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The report reviews Ghana’s National Health Insurance Scheme (NHIS), established by Acts 650 (2003) and 852 (2012), highlighting its success in providing affordable healthcare to millions while identifying key challenges threatening its sustainability. Despite strengths like a unified insurance system and equitable benefit package, issues like delayed provider payments, unauthorized charges, and operational inefficiencies persist. The NHIS Technical Review Committee, appointed by the President, suggests reforms to enhance sustainability and efficiency, including cost control measures, strategic purchasing, and better alignment with national health priorities.