ACCOUNTING TO THE PEOPLE

28 #ChangingLives
#ChangingLives
#TransformingGhana #TransformingGhana 29
500-bed Kumasi Military Hospital, Nkawie Afari
420-bed Ridge Hospital Expansion Project, Accra
The
National
Health
Insurance
Scheme
The National Health Insurance
Scheme continues to grow
impressively. The following vital
performance indicators amplify the
positive growth:
• Out-patient utilisation of the
NHIS rose to 29.6 million in
2014 from 16.6 million in 2009
and 597,000 in 2005 - this is the
number of visits made to health
facilities in the respective years on
the account of the NHIS for only
outpatient cases.
This is positive because people now
visit the hospitals often for their
healthcare needs. It reflects the
improved health-seeking behaviour
and outcomes of Ghanaians;
• The National Health Insurance
Authority (NHIA) paid an
unprecedented GH¢1.073 billion
in claims in 2014 as compared to
GH¢748 million in 2013, GH¢362
million in 2009 and GH¢7.6
million in 2005.
• Comparatively the claims
payments in 2005 and 2014
represents a 14,018.4% increase.
This exponential growth is a clear
indication that the National Health
Insurance Scheme is robust and
serving the needs of Ghanaians
The Authority is carrying out
a number of reforms aimed at
responding to the evolving needs of
Ghanaians. These include:
UTILISATION
• The establishment of new Claims
Processing Centres (CPCs) across
the country. In 2010, the first CPC
was established in Accra. In 2013,
the CPC model was rolled out in
Tamale, Cape Coast and Kumasi.
The CPC in Accra takes care of
claims from Greater Accra, Volta
and Eastern Regions, while the CPC
in Tamale manages claims from the
NHIS Outpatient Utilisation Trend
Northern, Upper East and Upper
West Regions.
The CPC in Kumasi processes
claims from Ashanti and Brong
Ahafo Regions, and the CPC in Cape
Coast takes care of Central and
Western Regions. This has injected
efficiency in the processing of claims
payment.