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Positioning the national health insurance scheme  (NHIS) for financial sustainability and universal health coverage (UHC) in Ghana: A qualitative study among key stakeholders - P4H Network

Positioning the national health insurance scheme  (NHIS) for financial sustainability and universal health coverage (UHC) in Ghana: A qualitative study among key stakeholders

Ghana introduced the NHIS in 2003 to reduce out-of-pocket payments for health care. Over a decade of its implementation, challenges about the financial sustainability of this pro-poor policy remain despite its critical role in attaining UHC. The authors conducted this study to elicit stakeholders’ views on ways to improve  NHIS’ financial sustainability. Twenty (20) stakeholders from Ministry of Health, Ghana Health Services, health workers groups, private medical practitioners, civil society organizations and developmental partners were interviewed. Stakeholders noted that the NHIS is currently unable to meet its financial obligations. They therefore suggested the following; first the adoption of capitation as a provider payment mechanism to share the risk between the provider and the client. Second, ensuring rapid releases of specific statutory deductions and taxes for NHIS providers could reduce delays in claims’ reimbursement which is one of the main challenges faced by healthcare providers.
 
The full paper can be accessed using the link, below.