Any staff caught conniving with service providers to rob NHIS subscribers will be dismissed and prosecuted – NHIA CEO

The National Health Insurance Authority (NHIA) Chief Executive Officer, Dr. Victor Bampoe, issued a stern warning to staff members who may be involved in colluding with service providers to defraud NHIS subscribers. The NHIA has clearly stated that such individuals will face immediate dismissal and potential prosecution. Bampoe emphasized the Authority's commitment to eliminating internal collusion, which jeopardizes the scheme's sustainability.

He expressed his concern over the persistent issue of patients being charged for services that are fully covered under NHIS benefits. This practice, according to Bampoe, undermines the very essence of the health insurance scheme. The NHIA has significantly invested in the system, ensuring prompt claim payments to certified health facilities. However, Bampoe questioned the rationale behind facilities charging clients for such covered services.

He posed a thought-provoking question: where does this leave the patients after the government has invested heavily in the NHIS, yet they continue to be made to pay for services they are ostensibly entitled to? Bampoe expressed his disappointment and worry over this situation.

In response to this issue, Dr. Bampoe vowed to take decisive action against any NHIA staff found to be involved in such illegal payments. He assured that these individuals will be sent home immediately, along with any applicable sanctions and legal consequences. Bampoe also commended the health facilities for their right to sanction such staff, while informing his Regional Director about the situation.

Despite these challenges, Bampoe assured the public that the NHIA is bolstering its monitoring and enforcement mechanisms to safeguard subscribers and maintain public trust in the scheme.