NHIS increase in the proposal: real concern, or a lack of careful management?



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In early July, Dr. Samuel Annor, Chief Executive Officer of the National Health Insurance Authority, requested an increase in the national insurance contribution in order to save the national health insurance scheme of the total collapse. He was convinced that an increase of 3.5% over the current 2.5% would go a long way in properly funding the system.

"For what we are currently using, 2.5% VAT and 2.5% SSNIT is clearly not enough, that's about $ 25 per person for a whole year." As a nation, we need about $ 100 per person per year. " – Dr. Samuel Annor

His argument is that since membership in the NHIS has increased in response to growing demand, and taking into account the rising cost of health care, it would be an appropriate step to take in addition to placing a health tax on alcohol, tobacco and sugar.

However, Sydney Casely Hayford, a social commentator, did not delay in expressing his disagreement with him – describing the call for an increase in the distribution of funding as useless. Instead, Mr. Casely Hayford suggested that the NHIA engage the private sector to generate more revenue, saying "The NHIA should reduce their demand because they can find different ways of doing business." remove the responsibility to pay for all these services NHIS, National Health Insurance Scheme, Ghana, NHIA, National Health Insurance Authority "width =" 960 "height =" 640 "srcset =" https: //www.jbklutse.com/wp-content/uploads/2018/07/FB_IMG_1499652804893.jpg 960w, https://www.jbklutse.com/wp-content/uploads/2018/07/FB_IMG_1499652804893-300×200.jpg 300w, https://www.jbklutse.com/wp-content/uploads/2018/07/FB_IMG_1499652804893-768×512.jpg 768w, https://www.jbklutse.com/wp-content/uploads/2018/07/FB_IMG_1499652804893-750×500 .jpg 750w "sizes =" (max-width: 960px) 100vw, 960px "/>

Sydney Casely Hayford

In all this, however, there is one left. I wonder if the NHIA really needs more money or if it can manage with prudent management. Indeed, not so long ago, the Ghana audit service accused the NHIA of wasting and abusing procurement practices.
According to the audit report, the program could lose nearly 23 million GHS, more than 3 million Regarding unjustified payments, last week a document dated 16 March 2018 in which the Deputy Majority Leader Sarah Adwoa Safo has asked the NHIA for $ 8,500 to fund a trip to the United States. Although she admitted to having made this request, she and the authority denied that payments had been made in this regard "after Parliament agreed to sponsor the educational program".

So what would have happened? And why choose the troubled NHIA in the first place?
The NHIS is important enough for the majority of citizens, and a lot needs to be done to make it sustainable, including cautious steps to reduce costs "under the table" that make it lose money. For the moment, whether it is a real concern or a simple problem of careful management, we will leave it for the days and debates ahead.

About the NHIA
The National Health Insurance Authority (NHIA) under the National Health Insurance Act of 2003, Bill 650, for the purpose of n. obtain universal health insurance coverage for people residing in the country, people who do not reside in the country and who have access to it. In October 2012, a new law, Law 852, replaced the ACT 650 to consolidate the NHIS, remove administrative bottlenecks, introduce transparency, reduce opportunities for corruption and gaming system, and ensure more effective governance of the plans. – Source National Health Insurance System

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