World Bank and NHIA Train 70 Tier 3 Health Providers in Ghana for Enhanced Claims Management

The World Bank Group, in collaboration with the National Health Insurance Authority (NHIA) of Ghana, has recently concluded a training program for about 70 tier 3 health providers from the North East Region. The training focused on expediting claims generation and submission, a critical aspect of healthcare administration.

According to Ghana News Agency, Director of Corporate Affairs at NHIA, the training aimed to strengthen the capacity of tier 3 health providers across the nation in managing claims effectively. This initiative is part of Ghana’s broader effort to achieve Universal Health Coverage (UHC) by 2030. Essuah-Mensah highlighted the ongoing challenge of illegal charges by some providers, urging them to cease such practices to foster stronger collaboration within the healthcare system.

The Northern Regional Deputy Director of the Claims Processing Centre (CPC) of NHIS, Mr. Isaac Akonde, emphasized the crucial role of tier 3 health providers in achieving Sustainable Development Goal 3, which focuses on good health and well-being. Akonde pointed out that tier 3 providers form the largest category of health service providers in Ghana. He also stressed the importance of maintaining patient trust and loyalty through the delivery of quality healthcare.

The training workshop, held at the RCC Conference hall in Nalerigu on Tuesday, November 7, was led by four resource persons from the Quality Assurance and Claims Directorates of the NHIA. The participants were educated on various aspects of electronic claims processing, including an overview of the Claim-It systems, post-deployment issues and support, as well as management of electronic claims and reasons for adjustments.

The event was attended by senior management officials from NHIA, including Dr. Gustav Cruickshank, Director of Financial Accounting, Acting Director of Claims, Dr. Abigail Nyarko Codjoe Derkyi Kwarteng, Acting Corporate Affairs Director Mr. Oswald Essuah-Mensah, and Acting Director of Membership and Regional Operations Mr. Oti Frempong. Joining them were Northern Regional Deputy Director CPC Mr. Isaac Akonde, North East Regional Acting Director Mr. George Apetigah, along with Regional and District Directors of the Ghana Health Service, District Managers of the NHIS, the Regional focal person of the NHIS, and representatives from about 70 tier 3 health facilities across the 6 Districts of the North East region.

In his closing remarks, Dr. Derkyi Kwarteng expressed gratitude to the health providers for their dedication and services, appreciating their participation in this significant training session. He encouraged them to continue their efforts in delivering quality healthcare services to their members.