The National Health Insurance Authority (NHIA) has released GH¢400 million to pay outstanding claims to healthcare providers across the country.
The payment covers claims for April and May 2024, demonstrating the NHIA’s ongoing commitment to enhancing the sustainability and efficiency of healthcare delivery under the National Health Insurance Scheme (NHIS).
Chief Executive Officer, of NHIA, Dr. Da-Costa Aboagye, highlighted in a statement that this disbursement reflects the Authority’s ongoing efforts to ensure smooth healthcare delivery under the scheme.
“The NHIA’s continuous efforts to release funds in a timely manner are intended to ensure that outstanding payments are within the agreed three-month reimbursement period. This substantial release not only bridges the debt gap, but also reinforces our commitment to a robust and efficient healthcare system,” he said.
He further emphasised that prompt payment is crucial for enhancing the quality of care provided to NHIS members and supporting the operational needs of healthcare facilities.
Dr. Aboagye noted that the NHIA’s commitment to its payment obligation is seen as a positive step towards strengthening Ghana’s healthcare system, maintaining robust partnerships with healthcare facilities, and ensuring the delivery of quality healthcare services to all NHIS subscribers.
“The Authority remains committed to ensuring that the NHIS continues to provide comprehensive coverage and to supporting healthcare providers in their essential roles,” the statement said.
“Currently, the NHIS Benefit Package covers over 95% of disease conditions that afflict residents and is supported with over 550 formulations on the NHIS medicines list to take care of all the diseases covered under the scheme,” he said.
Dr. Aboagye expressed the NHIA’s appreciation to healthcare providers for their dedication and support, acknowledging their crucial role in the success of the NHIS.
He assured stakeholders that the NHIA remains committed to engaging with them to address any concerns and improve the efficiency of service delivery, claims processing, and payments.
Payment History
The National Health Insurance Authority (NHIA) has been actively working to settle outstanding claims from healthcare providers across the country.
Earlier this year, the NHIA released GH¢300 million to cover claims up to January 2024 for various health facilities.
In recent months, the NHIA has made several significant payments.
On August 17, 2024, the NHIA released GH¢151 million to cover claims from March 2024 for higher-tier healthcare providers and from April 2024 for lower-tier facilities.
This was preceded by a GH¢135.6 million payment in July, which settled claims up to February 2024 for higher-tier providers and up to March 2024 for lower-tier facilities.
Additionally, on April 30, 2024, the NHIA released GH¢170,775,035.07 to cover predominantly claims of January and February 2024 for lower-tier facilities, which form the majority of healthcare providers, and up to November 2023 for upper-tier facilities and healthcare providers.
Furthermore, on March 22, 2024, the NHIA paid GH¢180 million to various categories of healthcare providers across the country for claims submitted and vetted up to December 2023.
On February 13, 2024, the NHIA paid GH¢130,244,000.00 to 4,850 Mission, Public, Private, and Quasi-Public healthcare providers nationwide largely for claims submitted for the month of October 2023.
These payments demonstrate the NHIA’s commitment to supporting healthcare providers and ensuring the sustainability of the National Health Insurance Scheme (NHIS).
Story By Daily Guide
