NHIA Makes Progress in Claims Payments as Tariff Review Nears

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The National Health Insurance Authority (NHIA) is finally making progress in paying outstanding claims to healthcare providers, a move that has brought relief to hospitals and clinics struggling to stay afloat. According to Dr. Victor Asare Bampoe, Chief Executive Officer of the NHIA, the Authority has accelerated claims payments to accredited providers, allowing many facilities to better manage their operations and focus on patient care.

Dr Bampoe was speaking at the 2026 Christian Health Association of Ghana (CHAG) Annual Conference in Koforidua, where he expressed appreciation to the Ministry of Finance for providing additional resources to strengthen the financial position of the National Health Insurance Scheme (NHIS). The Ministry of Finance has indeed provided significant financial support, with GH¢10.7 billion allocated to the NHIS in 2025, which includes GH¢6.5 billion earmarked for provider claims – one of the largest allocations for claims payments in recent years.

The NHIA Chief Executive acknowledged the financial pressures health facilities have faced over delayed reimbursements but said the situation has improved considerably following increased government support. Dr. Bampoe stressed that timely reimbursement of claims and fair provider payments are critical to ensuring health facilities have the financial capacity to deliver uninterrupted services to NHIS subscribers.

The review of provider tariffs is now underway, with discussions advancing significantly between the NHIA and healthcare providers. Dr. Bampoe assured providers that implementation is drawing closer and that the Authority remains committed to working closely with providers to build a more responsive, efficient, and financially sustainable health insurance system.

The review of tariffs comes amid concerns from healthcare providers that existing reimbursement rates no longer reflect the actual cost of delivering healthcare. Rising inflation and operational costs have led to increased expenses for medical supplies, services, and other essential items.

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Strengthening provider confidence is crucial to the success of the NHIS, particularly as government prepares to scale up the implementation of its flagship Free Primary Health Care programme. Dr. Bampoe reiterated that the NHIA remains committed to its partnership with healthcare providers to improve healthcare for every Ghanaian.

The National Health Insurance Scheme serves more than 15 million registered subscribers, accounting for over 70% of the country's population. The scheme relies heavily on contributions from both subscribers and the government to provide healthcare services to all eligible members.

The NHIA is expected to continue making progress in claims payments and tariff review in the coming months. As the healthcare system navigates its challenges, one thing is clear: the NHIA will remain a critical player in ensuring the sustainability of the National Health Insurance Scheme.

In context, the review of tariffs is a significant step towards ensuring the long-term sustainability of the National Health Insurance Scheme. The NHIA's commitment to working closely with healthcare providers is essential in building a more responsive, efficient, and financially sustainable health insurance system.