• About
  • Advertise
  • Privacy Policy
  • Contact
Wednesday, July 9, 2025
  • Login
The Vaultz News
  • Top Stories
  • News
    • General News
    • Education
    • Health
    • Opinions
  • Economics
    • Economy
    • Finance
      • Banking
      • Insurance
      • Pension
    • Securities/Markets
  • Business
    • Agribusiness
    • Vaultz Business
    • Extractives/Energy
    • Real Estate
  • World
    • Africa
    • America
    • Europe
    • UK
    • USA
    • Asia
    • Around the Globe
  • Innovation
    • Technology
    • Wheels
  • Entertainment
  • 20MOBPL2DNew
  • Jobs & Scholarships
    • Job Vacancies
    • Scholarships
No Result
View All Result
The Vaultz News
  • Top Stories
  • News
    • General News
    • Education
    • Health
    • Opinions
  • Economics
    • Economy
    • Finance
      • Banking
      • Insurance
      • Pension
    • Securities/Markets
  • Business
    • Agribusiness
    • Vaultz Business
    • Extractives/Energy
    • Real Estate
  • World
    • Africa
    • America
    • Europe
    • UK
    • USA
    • Asia
    • Around the Globe
  • Innovation
    • Technology
    • Wheels
  • Entertainment
  • 20MOBPL2DNew
  • Jobs & Scholarships
    • Job Vacancies
    • Scholarships
No Result
View All Result
The Vaultz News
No Result
View All Result

Digitalization is the key to strategic policy action for the future of the NHIS- Report

December 20, 2021
Stephen M.Cby Stephen M.C
in Health, News
0
Digitalization is the key to strategic policy action for the future of the NHIS- Report

Dr Maxwell Antwi, Ghana’s Director of PharmAccess Foundation

A new data analysis report has shown that full digitization of NHIS claims is the most important strategic policy measure for the NHIS’s future.

According to the study, a strategic action would be an efficient cost-containment measure for operational efficiency and strategic management decision-making as a data-driven insurer.

A team from the NHIA, the PharmAccess Foundation, and the University of Ghana’s Economics Department collaborated to work on that study; data analytics of three years of NHIS electronic claims.

RelatedPosts

Every NDC Member Is Better Off Today – Gbande

Ghana Moves to Overhaul Scholarship Regime with New Bill

Ghana Slammed for UN LGBTQ Vote Abstention

The largest single claims payments, according to the data, were for pregnancy, with delivery accounting for 16.1% of total claims cost and treatment of hypertension and diabetes accounting for 14.6 percent, with the two accounting for more than 30% of all claims during the time under consideration. During the same period, the analysis revealed that diagnoses of hypertension and diabetes in patients over the ages of 18 increased dramatically.

“About 48 per cent of patients first diagnosed with hypertension or diabetes in 2019 did not have follow-up visits for the same diagnoses. The high ‘loss to follow-up’ could be due to many factors, including misdiagnosis at first visits, follow-up visits to NHIS service providers that submit manual claims, follow-up visits to non-NHIS service providers or seeking of alternative therapies.

Data report

“Medicines constituted nearly 34 per cent of average claims cost. The medicines cost was as high as 70 per cent for some CHPS facilities, which could be due to cover prescription or over-billing for medicines. However, high under-prescription of medicines was observed for specific urban-located facilities, compared to peer facilities (ownership and level) with a similar urban location.”

Data report

The report recommended to the NHIS to put in place a system that allows for the tracking and linking of prescriptions to submitted claims in order to locate and control unethical provider behavior and NHIS member provider shopping, both of which have led to a higher claim cost.

“Cost-wise, it was revealed that multiple diagnoses per claim have high implications on claims costs, as average cost per claim increased by over 400 per cent from GHc40 per claim with single diagnosis to GHc166 per claim with five diagnoses.”

Data report

Lower Average Cost of Claims in 2019

The analysis equally demonstrated that despite three consecutive annual increases of about 20% in NHIS service and medicines tariffs, the average cost of claims was lower in December 2019 (GHc43.30) than in January 2017(GHc44.80). It showed that electronic claims management was more effective than manual claims management at controlling the average cost of claims, even during consecutive increases in tariffs.

Dr Maxwell Antwi, Ghana’s Director of PharmAccess Foundation, speaking at the NHIA Data Day as part of the NHIS Week celebrations, averred that the best way to keep costs down was to continue digitizing by making claims filing purely electronic.

“When it comes to female genital cancers in low middle-income countries, cervical cancer is number one; the cases are being seen, but most of them are financed out of private pockets and that is because there are challenges with the NHIS costing structure and the guidelines.”

Dr Maxwell Antwi

As part of its benefits package, the Country Director added that the NHIA was taking steps to improve the costing structure and treatment recommendations for cervical cancer management.

Dr. Antwi further explained that the data analytics were significant because they were intended to turn the NHIA into a data-driven insurer that could make the most of its own data.

READ ALSO: Bank Of Ghana Joins Network For Greening The Financial System (NGFS)

Tags: DigitalizationNHIAreport
Please login to join discussion
Previous Post

Women And Wealth Conference To Launch in 2022

Next Post

Former SADA Boss Calls For Transparency On Cost Of Pwalugu Dam

Sign up for The Vaultz analytic wire

Get weekly news analysis from top editors at The Vaultz and stay informed on trending economic and business issues from across the globe.

Related Posts

Debby Reveals Professionalism Fuels Female Musicians
Entertainment

Debby Reveals Professionalism Fuels Female Musicians

July 9, 2025
Mass Jail Sentences Deepen Tunisia’s Political Crisis
Africa

Mass Jail Sentences Deepen Tunisia’s Political Crisis

July 9, 2025
Mustapha Gbande, Party, President.
General News

Every NDC Member Is Better Off Today – Gbande

July 9, 2025
Deadly Rush Confirms Fears About Gaza Humanitarian Foundation
Asia

Mass Casualty Incidents Besmirch Gaza’s Aid Struggle

July 9, 2025
GoldBod CEO Champions Value Addition in Mining
Extractives/Energy

Ghana Poised to Reap Big from Soaring Gold Prices

July 9, 2025
Hon. Haruna Iddrisu, Ghana's Minister for Education
General News

Ghana Moves to Overhaul Scholarship Regime with New Bill

July 9, 2025
Debby Reveals Professionalism Fuels Female Musicians
Entertainment

Debby Reveals Professionalism Fuels Female Musicians

by Esther Korantemaa OffeiJuly 9, 2025
Mass Jail Sentences Deepen Tunisia’s Political Crisis
Africa

Mass Jail Sentences Deepen Tunisia’s Political Crisis

by Lawrence AnkutseJuly 9, 2025
Mustapha Gbande, Party, President.
General News

Every NDC Member Is Better Off Today – Gbande

by Silas Kafui AssemJuly 9, 2025
Deadly Rush Confirms Fears About Gaza Humanitarian Foundation
Asia

Mass Casualty Incidents Besmirch Gaza’s Aid Struggle

by Comfort AmpomaaJuly 9, 2025
GoldBod CEO Champions Value Addition in Mining
Extractives/Energy

Ghana Poised to Reap Big from Soaring Gold Prices

by Prince AgyapongJuly 9, 2025
Hon. Haruna Iddrisu, Ghana's Minister for Education
General News

Ghana Moves to Overhaul Scholarship Regime with New Bill

by Evans Junior OwuJuly 9, 2025
Debby Reveals Professionalism Fuels Female Musicians
Mass Jail Sentences Deepen Tunisia’s Political Crisis
Mustapha Gbande, Party, President.
Deadly Rush Confirms Fears About Gaza Humanitarian Foundation
GoldBod CEO Champions Value Addition in Mining
Hon. Haruna Iddrisu, Ghana's Minister for Education
[/vc_row_inner]

Recent News

  • Debby Reveals Professionalism Fuels Female Musicians
  • Mass Jail Sentences Deepen Tunisia’s Political Crisis
  • Every NDC Member Is Better Off Today – Gbande
  • Mass Casualty Incidents Besmirch Gaza’s Aid Struggle
  • Ghana Poised to Reap Big from Soaring Gold Prices
The Vaultz News

Copyright © 2021 The Vaultz News. All rights reserved.

Navigate Site

  • About
  • Advertise
  • Privacy Policy
  • Contact

Follow Us

Welcome Back!

Login to your account below

Forgotten Password?

Retrieve your password

Please enter your username or email address to reset your password.

Log In
No Result
View All Result
  • Top Stories
  • News
    • General News
    • Education
    • Health
    • Opinions
  • Economics
    • Economy
    • Finance
      • Banking
      • Insurance
      • Pension
    • Securities/Markets
  • Business
    • Agribusiness
    • Vaultz Business
    • Extractives/Energy
    • Real Estate
  • World
    • Africa
    • America
    • Europe
    • UK
    • USA
    • Asia
    • Around the Globe
  • Innovation
    • Technology
    • Wheels
  • Entertainment
  • 20MOBPL2D
  • Jobs & Scholarships
    • Job Vacancies
    • Scholarships

Copyright © 2021 The Vaultz News. All rights reserved.