The National Health Insurance Authority (NHIA) has made substantial payments to
service providers to reduce the outstanding claims due them.
Last Monday the Minister of Finance, Hon. Ken Ofori-Atta announced in Parliament that
the government had made available an amount of GHS 300 million to the Authority as
part of measures to provide liquidity to healthcare providers and the pharmaceutical
industry to help fight the COVID-19 pandemic currently facing the country.
Subsequently, as at 7th April, 2020 barely a week after the announcement, the NHIA
has released GHS 207, 539, 276.62 Million so far to its credentialed service providers.
The on-going payments will move lower tier providers (CHPS, health centers and
maternity homes) claims paid close to November 2019.
In the order of payments, public health facilities received Ghs106, 484, 179.54
representing 51.3% of the payments whiles the private service providers have been
paid Ghs57,845,459.99 pegged at 27.9%.
Mission health facilities (CHAG) have received Ghs40, 227, 826.58 representing 19.4%
and Quasi-Government service providers have been paid Ghs2, 981,810.51
representing 1.4% of the total payments made so far.
For this year 2020 alone, the NHIA has so far paid out a total of Ghs363, 930, 660.51 to
service providers and aims to further reduce any outstanding claims to ensure that
NHIS members continue to receive quality healthcare across the country.
As part of efforts to reduce congestion and staff risk of contracting the COVID-19, all
NHIS District Offices outside the lockdown areas are operating at a reduced capacity.
The four (4) Claims Processing Centre’s (CPC’s) throughout the country will only
receive manual claims invoices by appointment whereas electronic claims submissions
can be made online at any time.
NHIS members are also advised to renew their membership promptly by dialing
*929# from any mobile network with a mobile wallet to enjoy uninterrupted
healthcare services.
Revised NHIS Medicines List
In accordance with NHI Act 2012, (Act 852) section 33, subsection 2, the Health
Minister, Hon. Kwaku Agyemang – Manu on 7th April, 2020 approved the revised NHIS
Medicines List.
The NHIS Medicines list was reviewed in consultation with healthcare providers and
relevant stakeholders and its implementation is effective 1st April, 2020. The approved
Medicines List will be available on the NHIS website – www.nhis.gov.gh.
Background
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 inception, 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.
