Breaking News: Health Insurance Tariffs-Set To Increase-Soon (Details)

Breaking News: Health Insurance Tariffs-Set To Increase-Soon (Details)

There are indications that the National Health Insurance Authority (NHIA), in agreement with critical stakeholders in the health insurance space, will increase tariffs.

This followed a 60 per cent increase in the capitation and a 40 per cent upward review in Fee-For-Service (FFS).

Capitation and FFS are forms of payment made to healthcare providers for services rendered to beneficiaries under NHIA.

The resolution was reached at a stakeholders’ meeting between NHIA management and key health insurance stakeholders, which included representatives of the Association of Private Medical Practitioners, Guild of Medical Directors (GMD) and other key players in the health insurance ecosystem. A six-point communique with a range of resolutions was adopted.

Following the meeting, a new medicine and services pricing structure was endorsed, though it is without prejudice to the outcome of the ongoing actuarial studies commissioned by NHIA.

Director General of the NHIA, Kelechi Ohiri, said the development was part of the NHIA’s efforts to sustain the health insurance scheme and improve service delivery.

Ohiri did not however specify who would bear the burden of the new tariff between the enrollees and the agency as a form of subsidy.