The Health Insurance Service Providers Association of Ghana (HISPAG) has said it will reconsider its threat of reverting to the cash-and-carry system of health provision in the country.
This follows an agreement between the group and the National Health Insurance Authority (NHIA) after a meeting on Friday.
HISPAG had threatened to demand cash from NHIS subscribers when they come to various health centres due to outstanding arrears being owed them by government.
But, at the just ended meeting, the NHIA assured the service providers that it would soon pay the outstanding arrears.
A statement signed at the end of the meeting said “that HISPAG shall continue to provide service to NHIS members while the NHIA works to settle a good part of the arrears in one month.”
“The NHIA shall continue to work with the Ministry of Health for the approval and subsequent implementation of the 2015/2016 NHIS Tariffs and Medicines List by March 15, 2015 to ensure cost of medical care provision at NHIS credentialed facilities reflects market realities,” the statement said.
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The statement also added that “HISPAG shall work with its members to resolve issues of compliance with NHIS procedures and processes that affect reimbursement of claims to providers.” This is because according to the NHIA service providers whose credentialing status has expired will not be reimbursed for services provided within the period of credentialing expiry. This is part of measures the NHIA is putting in place to ensure compliance with regulations and procedures established by the health Insurance Act, 2012, Act 852 which regulates the NHIS."
"The NHIA and other stakeholders shall continue to make the case for an even more improved flow of funds to facilitate provision of quality healthcare at NHIS credentialed facilities,” the statement said.
The NHIA is currently owing services providers about 5 months arrears.
Calculation on how much the Authority pays for conditions and medicines covered under the Scheme are jointly done and agreed on by the NHIA and various stakeholders including service providers, which is then approved by the Ministry of Health before implementation.
This is to ensure that prices the NHIA pays for its services reflect realities on the market.