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These Community based health Insurances are well organized (Federation, CONSAMUS) and more
settled in remote areas, they are close to communities, promote preventive medicine, are very
affordable, but there is no law to regulate. Private insurers select the care providers with whom to
contract based on several criteria that assess the technical platform of the health facility (equipment,
staff, hospital capacity, and geographic accessibility for beneficiaries). More Features Connections
Canva Create professional content with Canva, including presentations, catalogs, and more. His
answer did not convince me completely, but I had no option other than to wait and see if the
beneficiaries received their cards. There were more females (64.2%) than males (35.8%) among the
respondents. INSURANCE INDUSTRY MODERNIZATION AND CONSUMER PROTECTION
ACT (“LAFALCE”) Introduced by Congressman John LaFalce (DNY) on February 14, 2002. The
Executive Director, Mulago National Referral Hospital and Attorney General Misc Cause No. 327 of
2016. (9639 downloads ). Articles Get discovered by sharing your best content as bite-sized articles.
August 16, 2010 Omni Shoreham Hotel, Washington, DC. Help Center Here you'll find an answer to
your question. All Nigerians and non-Nigerians enrolled in any supported schemes in Nigeria are
treated equally and are subject to the same percentage premium irrespective or religion, race, or
ethnicity. The scheme does not discriminate by any means of stratification. Problem like moral
hazards was addressed in this study and advocacy was suggested as a way of curbing it down. To
learn about health and health problems To have students teaching students To provide a forum for
discussion To gain presentation experience. Due to economic recession, occasioned by the Covid-19
pandemic and rising health care costs in Nigeria; women find it hard to pay for health services. This
will be reviewed first by the Block Development Officer Regional Development Officer of the
insurance holder’s BDO, i.e., only then will you be valid to take advantage of this scheme. Digital
Sales Sell your publications commission-free as single issues or ongoing subscriptions. Statistics
Make data-driven decisions to drive reader engagement, subscriptions, and campaigns. The results
are anticipated to be informative for policy makers and researchers in OAU. Ile-Ife. Key Words:
National Health Insurance Scheme (NHIS), Health Maintenance Organization (HMO), Enrolees. It's
like a masterclass to be explored at your own pace. The views expressed here are solely those of the
authors and not necessarily represent the views of IPH. Find any document from Microsoft Word,
PDF and powerpoint file formats in an effortless way. Upon enquiring with the computer operator
and his higher authority as to why the beneficiaries were not being given the SC and EHL, I
instantly received a response that there was some technical issue. Conclusion: Findings from the
study indicated that there was delay in processing of NHIS cards and referral codes, long waiting
time for patients before being attended to by health personnel, abuse of the scheme by patients
through impersonation. Deborah Rose Ph.D. National Center for Health Statistics Research Data
Center. Once the camp started, the computer operator started taking photos and thumb impressions of
the beneficiaries, but I noticed he was not providing the SC and Empaneled Hospital List (EHL) to
them. Find any document from Microsoft Word, PDF and powerpoint file formats in an effortless
way. Healthcare outcome is in doubt because of paucity of experienced medical personnel, leading to
massive use of N.Y.S.C doctors. This scenario, could hamper the achievement of NHIS promise of
EASY ACCESS TO AFFORDABLE HEALTHCARE FOR ALL NIGERIANS. Medical care is
costly and sophisticated, with little incentive to economize costs.
Later, when I asked the ASHAs if they had distributed the cards, they said that they had not.
Introduction Definition Objectives of NHIS The NHIS Council Contributors Stakeholders In NHIS.
Again, such a practice may be discriminatory and inequitable. Adobe Express Go from Adobe
Express creation to Issuu publication. The Executive Director, Mulago National Referral Hospital
and Attorney General Misc Cause No. 327 of 2016. (9639 downloads ). Statistics Make data-driven
decisions to drive reader engagement, subscriptions, and campaigns. The administrative and
accounting systems of NHIS must be fully computerized to help reduce the stress of working
manually. Private insurers rarely contract with individuals or public institutions because public sector
staff generally benefit from other public health insurance coverage. Statistics Make data-driven
decisions to drive reader engagement, subscriptions, and campaigns. Adults who are not able to pay
their premiums at once or by installments more than two are discouraged from joining the scheme
because of its administrative difficulty. Other resource-based barriers to accessing healthcare include
the inability of a clinic or hospital to gather enough supplies to deliver proper medical treatment. This
scheme reduces the high reliance on out-of-pocket healthcare spending as a means of financing the
Nigerian health system. The NDIS is a new way of delivering disability support. Therefore clients
are always advised and encouraged to pay their premiums in full or in two monthly equal payments.
Each enrolled member of the scheme gets a biometric enabled smart card (SC), in which the basic
personal details, photographs and thumb impression are stored. Help Center Here you'll find an
answer to your question. Further, we encourage the ANPS to fix options for AM-ARCH. Regional
and District offices of the NHIC are being set up to decentralize the operations of the Scheme.
Established by legislation in 2003 Goal: equitable and universal access to health care Coverage
reached 66% in 2010. He went on and clarified that due to this, they enroll the eligible people first,
and will distribute the printed card along with list of hospital empanelled under the scheme after 10
days to beneficiaries through ASHA. Data was collected using selfOriginal Research Article Ele et
al.; JAMPS, 9(3): 1-11, 2016; Article no.JAMPS.28320 2 administered structured questionnaire and
analyzed for demographics, enrollees perceived benefits of NHIS, quality of services, challenges, and
problems using descriptive statistics. It is a pre-payment plan where participants pay a fixed regular
amount. Conclusion: The National Health Insurance Scheme is beneficial to the enrollees and offers
quality and effective services. Several cases have been reported where a whole family intentionally
visits the hospital when they are not sick but because they have been registered under NHIS. The
Bolgatanga Municipal Library staff cannot be left out for their cooperation during the course of
study. Therefore, provider claims, as well as the reimbursement processes are mainly paper-based.
Country Profile. Where is Taiwan?. Taiwan. Map of Taiwan. Articles Get discovered by sharing your
best content as bite-sized articles. Digital Sales Sell your publications commission-free as single
issues or ongoing subscriptions. After three months, I found out that the cards were given to the
ASHAs but they were less in number when compared to the enrolled beneficiaries.
GIFs Highlight your latest work via email or social media with custom GIFs. Allocation and use of
resources are neither evidence-based nor results-driven. The study was conducted between January
2014 and April 2016. More than 5 lakh health wellness centers are about to be opened so that people
can be properly be examined. They have a role to play, and ANPS has to be aware of it. QR Codes
Generate QR Codes for your digital content. The 10 advantages of national health insurance scheme
are. Due to economic recession, occasioned by the Covid-19 pandemic and rising health care costs in
Nigeria; women find it hard to pay for health services. Objectives: The study examined the enrolees’
knowledge about NHIS, identified constraints encountered in implementation and assessed the level
of enrolees’ satisfaction. Their relationship with providers is arbitered by a federation of private
insurance companies. It is a pre-payment plan where participants pay a fixed regular amount. Using
Chap 3 (Psychological Health) to Illustrate Methods. Insurance is an example of risk pooling -
- individuals share their financial risks to reduce catastrophic losses from death, accidents, or health
problems. Life Insurance Policy Terms. To learn about health and health problems To have students
teaching students To provide a forum for discussion To gain presentation experience. The AM-
ARCH has a lot to learn from the experience of private insurance schemes considering good lessons
that could be useful and practices to avoid. Participants-120 voluntary adults who access health care
services at Supreme Faith Hospital, Ado-Ekiti, Nigeria. Add Links Send readers directly to specific
items or pages with shopping and web links. This study assessed respondents’ awareness and
perception of the Scheme in Maiduguri Metropolitan Council. Find any document from Microsoft
Word, PDF and powerpoint file formats in an effortless way. It's like a masterclass to be explored at
your own pace. The Council manages the National Health Insurance Fund (NHIF) through the
collection, investment, disbursement, and administration of the Scheme. National Programme on
Mid Day Meal Scheme. 01.07.1982 - PTMGR Nutritious Meal Programme was launched in Primary
Schools for classes I - V and to Pre-School. Health care expenses in Nigeria are however done
mainly through out of pocket medical (OOP) expenses. The government has earmarked value-added
tax to finance NHIS in addition to deduction from Social Security Trust (SSNIT) and premium
payment. The objective of this scheme is to provide protection to families below poverty line (BPL),
against illnesses which involve hospitalisation. Problem like moral hazards was addressed in this
study and advocacy was suggested as a way of curbing it down. The government needs to develop
strategies to facilitate the operations of the scheme more efficient through improved funding and
awareness campaign to improve coverage at all levels, boost the asset base, and improve services and
efficiency. Conclusion: The National Health Insurance Scheme is beneficial to the enrollees and
offers quality and effective services. The whole research had its foundations from the specific
objectives which were; to access the possibility of a single premium for a decade that is feasible
enough to sustain the scheme, to identify alternative means of generating income to sustain the
Kassena-Nankana District Mutual Health Scheme and to assess the perception of registered and
potential clients on the NHIS. Cath Halbert Group Manager, National Transition Office National
Disability Insurance Agency February 2014.
The main hypothesis that “A single premium is feasible to improve healthcare in Ghana” was
accepted with some few actuarial assumptions being made. They went on to tell me that as per the
contract between ASHAs and Third Party Administrator, the ASHAs should get an incentive of Rs.7
per card; since they did not receive this incentive from the agency, they kept the cards with them
instead of distributing them to the beneficiaries. Also, a private purchaser may use different rates for
the same care with public, faith-based and private providers based on official guidelines. I pursued
the matter further, to which the computer operator replied that the EHL was out of stock and that “
if the cards were printed and provided at the time of enrolment they will not able to enrol more
people thus not being able to reach the day’s target’’. Adobe InDesign Design pixel-perfect content
like flyers, magazines and more with Adobe InDesign. If all your information matches the scheme’s
rules, then you will have no problem getting treatment. Method: A cross sectional research design
with convenience sampling technique was employed and data were collected using questionnaire.
Using Chap 3 (Psychological Health) to Illustrate Methods. The National Health Insurance Scheme
(NHIS) in Nigeria was introduced in 2005 to ensure universal access to good health care services.
Statistics Make data-driven decisions to drive reader engagement, subscriptions, and campaigns.
ANPS has to associate the Community based health Insurance for more impact in communities.
According to some private insurers, it is easier to pool funds from individuals who share similar
disease risks for cost efficiency. This study is aimed at ascertaining the extent of knowledge of the
scheme, and the socioeconomic predictors of women's enrolment in National Health Insurance
Scheme in Enugu State, Nigeria. IBM-SPSS version 25.0 was used to analyze the data. The
Bolgatanga Municipal Library staff cannot be left out for their cooperation during the course of
study. Consequently, Ghana National Health Insurance Authority (NHIA) had to reduce investment
fund, borrow loans and delay claims reimbursement to providers in order to fill the gap. His answer
did not convince me completely, but I had no option other than to wait and see if the beneficiaries
received their cards. Look before U leap. Impression. Insurance has never been a simple matter. The
government needs to develop strategies to facilitate the operations of the scheme more efficient
through improved funding and awareness campaign to improve coverage at all levels, boost the asset
base, and improve services and efficiency. Private insurers rarely contract with individuals or public
institutions because public sector staff generally benefit from other public health insurance coverage.
A similar ceiling is set for medicines costs, which oblige beneficiaries to request authorization from
the insurer if they receive prescriptions exceeding a certain amount. Help Center Here you'll find an
answer to your question. The research will involve fifty (50) inhabitants of Navrongo. Report this
Document Download now Save Save Competitive Study of Health Insurance Schemes Offe. Like
the Eastern Region pilot, it never took off despite some public expenditure on feasibility and
software. Add Links Send readers directly to specific items or pages with shopping and web links.
Articles Get discovered by sharing your best content as bite-sized articles. They rather see it to be
waste of financial resources. Beneficiaries are informed quarterly on their health expenses and
potentially are asked to provide additional payments. Fullscreen Sharing Deliver a distraction-free
reading experience with a simple link.
The scheme which took off in 2005 was established to reduce government’s healthcare financing
burden and create access to affordable and efficient healthcare for all Nigerians. Currently, it covers
beneficiaries’ families up to Rs 30,000 for most of the diseases that require hospitalization. Help
Center Here you'll find an answer to your question. For instance, beneficiaries are required to get
approval from the insurer if they have to be hospitalized; otherwise, the insurer may not reimburse
the hospitalization expenses and any care received during hospitalization. Poor awareness of the
scheme in the community is another major issue, which needs to be addressed. Such a gatekeeping
strategy helps the insurer prevent uncontrolled spending on healthcare and further promotes primary
healthcare. ANPS has to associate the Community based health Insurance for more impact in
communities. Articles Get discovered by sharing your best content as bite-sized articles. The 10
advantages of national health insurance scheme are. Adobe InDesign Design pixel-perfect content
like flyers, magazines and more with Adobe InDesign. Data were analysed using descriptive and
inferential statistics with the SPSS software version 22. As per the list, the number of beneficiaries
enrolled were 648 but only 500 cards were provided. Embed Host your publication on your website
or blog with just a few clicks. Studies have shown issues with enrollment and card disbursement as
major factors affecting the utilization of the scheme. Adobe Express Go from Adobe Express
creation to Issuu publication. In insurance matters, any increase in risk will produce a corresponding
increase in health plan premiums. Similarly, the larger the degree of risk-sharing in a health financing
system, the less people will have to bear the financial consequences of their own health risks, and the
more they are likely to have access to needed care. A total of 400 questionnaires were administered
and 387(96.7%) were returned. A focus group discussion was also carried out among enrolees, health
personnel and Health Maintenance Organization (HMO) workers. For Later 0% 0% found this
document useful, Mark this document as useful 0% 0% found this document not useful, Mark this
document as not useful Embed Share Print Download now Jump to Page You are on page 1 of 9
Search inside document. It's like a masterclass to be explored at your own pace. Simple right? This is
one of the best places to find national health insurance scheme nigeria pdf documents in PDF and
Powerpoint formats. It's like a masterclass to be explored at your own pace. However, the number of
enrolees among them was much lesser than expected. Centers for Disease Control and Prevention
National Center for Health Statistics. Outline. Overview of the NHIS Design features Sample
weights and estimation Summary. The Executive Director, Mulago National Referral Hospital and
Attorney General Misc Cause No. 327 of 2016. (9639 downloads ). David Bowen CEO National
Disability Insurance Agency September 2013. Important documents of National Health Insurance
Scheme How to claim Health Insurance Scheme. IBM-SPSS version 25.0 was used to analyze the
data. Following the demise of the Eastern Region pilot, the Social Security and National Insurance
Trust (SSNIT) started planning for another centralized health insurance scheme to be run by a
company called Ghana Health Care Company. Teams Enable groups of users to work together to
streamline your digital publishing. More than 5 lakh health wellness centers are about to be opened
so that people can be properly be examined.
Important documents of National Health Insurance Scheme How to claim Health Insurance Scheme.
Several cases have been reported where a whole family intentionally visits the hospital when they are
not sick but because they have been registered under NHIS. These people may want to get treatment
and may be able to access a hospital or clinic, but they will not have the means by which to pay for
healthcare services. Embed Host your publication on your website or blog with just a few clicks.
They rather see it to be waste of financial resources. Method: A cross sectional research design with
convenience sampling technique was employed and data were collected using questionnaire. We
have an incredible amount of database from any category in every popular language in this world. I
got an opportunity to witness an RSBY enrollment camp and in this blog, I would like to share my
experience of interacting with the personnel involved in the camp. Despite following some principles
of strategic purchasing of healthcare, they are more driven by profit-making than by the intents of
SHP, which are better resource utilization, efficiency in care provision, and equity in access to care.
The objective of the council according to ACT 625 was “to ensure the implementation of a national
health insurance policy that ensures access to basic healthcare services to all residents”. Fullscreen
Sharing Deliver a distraction-free reading experience with a simple link. Data were analysed using
descriptive and inferential statistics with the SPSS software version 22. Private insurers also screen
their clients to ensure that they do not have chronic diseases that could be costlier. GIFs Highlight
your latest work via email or social media with custom GIFs. This scheme reduces the high reliance
on out-of-pocket healthcare spending as a means of financing the Nigerian health system. It's like a
masterclass to be explored at your own pace. As per the list, the number of beneficiaries enrolled
were 648 but only 500 cards were provided. After three months, I found out that the cards were
given to the ASHAs but they were less in number when compared to the enrolled beneficiaries.
Following the demise of the Eastern Region pilot, the Social Security and National Insurance Trust
(SSNIT) started planning for another centralized health insurance scheme to be run by a company
called Ghana Health Care Company. To learn about various health insurance product features. 2.
PART I Health Insurance in India: Needs Assessment and Overview. Conclusion: Findings from the
study indicated that there was delay in processing of NHIS cards and referral codes, long waiting
time for patients before being attended to by health personnel, abuse of the scheme by patients
through impersonation. The scheme does not discriminate by any means of stratification. Still, the
hospital itself sends all the patient’s papers to the insurance company. This leads them to forego,
postpone medical care or in some cases seek alternative healthcare which could lead to severe health
consequences. Digital Sales Sell your publications commission-free as single issues or ongoing
subscriptions. Their relationship with providers is arbitered by a federation of private insurance
companies. Social Posts Create on-brand social posts and Articles in minutes. Participants-120
voluntary adults who access health care services at Supreme Faith Hospital, Ado-Ekiti, Nigeria.
Download Free PDF View PDF Knowledge and enrolment predictors of women in National Health
Insurance Scheme (NHIS) in Enugu State, Nigeria QUEST JOURNALS Introduction: Health
insurance avails individuals the opportunity to access desired healthcare services while payment is
done at a regular interval.