The National Health Insurance Authority (NHIA) has paid an amount of GHS180 million to various categories of healthcare providers across the country, predominantly for claims submitted and vetted up to December 2023.
According to the authority, the payment was made on Friday, March 22, 2024.
“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. The NHIS Benefit 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”, the NHIA said in a statement dated Tuesday, March 26.
“Management of the Scheme assures the public of its commitment to ensuring that quality healthcare is delivered to all its members,” it added.
It further noted, “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”.
The NHIA also indicated that it is working to expand the medicine list under the scheme to attend to a wide range of diseases for its beneficiaries.
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“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.”
The authority stressed that as part of measures 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.
The NHIA will also promote the entitlement of NHIS members and conduct more community engagements to deepen understanding, buy-in, and ownership of the NHIS.
Find the full statement below:
