National Health Insurance Authority (NHIA) and its critical stakeholders have agreed on a new medicine and services pricing structure.
Rising from the second leg of a Stakeholders’ Engagement in Abuja, the meeting settled for a 60 percent increase in the capitation and 40 percent upward review in Fee-For-Service (FFS).
The new tariffs, which apply to current services offered under the authority, take immediate effect.
It was further agreed that the new price regime is without prejudice to the outcome of the ongoing actuarial studies commissioned by the Authority.
The report of the actuarial studies is expected in September.
The meeting, which included representatives of Association of Private Medical Practioners, Health Maintenance Organisations (HMOs), Guild of Medical Directors (GMD) and other key players in the health insurance ecosystem, endorsed a six-point communique with a range of resolutions.
For purposes of transparency and synergy, the forum will hold a quarterly meeting to align with developments in the sector.
In his keynote address, the director-general of NHIA, Dr Kelechi Ohiri, said that access to affordable and quality healthcare by the enrollee remained a top priority of the Authority, urging stakeholders to put the interest of Nigerians on top of all other considerations.
On the imperative of stakeholders’ cooperation, Dr Ohiri noted that all hands must be on deck to achieve the goal of universal health coverage, assuring that the Authority will maintain a close and cordial relationship with all relevant stakeholders.
The DG said, “NHIA does not take its stakeholders for granted. We always appreciate their collaboration within the context of achieving the goal of Universal health Coverage”.
Capitation and Fee-For-Service are forms of payment made to healthcare providers for services rendered to beneficiaries under NHIA.
