NHIA pays service providers over Ghs91 million in Claims for 2020

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 introduction,
the NHIS has over the years grown to become a major instrument for financing
health care delivery in Ghana and infact 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.

For the year 2020, the National Health Insurance Authority (NHIA) has so far paid
over Ghs91 million to credentialed service providers who submitted their Claims
vouchers on time.

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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 in 2020
alone.

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.

NHIA Service Providers who have any enquiries regarding their Claims submitted
should email their concerns to claimspayment@nhia.gov.gh for swift redress.

Source: NHIA Corporate Affairs Directorate

25/02/2020

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