The National Health Insurance (NHI) scheme has seen a reduction of more than $3 million in claims in the first seven months of this year.
This is according to the minister responsible for Social Security, Vincent Wheatley, who gave an update on the state of the insurance scheme during Tuesday’s session in the House of Assembly.
He said from the beginning of January 2020 to the end of July, a total of $16.5 million in claims was reported from the NHI. Over that same period in 2019, he said the NHI had received claims in the amount of $20.12 million.
Providers still to be paid
Wheatley also revealed that some of the providers were still awaiting payouts from NHI. However, he said his team has already begun the process of clearing the pre-existing backlog.
He said: “Prior to the provision of the grant funding, payments to providers were six months behind. Providers are now paid up to July 2020.”
New system implemented in January
Since the start of 2020, the NHI has been using a recently-implemented system to effectively process claims, Wheatley stated.
He said the decision was made following a series of meetings with the local providers, where it was agreed to implement new protocols for evaluation, management and billing.
“NHI continues to evaluate the system to find ways to reduce its claim expenses, while at the same time responding to its beneficiaries’ needs in an effective and efficient manner,” Wheatley added.
In a July 2020 session of the House of Assembly, Minister Wheatley had stated that approximated $9 million in debt was owed to medical providers up to May 2020.
He also said the $7.5 million from the Social Security grant which was allocated to the NHI in Phase II of the government’s economic stimulus plan was used to clear that debt.
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