ENUGU STATE UNIVERSAL HEALTH COVERAGE AGENCY TEAM UNDERSTUDIES ANAMBRA STATE HEALTH INSURANCE AGENCY (ASHIA)
By Chisom Okafor :
The Enugu State Agency for Universal Health Coverage team, understudies the State Health Insurance Agency (ASHIA) in a bid to improve the operations of their Health Insurance Scheme.
The Delegates from Enugu State Agency for Universal Health Coverage (UHC) paid a visit to ASHIA office in Awka to understudy the operations of the Scheme with a specific focus on the Claims management system for the Basic Healthcare provision fund (BHCPF) program and other programmes of ASHIA.
The Managing Director of ASHIA, Dr. Simeon Onyemaechi while receiving the two-man delegation assured that they will be adequately equipped with knowledge of Health Insurance practice, Claims management as well as the background of Basic Healthcare Provision Fund (BHCPF).
He gave them the general overview of Health insurance as it is practiced globally, then narrowed it down to the national and state health insurance schemes operations in Nigeria.
The MD, who spoke on the background of the BHCPF said that National Health Act 2014 in section 11 provides for a minimum of 1% of consolidated revenue of the Federal Government to be set aside to provide basic minimum package of health services to all Nigerians.
He further explained that the bodies charged with the mandate to implement this federal government policy include the National Health Insurance Authority (NHIA) and the National Primary Healthcare Development Agency (NPHCDA) through their subnational equivalence.
Dr. Onyemaechi noted that Claims Management begins from when the enrollee is still at the hospital, adding that every Claim starts with pre authorization code request that is sent when the request is approved and service rendered then Claims for payment are sent to the Agency at the end of every month.
He assured the visitors that the ASHIA team would provide them with all the knowledge they require.
“We just don’t teach theory , my team will show you the practical aspects, you will also visit some of our healthcare providers to get on-site hands-on experience.
He encouraged them to have an open mind and feel free to ask all the questions they had regarding Health Insurance and BHCPF programmes.
The Leader of the team, Dr. Marcus Agu, on behalf of the Enugu State Commissioner for Health, extended his appreciation to the MD for the opportunity to meet with him personally, and assured him of their willingness to learn from him.
Present at the meeting includes Dr. Mary Chukwuma, a member of the Enugu State delegates and ASHIA Heads of Departments.
*Chisom is of the Ministry of Information, Anambra State.