The National Health Insurance Authority (NHIA) has commenced training of tier 3 healthcare providers across the country.
These cohort of providers comprise CHPS Compounds, health centers and maternity homes who together form the majority of healthcare facilities credentialed to serve the National Health Insurance Scheme (NHIS) members at the Primary Health Care level.
Under this partnership, the World Bank Group is offering Twenty-Seven Million, Seven Hundred Thousand United States Dollars ($27.7 M) to the NHIA, to increase the NHIS annual active membership, and as well facilitate Claims processing and payments for these service providers within a maximum period of 90 (Ninety) days.
In line with the global agenda of attaining Universal Health Coverage (UHC) by the year 2030, this partnership will see the expansion of population-wide insurance coverage and enhance financing for primary health care services. Funding from the NHIA/S constitutes over Eighty Percent (80%) of internally generated funds of most healthcare facilities in Ghana.
The training program, currently ongoing in the Northern and Middle Belt, gathered health professionals and administrators on a zonal basis and built their capacities on expedited Claims generation and submission, electronic credentialing processes, and the Electronic Claims Management Systems (Claim – IT) which is the NHIA’s innovative system that has enabled the generation and submission of quality Claims thereby reducing wastage and leakages.At the training program at Tamale in the Northern Region, the Chairman of the Project Committee, Dr. Gustav Cruickshank, underscored the need for participants to take the training very serious and see it as a catalyst to boost their revenue while ensuring that quality healthcare is provided to NHIS Members.
Dr. Abigail Nyarko Codjoe Derkyi-Kwarteng (Ag. Director of Claims) also explained the importance of this program as it facilitates the achievement of the Sustainable Development Goals (SDG) 3 target 8 that Ghana aspires to attain.
In his remarks, Mr. Oswald Essuah-Mensah (Ag. Director of Corporate Affairs) also thanked health providers for their partnership with the Scheme for the past 20 years and numerated some successes chalked together.
He also re-echoed the need for providers to eliminate out of pocket charges demanded of NHIS members as it weakens their confidence in the Scheme and to work together to solve this monumental challenge to the Scheme.
The training was facilitated by Mr. Isaac Akonde, Deputy Director, CPC Tamale, Mr. Francis Sampana-Zuure Senior Manager CPC, Ms. Nadia Antwi, Mr. Eric Nazar, and Mr. Oscar Addae, all Managers at the NHIA.
The Northern Regional Director, Issahaque Abdul Latif also praised the providers in the region for their support to the Scheme over the years.