President, Nigerian Dental Association, Dr Tope Adeyemi; Director General, NHIA, Dr Kelechi Ohiri; President of ANPMP, Dr Kayode Adesola, and Dr Francis Ukwuije SOURCE: NHIA Lara Adejoro The National Health Insurance Authority and stakeholders, on Wednesday, agreed on a new medicine and services pricing structure. This was disclosed in a press statement by the Acting Director of Media and Public Relations, NHIA, Emmanuel Ononokpono. The agreement was made at a stakeholders’ engagement in Abuja, with the meeting settling for a 60 per cent increase in the capitation and a 40 per cent upward review in Fee-For-Service.
Capitation and Fee-For-Service are forms of payment made to healthcare providers for services rendered to beneficiaries under NHIA. The new tariffs, which apply to current services offered under the NHIA, 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 the Association of Nigerian Private Medical Practitioners, the Health Maintenance Organisations, the Guild of Medical Directors, and other key players in the health insurance ecosystem, endorsed a six-point communique with a range of resolutions. It was noted that for purposes of transparency and synergy, the forum will hold a quarterly meeting to align with developments in the sector.
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