NHIS warns HMOs over pay­ment of ser­vices

Daily Trust - - HEALTH - By Ruby Leo

The Ex­ec­u­tive Sec­re­tary of the Na­tional Health In­sur­ance Scheme (NHIS), Dr. Femi Thomas, has warned var­i­ous Health Main­te­nance Or­ga­ni­za­tions (HMOs) work­ing with them to de­sist from with­hold­ing cap­i­ta­tion pay­ment from health care fa­cil­i­ties or risk fac­ing sanc­tions.

Thomas gave the warn­ing when mem­bers of the Na­tional Ex­ec­u­tive Com­mit­tee of the Nige­rian Med­i­cal As­so­ci­a­tion (NMA), led by its pres­i­dent, Dr. Osa­hon Enab­ulele, paid him a cour­tesy visit in Abuja re­cently.

Ac­cord­ing to the NHIS boss, “We must not al­low any stake­holder to stran­gu­late the fa­cil­i­ties which are the bur­den bear­ers of the health In­sur­ance in­dus­try.”

“The health care fa­cil­i­ties must sur­vive. And the only way they can sur­vive is when they are paid their cap­i­ta­tion as at when due. This, we at the NHIS will en­sure,” he stated.

He told the del­e­ga­tion that as part of the process of en­sur­ing pro­bity in the sys­tem, the scheme is presently rec­on­cil­ing ac­counts of about six HMOs, and if found want­ing will be an­swer­able in ac­cor­dance with the Act es­tab­lish­ing the Scheme.

Thomas ap­pealed to the NMA to show lead­er­ship, by call­ing on its mem­bers and other health work­ers in the pub­lic sec­tor to be­gin to make their own con­tri­bu­tion of 1.75% of their salary to the scheme, to en­able it pool enough re­sources for the ex­pan­sion of cov­er­age and the ben­e­fit pack­age as is be­ing clam­oured for.

Speak­ing ear­lier, the Pres­i­dent of NMA, Dr. Osa­hon Enab­ulele, said the or­gan­i­sa­tion has come to fe­lic­i­tate with the Ex­ec­u­tive Sec­re­tary on his ap­point­ment as the Chief Ex­ec­u­tive Of­fi­cer of NHIS, and ex­pressed the As­so­ci­a­tion’s con­fi­dence that he will pro­vide the needed lead­er­ship that will ul­ti­mately trans­form the health sec­tor in the coun­try.

“The NHIS un­der your lead­er­ship must not shy away from the ur­gent task of pro­vid­ing the piv­otal role of cham­pi­oning the needed trans­for­ma­tion in the health in­dus­try”, Dr. Enab­ulele said.

The NMA leader said the as­so­ci­a­tion has re­solved to no longer con­tinue to lament on the de­cay in the health in­dus­try but strate­gize to help in trans­form­ing it for the so­cio-eco­nomic progress of the na­tion.

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