{"id":28770,"date":"2014-06-30T16:31:53","date_gmt":"2014-06-30T16:31:53","guid":{"rendered":"http:\/\/4cd.e16.myftpupload.com\/?p=28770"},"modified":"2014-06-30T16:31:53","modified_gmt":"2014-06-30T16:31:53","slug":"hispag-to-turn-away-nhis-card-bearers","status":"publish","type":"post","link":"https:\/\/citifmonline.com\/2014\/06\/hispag-to-turn-away-nhis-card-bearers\/","title":{"rendered":"HISPAG to turn away NHIS card bearers"},"content":{"rendered":"
The Health Insurance Service Providers Association of Ghana (HISPAG) has served notice to join the Christian Health Association of Ghana (CHAG) to turn away National Health Insurance Scheme (NHIS)\u00a0cards holders from July 2.<\/p>\n
The Director of Operations and Communication of HISPAG, Anthony Ameka threatened that \u201cwe may join the CHAG if the NHIA is unable to address the issues raised by the CHAG by 2nd July.\u201d<\/p>\n
The Health Insurance Service Providers say the payment for services they provided have been in arrears for eight months.<\/p>\n
This was contained in a communiqu\u00e9 after a three-day meeting in the Kumasi in the Ashanti Region.<\/p>\n
According Mr. Ameka, despite the Health Ministry\u2019s earlier assurance that it will resolve their outstanding issues it has not made any such attempt yet.<\/p>\n
\u201cThe ministry has not engaged service providers for any discussion up to date\u201d said Mr. Ameka<\/p>\n
<\/p>\n
Below is the communiqu\u00e9<\/strong><\/p>\n COMMUNIQU\u00c9 ISSUED AT THE END OF STAKEHOLDERS MEETING OF THE HEALTH INSURANCE SERVICE PROVIDERS ASSOCIATION\u00a0 OF GHANA <\/span>(HISPAG) <\/span>HELD FROM 26TH<\/sup>\u00a0 TO 28TH<\/sup> OF JUNE, 2014 AT <\/span>DICKSON HALL,<\/span> ANITA HOTEL, E<\/span>JISU<\/span><\/strong><\/p>\n <\/p>\n 1. PREAMBLE<\/b><\/p>\n The National Health Insurance Scheme (NHIS) is unquestionably one of the best pro-poor social intervention mechanisms rolled out in Ghana. This is reflected generally in the ever increasing accessibility figures captured at our health facilities throughout the country. Indeed this is in line with the equity values and the resolve of Health Insurance Service Providers to ensure universal access to quality healthcare to all residents of Ghana. We further acknowledge Government\u2019s determination to introduce innovative ways of managing the scheme in spite of financial challenges confronting it.<\/p>\n 2. THE PREVAILING SITUATION<\/b><\/p>\n Regrettably, the National Health Insurance Authority (NHIA) has repeatedly delayed in payment of claims to service providers nationwide and is currently indebted to some of our member institutions, for an average of 7 to 8 months, a situation being witnessed by some health service providers in parts of the Ashanti, Upper East and Northern Regions.<\/p>\n Also worthy of note is the fact that the current NHIA tariffs are low, that is below the market prices of required inputs for services. Review of tariffs for services and medicines also take too long. For instance, medicines tariffs were last reviewed in March 2013 and that of the Ghana-Diagnostic Related Groupings (G-DRGs) as far back as 2012.<\/p>\n None of the tariffs have kept pace with the increasing rate of inflation. The low tariffs coupled with delayed payment have resulted to significant financial challenges to service providers, making it nearly impossible for the service providers to remain financially viable. The situation is further compounded by the recent introduction of VAT of 17.5% on the cost of medicines which is not reimbursed by the NHIA.<\/p>\n The current capitation payment model is also defeating the National policy on primary health care and reducing geographical access to quality health services in remote and hard to reach communities because the clinics located there are unable to continue to provide services.<\/p>\n Additionally, there is no functional contract between the NHIA and service providers; the relationship between the two parties has been premised on good faith and the desire of both parties to ensure the availability of quality healthcare to the people of Ghana. This has been to the detriment of service providers since the NHIA assumes no liability for not fulfilling its part of the partnership scheduled payments and economic tariffs.<\/p>\n Similarly, the present Act 852, Act 2012 has no regulation to guide its implementation.<\/p>\n The NHIA follows a differential payment schedule in reimbursing service providers a situation in which some provides are far ahead of others in terms of payment. For example service providers in the Bawku Municipal are far behind their counterparts in the Upper East Region when it comes to reimbursement because the other districts submit their claims to their district schemes for vetting and payment while those in Bawku Municipal are made to the Claims Processing Centre (CPC) in Tamale.<\/p>\n HISPAG notes that biometric authentication machines are been supplied to service providers who are been levied GH\u20a1 200.00 as monthly maintenance fee.<\/p>\n 3. IMPACT ON FACILITIES<\/b><\/p>\n <\/b>The current situation has culminated into the following:<\/span><\/p>\n 4. RECOMMENDATION TO THE GOVERNMENT<\/b><\/p>\n HISPAG makes the following recommendations to the Government of Ghana in respect of the current circumstances confronting the National Health Insurance Authority and service providers.<\/p>\n CONCLUSION<\/b><\/p>\n Our duty to provide health services remains paramount to us. From the National Health Insurance Act 852, we appreciate that the client has already paid for his\/her care through the NHIL and direct payment of insurance premiums. We note with serious concern the inability of the NHIA to meet its commitment and obligation to pay for services rendered to its card bearers by service providers. This is causing hardship to service providers and limiting the availability and accessibility to quality healthcare to the clients we care for.<\/p>\n Under the prevailing situation, service providers may be unable to continue to recognize the NHIS membership as a means of payment for services rendered to clients. This notwithstanding, all clients who deserve emergency services from service providers across the country will be attended to and given the right care.<\/p>\n It is the fervent hope and belief of HISPAG that the issues brought to the fore and recommendations offered will be seriously considered and promptly addressed by the Government in the interest of all people living in Ghana.<\/p>\n <\/p>\n <\/p>\n By: Magdalene Larnyoh\/citifmonline.com\/Ghana<\/span><\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" The Health Insurance Service Providers Association of Ghana (HISPAG) has served notice to join the Christian Health Association of Ghana (CHAG) to turn away National Health Insurance Scheme (NHIS)\u00a0cards holders from July 2. The Director of Operations and Communication of HISPAG, Anthony Ameka threatened that \u201cwe may join the CHAG if the NHIA is unable […]<\/p>\n","protected":false},"author":5,"featured_media":3079,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[],"tags":[15],"yoast_head":"\n\n
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