Upper West Region to begin NHIS capitation in October

Prosper K. Kuorsoh, GNA

Wa, Sept. 1, GNA – The National Health
Insurance Authority (NHIA) has set October 1, 2016 as the date to kick start
the full implementation of the capitation in the Upper West Region.

Capitation is a new form of payment that will
allow the Authority to pay a per capita amount in advance to accredited health
provider facilities to provide health care services to its clients.

Mr Titus Sory, Deputy Director, Provider
Payment Directorate of the NHIA, said this during a stakeholder workshop on
capitation in Wa.

He said the purpose of the workshop was to
bring all key stakeholders up to speed on issues concerning the implementation
of the capitation.

He said phase one of the implementation of the
capitation started in the Ashanti Region, noting that the phase two included
the Upper West Region, Upper East and the Volta Region.

Mr Sory said so far 499,845 active members in
the region have chosen their Preferred Primary Provider (PPP), adding that
currently capitation would be working with 278 health care provider facilities.

The Deputy Director of the Provider Payment
Directorate appealed to the accredited facilities to make conscious efforts to
renew their mandate before the expiry date, warning that there would not be any
grace period for renewals.

Mr Sory said the enrolment of clients at
health facilities was a shared responsibility and appealed to service providers
to help educate the public on the need to choose health facilities close to
them as their PPP.

He explained that choosing a PPP would not tie
one to a particular health facility as one could always be referred to a
secondary health facility when his or her condition could not be handled at the
PPP level.

Mr Sory said the NHIS was aware of its
indebtedness to service providers adding that proactive measures are being put
in place to clear the debt before rolling out the implementation of the
capitation in October.

Mr Theophilos Owusu, Upper West Regional
Deputy Director of Health Services in charge of Clinical Care, appealed to
health providers to also take it upon themselves to educate the public and
urged them to enroll at their various health facilities to enhance


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