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Discover the Surprising Insights from Ghana's National Health Insurance Scheme Study That Could Transform Your Practice!

Discover the Surprising Insights from Ghana\'s National Health Insurance Scheme Study That Could Transform Your Practice!

Unlocking the Potential of Ghana's National Health Insurance Scheme: A Guide for Practitioners

The National Health Insurance Scheme (NHIS) in Ghana has been a pivotal development in reducing out-of-pocket healthcare expenses, aiming to achieve Universal Health Coverage (UHC). However, its financial sustainability remains a pressing concern. A recent qualitative study among key stakeholders provides valuable insights that practitioners can leverage to improve their skills and contribute to the scheme's success.

Key Findings and Practical Applications

1. Adoption of Capitation Payment Mechanisms

The study recommends adopting capitation as a provider payment mechanism. This approach minimizes fraud risk and protects against political interference. Practitioners can advocate for and implement this system within their practices to enhance financial transparency and efficiency.

2. Rapid Release of Statutory Deductions

Stakeholders emphasized the need for prompt releases of statutory deductions and taxes for NHIS providers to reduce reimbursement delays. Practitioners should work closely with policymakers to ensure timely financial flows that support uninterrupted service delivery.

3. Aligning with Community-Based Health Planning

The study suggests integrating NHIS with Community-based Health Planning and Services (CHPS) to include preventive and promotive health services. Practitioners can engage in community-based initiatives that focus on preventive care, which aligns with UHC goals.

4. Expanding the Benefit Package

There is a call to include preventive services and cancer treatments in the NHIS benefit package. Practitioners should advocate for comprehensive care models that address both preventive measures and chronic disease management.

Encouraging Further Research and Implementation

The findings offer a roadmap for enhancing NHIS's financial sustainability and achieving UHC. Practitioners are encouraged to delve deeper into these insights and consider conducting further research or pilot programs within their institutions.

Read the original research paper: Positioning the National Health Insurance for financial sustainability and Universal Health Coverage in Ghana: A qualitative study among key stakeholders


Citation: Aikins, M., Tabong, P. T.-N., Salari, P., Tediosi, F., Asenso-Boadi, F. M., & Akweongo, P. (2021). Positioning the National Health Insurance for financial sustainability and Universal Health Coverage in Ghana: A qualitative study among key stakeholders. PLoS One, 16(6), e0253109. https://doi.org/10.1371/journal.pone.0253109
Marnee Brick, President, TinyEYE Therapy Services

Author's Note: Marnee Brick, TinyEYE President, and her team collaborate to create our blogs. They share their insights and expertise in the field of Speech-Language Pathology, Online Therapy Services and Academic Research.

Connect with Marnee on LinkedIn to stay updated on the latest in Speech-Language Pathology and Online Therapy Services.

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