Health Insurance Project

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The overall objective of the Health Insurance Project in Ghana is to strengthen the financial and operational management of the national health insurance scheme by improving: (i) the policy adaptation and implementation capacity of the National Health Insurance Council (NHIS) in addressing ongoing core policy issues related to contribution collection, risk equalization, and provider payment mechanisms; and (ii) the purchasing function of the district mutual health insurance schemes (DMHIS), and the billing function of the providers. The project has three main components with the first being to strengthen the policy adaptation and implementation capacity of the NHIS. This involves stakeholder coordination, project management and sustainability, communication strategy to manage public expectations, standardizing fee schedules, performance based provider payments, donor support, and regular audits. The second component is to improve the purchasing function of the DMHISs and the billing function of the Providers by moving the billing and claims process from a paper-based to electronic-based system. The third component consists of improve the skills in health insurance administration for staff working for the Ministry of Health, NHIC, DMHISs, and the providers.