The National Health Insurance Authority (NHIA) has put in place stringent measures to crack down on all service providers and its staff who connive to defraud the authority of its limited resources
In an interview in Accra,
Recent ruling/two jailed
Citing the recent court ruling in which a former medical superintendent of the Esikado District Hospital,
He was convicted and sentenced together with his accomplice and brother, Francis Ametewee, who served at the records department of
In a calculated attempt, they systematically submitted the same names to the NHIA for payment to both the District Hospital and the private clinic.
Strengthening legal department
He said the authority was embarking on more clinical audits across the country and any “provider who is found culpable will not be spared.”
As part of the stringent measures,
He said the authority was also working to improve compliance (Clinical & Internal Audits) to mitigate fraud and amend the NHIS law to make crime against the scheme more punitive and a deterrent to potential fraudsters.
Finally, he said the authority was re-designing the financial model to increase premiums and/or processing fees: health tax on sugar, alcohol & tobacco, increase National Health Insurance Levy (NHIL) from 2.5 per cent to 3.5 per cent, one per cent deduction of employee salary to be matched by two per cent from employer and one per cent of the Ghana Infrastructure Fund (GIF) into the National Health Insurance Fund (NHIF) and 20 per cent of communication tax issued.
Mobile membership renewal
Currently, the NHIA is also testing the option to allow members to complete their annual membership renewals comfortably and safely from their mobile phones to reduce waiting time.
The NHIS mobile membership renewal service, which will be formally launched soon and rolled out in phases, is currently being piloted in Asuogyaman and West Manprusi districts.