Home Health Blame NHIA for shortage of drugs- Service Providers

Blame NHIA for shortage of drugs- Service Providers

The Scheme Manager expressed concern about abuse and defrauding of the Scheme by both clients and Health Service Providers.

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Health Service Providers have attributed the shortages of medicine in health facilities to the delay in the reimbursement by the National Health Insurance Authority(NHIA).

National Health Insurance Authority (NHIA)
National Health Insurance Authority (NHIA)

The Health Service Providers under the National Health Insurance Scheme (NHIS) made the observation during a stakeholder’s engagement meeting organized by the Directorate of the Bawku West District NHIS at Zebilla in the Upper East Region.

This came up because the clients of the Scheme accused the Health Service Providers of prescribing medicines for them to buy outside the health facilities, instead of giving them the medicines covered by the scheme.
However, responding, the District Scheme Manager, Mr Akuure Dennis Apam, told the stakeholders that with the introduction of the Capitation Model by the scheme, there would be no more delays in reimbursement.

He explained that currently the scheme was implementing the capitation model where money would be paid directly to the Health Service Providers to provide health services, and assured the subscribers that they would not experience such problems when the model was fully implemented.

The Scheme Manager expressed concern about abuse and defrauding of the Scheme by both clients and Health Service Providers, and said another new intervention which was being implemented to help improve upon the effective running of the Scheme was the Biometric Card Registration which was on-going.

Mr Apam blamed some Health Service Providers for billing the Scheme for drugs that had not been provided to clients, and also accepting inactive cards.

He warned them to desist from such acts since it was a breach of contract.
He mentioned the persistent shortage of drugs at most facilities, multiple attendance by clients, adverse selection by clients , inadequate staff, inadequate office accommodation, limited means of transport, frequent and prolonged network challenges coupled with equipment breakdowns, as some of the major challenges facing the scheme.

He disclosed that among the achievements for the third quarter, the Scheme made 64 per cent coverage of the vulnerable groups, 84 per cent coverage of school children , premium mobilization for the period 89 per cent and 93 per cent of expected site visits .

He gave the assurance that before the end of the year, the scheme would have achieved all its set targets, and entreated the stakeholders, including traditional and religious leaders, to see the scheme as their own property, by helping to contribute to its sustainability.

GNA

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