NHIA lists facilities earmarked for suspension for illegal charges
Dr. Bernard Okoe Boye
The Chief Executive Officer for National Health Insurance Authority (NHIA) Hon. Dr. Bernard Okoe Boye signed the release containing the listed facilities earmarked for suspension for illegal charges.
In the release, it was indicated that “In accordance with the NHIS Act 852, section 35 (1 & 2), the Authority is to ensure that the approved medicine list and tariffs were adhered to by the credentialed health service providers.
The release further stated the complaints NHIA has been receiving over the subject matter. “There have been several complaints from our cherished members on illegal charges on services, investigations, and medicines within the NHIS Benefit Package, which has been confirmed by the Authority.
This practice is an affront to Section 35 (1) of Act 852 and point 16.0 on “Forbidden Conduct” as detailed in the Master Provider Service Agreement signed with the Authority.
NHIS listed the CHAG facilities earmarked for suspension.
The Region, name of facilities, and illegal payment type (Service, Medicine, Investigation)
1. NORTHERN REGION – Assemblies of Gods (Saboba District)
- Illegal payment type – Service, Medicine, Investigation, etc
2. NORTHERN REGION – SDA Hospital & Kings Medical Medicine and Investigation Hospital (Tamale Metro & Tolon District)
- Illegal payment type – Medicine and Investigation
3. ASHANTI REGION – SDA Hospital, Kwadaso
Illegal payment –
- SERVICES- ADDITIONAL CHARGES
- MEDICINES- TOP-UP
- INVESTIGATIONS (LABS AND PROCEDURES)- TOP-UP
4. OTI REGION – St. Mary Theresa Hospital
- Illegal payment type – TOP-UPS FOR DRUGS
NHIA added “The above-mentioned facility’s activity on illegal payment is widespread and the Board has earmarked it for suspension.
“However, due to the relationship between NHIA and CHAG, we wish to bring to your attention the consideration of suspension for the facilities involved in the illegal charges.”
“Your action on this information would go a long way to determine how we act on these facilities in the future”
SOURCE: Coverghana.com.gh
