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The National Health Insurance Authority (NHIA) has released GH¢400 million out of
800Million to be paid to facilities to address outstanding claims from healthcare providers
nationwide. This significant disbursement covers claims for April and May of this year and
underscores the NHIA’s steadfast commitment to improving the sustainability and
efficiency of healthcare delivery under the National Health Insurance Scheme (NHIS).
This substantial release not only bridges the debt gap but also reinforces our commitment
to a robust and efficient healthcare system. Our continuous efforts to release funds in a
timely manner are intended to ensure that outstanding payments are within the agreed
three-month reimbursement period.
The payment is crucial for enhancing the quality of care provided to NHIS members and
supporting the operational needs of healthcare facilities. The recent payment follows a
series of previous disbursements aimed at settling outstanding claims:
- Earlier in the year, GH¢300 million was released to cover claims up to January 2024 for
various health facilities.
- 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.
- On Tuesday, April 30, 2024, the NHIA released GHS170,775,035.07 to cover
predominantly claims of January and February 2024 for lower-tier facilities, who form the
majority of healthcare providers, and up to November 2023 for upper-tier facilities and
healthcare providers.
Your access to healthcare
- On Friday, 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 GHS130,244,000.00 to 4,850 Mission, Public,
Private, and Quasi-Public healthcare providers nationwide largely for claims submitted for
the month of October 2023.
Prompt payment enhances the quality of care provided to NHIS members and supports
the operational needs of healthcare facilities. The NHIA’s ongoing financial support is a
positive step towards strengthening Ghana’s healthcare system, maintaining strong
partnerships with healthcare providers, and ensuring the delivery of quality healthcare
services to all NHIS subscribers.
Currently, the NHIS Benefit Package covers over 95 percent of disease conditions affecting
residents and includes over 550 formulations on the NHIS medicines list, ensuring
comprehensive coverage for all diseases under the scheme.
We are grateful to healthcare providers for their dedication and crucial role in the success
of the NHIS. The NHIA assures stakeholders that it remains committed to engaging with
them to address any concerns and improve the efficiency of service delivery, claims
processing, and payments
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