General News of Thursday, 12 December 2019
Non-public wellness services on the Countrywide Overall health Insurance policies Plan (NHIS) have threatened to revert to the ‘cash and carry’ technique of health care if the governing administration does not handle their reimbursement considerations.
A statement from the Non-public Health and fitness Facilities Association of Ghana gave the govt up to December 16, 2019, to tackle the indebtedness.
Amongst their grievances, the services are demanding superb payments spanning as far again as 2018.
The association famous that facility contracts with the govt point out that: “the NHIA will make payments inside ninety (90) times of receipt of a claim until written notice of a dispute or discrepancy is furnished the company within 30 (30) days of the declare.”
According to the Association, the most modern reimbursement protected the month of February 2019 and only 30 per cent of the services have received payment “leaving a huge unsettled gap of nine (9) to 10 (10) months which is a flagrant contravention of the Countrywide Health and fitness Insurance policy Act 852 and the L.I 1809 sections 37 and 38 respectively.”
“Private facilities are overburdened with personal debt from suppliers, banking companies (loans and overdrafts), lack of ability to settle mandatory payments to GRA and SSNIT. Prosecutions and regular harassment have grow to be a disincentive to function.”
The Association also called for an upward evaluate of medicine tariffs, which they say they have not benefited from because 2015.
The team also complained that the removing of the 17.5% VAT on imported medicines led to a 30% cost lower on medication tariffs sanctioned by the NHIA and therefore occasioned “heavy losses”.
“With these revelations in sight, we are initiating a complete scale “CASH AND CARRY” on the 16th of December, 2019 if payments outstanding from 2018 to some of our customers and that of 2019 is not cleared to relieve the intensity of our woes and distress. We know this action will most probably spark an unwanted uproar and erode assurance in coverage execution by government but we have no choice.
This is not the very first time the non-public wellness facilities have manufactured this kind of a danger.
In 2018, the Higher East Chapter of Private Healthcare Providers Affiliation of Ghana (PHPAG) identified as on the National Health and fitness Coverage Plan (NHIS) to as a make a difference of urgency suspend the implementation of the 2018 selling price-record for medications else its customers will advise by themselves.
According to them, the downward revision of the rates of prescription drugs less than the NHIS drugs listing without having cognizance of market price ranges coupled with late reimbursement of statements would only hurt their corporations.