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Good news for healthcare providers nationwide as NHIA disburses GH¢180m

The National Health Insurance Authority (NHIA) has distributed GH¢180 million to healthcare providers nationwide, primarily covering claims processed and approved up to December 2023.

National Health Insurance Scheme

In a statement released by the Acting Chief Executive, Dr. Da Costa Aboagye, dated March 26, 2024, it was emphasized that this disbursement aligns with the NHIA's role as the payer for healthcare services in Ghana, as specified in the National Health Insurance Scheme (NHIS) benefit package.

Dr. Aboagye highlighted that the NHIS benefit package encompasses over 95% of disease conditions and includes more than 550 formulations on the NHIS medicines list, ensuring comprehensive coverage for all diseases under the scheme.

Reiterating the NHIS's dedication to providing quality healthcare to its subscribers, Dr. Aboagye assured stakeholders of timely payments within the 90-day window for processed claims.

Emphasizing the importance of adherence to NHIS guidelines, Dr. Aboagye noted that healthcare providers operating under the NHIA must comply with the NHIS medicines list and service tariff.

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Failure to do so may result in sanctions. In response to prevailing economic conditions, Dr. Aboagye mentioned ongoing collaborative efforts with the Ghana Health Service, Christian Health Association of Ghana, and other stakeholders to review the NHIS Medicines Tariffs for necessary adjustments.

Addressing concerns regarding illegal fees and extortion experienced by NHIS members at certain healthcare facilities, Dr. Aboagye outlined plans to enhance public education, promote member entitlements, and engage communities to foster understanding and support for the NHIS.

He urged members to report instances of illegal charges or extortion to their local NHIS District Offices to effectively combat such practices.

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