The Greater Accra Regional Director of the National Health Insurance Authority (NHIA) Mr.Bernard Brown is challenging stakeholders of the National Health Insurance Scheme (NHIS) to see to it that the scheme is kept operating from generations to generations.
According to the Director, the policy with its numerous benefits to citizens must be kept operational for all as it has over the years secured quality healthcare delivery for citizens mostly from the lower social class. He opined that, for the scheme to be sustained, the administration and monitoring of the NHIS must be corruption free and devoid of any spurious claims. He said,
” There should be no fraud or spurious claims whiles the gatekeeper system must be actively working.”
Mr.Brown in his speech at the third-quarter stakeholder’s engagement meeting in Accra reiterated that stakeholders such as health insurance managers, service providers (hospitals and pharmacies) and insurance subscribers played a critical role in ensuring the sustainability of the scheme, as the activities of every stakeholder could either collapse the scheme or ensure its perpetuity.
He said the meeting was essential because the law, which established the NHIS talks of the golden tripod – thus, the provider, the payer, and their cherished clients are beneficiaries of the scheme making the NHIS the biggest social interventions by the government.
Touching on corruption and fraud, Mr. Brown noted that the Authority was expediting actions to establish an e-claim system to curb the fraudulent claim of payments and to cap all revenue leakages. He revealed that the Authority’s clinical audit and legal departments were also being empowered to enable them to deliver on their mandates.
The aim of the meeting was to create the platform for officers of the NHIA and stakeholders involved in the administration of the NHIS especially service providers to discuss new policies that would help sustain the scheme.
By: Elliot Ayertey Nuertey/universnewsroom