 1. Each division is headed by Deputy Chief Executive
- 2. The Administration & HR division has 5 directorates:
- 3. The operations division has 7 directorates
- 4. The Finance & Investment division has 3 directorates
DIRECTORATES
The Directorates are 17 in all.
- Administration
- Actuarial
- Budget & Management Accounting
- Claims
- Corporate Affairs
- Educating all residents of Ghana and Ghanaians abroad on the NHIS to secure their understanding and acceptance.
- Ensuring the best of relations between the Authority, Schemes and the Media.
- Ensuring the best of relations between the Authority, Schemes and other institutions such as Service Providers, Members of the Schemes and the general public.
- Planning and executing effective Marketing and Publicity programmes to build the Corporate image of the NHIS into an acceptable brand.
- Receiving feedback from the public and responding to suggestions and complaints from members of the public on the operations of the schemes and service providers.
- Organizing public functions of the Authority and arranging for officials of the Authority and the Schemes to attend such functions.
- Securing protocol and other needs of Authority staff such as passports, visas and making travel arrangements.
- Procuring and disseminating information, education and communication materials such as diaries, calendars and magazines.
- Financial Accounting
- Fund & Investment
- Human Resource
- Internal Audit
- Periodic audit of National Health Insurance Fund
- Operational audit of the activities of the NHIA and the Schemes
- Provision of consulting services to NHIA
- Liaison with external bodies on audit issues, such as external auditors of Secretariat and Schemes
- Maintenance of an audit recommendations follow-up system.
- Special investigations into particular areas, for example fraud.
- Legal
- Management Information Systems
- Providing ICT support to all users
- Maintenance and update of schemes data
- Providing ICT training for all officers nation-wide
- Supply and maintenance of ICT equipment
- Implementation of ICT related projects
- Membership & Regional Operations
- Supervise, co-ordinate and monitor the activities of health insurance schemes.
- Provide support to service providers to render quality services at all times.
- Enforce utilization and cost control measures at the scheme level.
- Collaborate with relevant stakeholders to achieve the co-operate objectives of the council.
- Maintenance of an audit recommendations follow-up system.
- Facilitate the scaling up of membership registration.
- Private Health Insurance Schemes
- Procurement & Projects
- Provider Payment
- Quality Assurance
- To improve the quality of service given to subscribers at provide sites
- To identify and promote good practice
- To provide information on cost-effectiveness to management, and
- To ensure efficient use of resources
- Research,Policy,Monitoring and Evaluation
- Lead the review of tariff structure.
- Lead the review of National Health Insurance drug formulary.
- Conduct research in areas that enhance the implementation of NHIS policy e.g. defining quality health care, determining socio-economic status accurately, sustainability of Health Insurance cost-containment mechanisms.
- Coordinate research being done across the country especially in the area of health finance and act as the first port of call for all such research.
- Collaborate with development partners and coordinate their efforts in accordance with the SWAP approach.