Health Insurance Capitation in VR will be a model – Akototse

NHIA Blood Donation

NHIA Blood Donation

Sogakope (V/R) , April 27, GNA The National Health Insurance Authority (NHIA) says it is resolved to make Volta Region, a model in the implementation of the Health Insurance Capitation Policy in the country.

Mr Elliot Nestor Akototse, Regional Manager, NHIA made this known when he addressed the 4th  Regional NHIA Annual Performance Review Meeting at Sogakope.

He said the policy is laudable and when carefully implemented, would enhance the benefits of members of the scheme.

The meeting, which was attended by 80 Regional and District Managers and key staff was to assess the past and chart a new course.

Mr Akototse said everything is being done to avoid the pitfalls which bedeviled the takeoff of the policy in the Ashanti Region.

What we identified to be the difficulty in the Ashanti Region about the policy was lack of adequate education on it, he said.

Mr Akototse said a Regional Capitation Implementation Committee would soon be established, followed by district committees, while intensive sensitisation and engagements would continue to run everywhere for a successful implementation.

Capitation is a win-win reimbursement policy beneficial for the scheme, subscribers and providers and it has practically taken off in the region and we have not been resting.

Our healthcare providers and subscribers eagerly await us for a successful Capitation and its related Biometric Membership System and E-Claims and we cannot fail them, he stated.

Mr Akototse  who gave the regional status report said a total of 985,453 active members were on the Schemes records in 2013, 43 per cent in relation to the regional population figure of 2,287,710.

He said coverage was 34.88 per cent  in 2012 and target set for 2013 was 40 per cent.

Mr Akototse said a total of 331,094 new members were registered in 2013, yielding a total of GH 2, 432,125.67 from premiums and GH 19, 968,934 as processing fees.

He said a total of 48,157 pregnant women were also covered under the free maternal programme.

Mr Andy-Samuel Dormevenu, Regional NHIA Management Information Systems Coordinator said it is important that all those in the NHIA setup are abreast of the Capitation Policy and its related Preferred Primary Provider (PPP) regime and to able to explain it clearly.

He said under the PPP, subscribers would be selecting a preferred healthcare facility and visit only that for a maxim six months, after which, they could opt for a change.

Mr Dormevenu, said the PPP is not binding on emergency situations, and also upon evidential complaint, one may change the PPP before term.

Mrs Helen Sarpong-Akorsah, South-Tongu District Director, Ghana Health Services, commended the region for exceeding it coverage target, but was quick in reminding the people  not to become complacent.


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