Dr. Da Costa Aboagye, acting NHIA boss
The National Health Insurance Authority (NHIA) has paid the sum of GHC180million to various categories of healthcare providers across the country, predominantly for claims submitted and vetted up to December 2023.
This is in fulfillment of its mandate as a payer of healthcare services in Ghana for disease conditions as prescribed in the NHIS Benefit Package.
A statement signed by the acting Chief Executive Officer of the Authority, Dr. Da Costa Aboagye, explained that the package covers over 95% of disease conditions that afflict residents of Ghana, and is supported with over 550 formulations on the NHIS Medicines list to take care of all the diseases covered under the Scheme.
“Management of the Scheme assures the public of its commitment to ensuring that quality healthcare is delivered to all its members. With this payment, the NHIS is on track and not in arrears as it stays within the accepted 90-day window for the payment of vetted claims,” it said.
Collaboration
In ensuring no illegalities, healthcare providers are granted credentials by the NHIA to provide services to NHIS members and are obliged by an agreement to comply with the NHIS Medicines List and Service Tariff, failure of which could attract sanctions.
As a result of recent economic conditions, the NHIA in collaboration with the Ghana Health Service, Christian Health Association of Ghana, and other stakeholders is comprehensively reviewing the NHIS Medicines Tariffs for appropriate adjustments to be considered, it indicated.
“As another measure to eradicate illegal fees and extortions demanded from vulnerable NHIS members at some healthcare facilities, the NHIA and key stakeholders have resolved to increase public education about the Scheme and its Benefit Package, promote the entitlement of NHIS Members, and conduct more community engagements to deepen understanding, buy-in, and ownership of the NHIS,” it said.
The Authority entreated its members to report any incidents of illegal charges or extortions to their local NHIS district office.
Dr. Da Costa Aboagye, acting NHIA boss
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