Tuesday, June 1, 2010

NEW MEASURES TO REDUCE FRAUD IN NHIS (PAGE 46, JUNE 2, 2010)

New measures have been introduced into the operations of the National Health Insurance Scheme (NHIS) to reduce the massive fraud and malfeasance that has bedevilled it over the years and to make the scheme sustainable.
The measures are to ensure that monthly reports are presented on time since it has been detected that some schemes have not prepared and submitted data and financial reports since 2007.
Addressing the staff of the NHIS at Ho in the Volta Region during a one-day workshop on the new reporting format last Thursday, Mr Sylvester Mensah, Chief Executive of the National Health Insurance Authority (NHIA), said the measures included the supply of the necessary logistics.
He noted that it was detected during clinical audits that the bill for maternal care had been inflated and over GH¢ 5.2 million was recovered, with GH¢ 1.1million coming from a particular region.
Mr Mensah pointed out that 33 scheme managers had been interdicted and four imprisoned. Seven of the interdicted officials are from the Volta Region.
Mr Joseph Amenowode, the Volta Regional Minister, expressed satisfaction at the smart turnout of the officials and expressed the hope they would assist to remove the malfeasance which had engulfed the scheme.
He said the scheme was dear to the heart of the government since it aimed at providing affordable health care to the people.
The regional minister expressed the hope that the management of the scheme would change for the better and asked them to pay attention to the reforms being introduced to make the scheme more lasting.
Earlier, the Volta Regional Manager of the NHIA, Mr Elliot Nestor Akototse, said seven schemes were monitored and as a result of the audit, seven health providers were directed to refund an amount of GH¢709,103.27 to the schemes and they had complied.
He called on the participants to take the workshop seriously since it would be beneficial to all.

No comments: