Roll Out Capitation Nationwide …Or Suspend It In Ashanti, Service Providers Demand


THE HEALTH Insurance Service Providers Association of Ghana (HISPAG) has called on the National Health Insurance Authority (NHIA) to either embark on a nation wide roll-out of the Capitation Policy or suspend its pilot implementation in the Ashanti Region.

The service providers say two years is long enough for the NHIA to evaluate the policy and make concrete decision, either to roll it out across the country or suspend its implementation in the Ashanti Region.

HISPAG is further calling on the authority to adequately address the challenges and difficulties emanating from the pilot implementation and ensure that other regions do not encounter similar problems, in an event of a nationwide rollout.

Disclosing the outcome of a meeting held between the National Executive Council of HISPAG with NHIA on January 23, this year, the Council admitted that the pilot system of the capitation could no longer be accepted and demanded from the authority to boldly come out as to the way forward.

HISPAG, amongst other demands, also called for the immediate payment of arrears, at least, from November 2013.

The Health Insurance Service Providers Association of Ghana (HISPAG), accredited body of NHIA clients in the country, also demanded answers from the Ministry of Finance over its failure to implement Act 852, Sub-section 1, of the NHIA Act, which requires the Ministry to release funds to the authority for onward payment to the service providers.

The Association says the failure by the Finance Ministry to strictly abide by the Act, which requires that the Ministry shall within 30 days after collection of the levy, cause the payment of such levies into a fund for onward transmission to the Health Ministry and the NHIA.

According to HISPAG, the situation has accounted for the delay which they claim, is adversely affecting their operations.

The Service Providers noted that the Finance Ministry, the Health Ministry and the NHIA have woefully failed in their mandates, per the NHIA Act and that this has led to the huge arrears and constant delay in payment of claims to providers.

The association also prayed the NHIA to increase the capitation rate from GH¢2.27 to at least GH¢12.00 -while further calling on the Health Ministry and the Insurance Authority to furnish service providers with detailed and comprehensive explanation regarding road map of the Preferred Primary Provider (PPP) which is expected to be rolled out.

The CEO of HISPAG, Frank Richard Torblu, pointed out that it would continue to engage the various stakeholders on the effective implementation of the policy, and appealed to all its members across the country to desist from acts that could undermine the negotiation process and compromise quality of health delivery to the citizenry.

‘HISPAG is readily committed to quality health delivery and we believe that the NHIA will live up to its promise made to us during the fruitful deliberations,’ it noted.  

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