1 / 12

NATIONAL HEALTH INSURANCE AUTHORITY

NATIONAL HEALTH INSURANCE AUTHORITY. PRESENTATION AT THE DONOR FORUM ON WORLD BANK GROUP PARTERNSHIP, PROGRAMS AND TRUST FUNDS PARIS, FRANCE MAY 20-21, 2008 BY RAS A. BOATENG (CHIEF EXECUTIVE). Outline Of Presentation. Overview of Health Insurance Act Private Sector Participation

dylan
Télécharger la présentation

NATIONAL HEALTH INSURANCE AUTHORITY

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. NATIONAL HEALTH INSURANCE AUTHORITY PRESENTATIONAT THE DONOR FORUM ON WORLD BANK GROUP PARTERNSHIP, PROGRAMS AND TRUST FUNDS PARIS, FRANCE MAY 20-21, 2008 BY RAS A. BOATENG (CHIEF EXECUTIVE)

  2. Outline Of Presentation • Overview of Health Insurance Act • Private Sector Participation • Status of Implementation • Challenges • Strategies to address challenges

  3. ACT 650 NATIONAL HEALTH INSURANCE COUNCIL TYPES OF HEALTH INSURANCE SCHEMES NATIONAL HEALTH INSURANCE FUND Implement NHI Policy Subsidize Cost to DMHIS Establishment of District Mutual Health Insurance Education Programs Register, license & Regulate HIS Reinsure DMHIS against cost fluctuations Establishment of Private Commercial Health Insurance Grant accreditation to Healthcare Providers Fund Indigent Healthcare cost Determine Premiums Establishment of Private Mutual Health Insurance Provide access to health service Manage NHI Fund Promote Health Education Overview Of Health Insurance Act

  4. Private Sector Contribution to the growth of Health Insurance in Ghana • 1993: Nationwide Mutual Medical Insurance Scheme (by the Private Medical Practitioners Association; reached subscriber base of 20,000 people in 2 years, corporate subscribers paid premia annually, half yearly or quarterly and was based on the benefits level) • 1997: Metropolitan Health Insurance Plan (by Metropolitan Insurance company Ltd., As at September 2001, 15,000 subscribers were on full cover, 25,000 on partial cover. Over 100 companies had subscribed. Had designed a package for the educational sector workers and was working with Defence to design one for the Civilian workers/dependants of the Military) • 1999: The Ghana Healthcare Company (by SSNIT but still at gestation period) • The Nkoranza Community based Mutual Health Scheme

  5. Private Sector Participation in NHIS Implementation (Financing side) • Gemini Life Insurance Company • Vanguard Assurance • Momentum Health Insurance

  6. Private Sector Participation in NHIS Implementation (Provider side)

  7. Percentage Market Share of Health Service Provision

  8. Status of Implementation

  9. Status of Implementation (Cont’d)

  10. Challenges of the Private Sector in Health Private Health Insurance side: initial capitalisation, e.g. the security deposit Private Provider side: disincentive in locating at hard to reach areas Initial capitalisation Technical Personnel

  11. Incentivise private providers to operate in hard to reach areas. Use of accreditation of existing private providers to redistribute health facilities to improve geographical access Encouraging Ghanaian doctors/Nurses in Diaspora to relocate and establish modern health facilities in the country through the franchise idea Proposed strategies to address challenges

  12. END OF PRESENTATION THANK YOU

More Related