Controversy erupted last week over what happens in the National Fund
for Health Insurance (NHIF) related to restructuring brought about in
repayment of services to its 3.3 million beneficiaries who receive
treatment at 6,400 centers nationwide.
The controversy was due to claims that improvements took place at
prices that appear to be small bag especially for private hospitals that
exist and certainly members of the missing service deserve.
Based on that information, the administration was forced to clarify
NHIF about improvements showcased its price, scope of services including
but not limited surgical care and consultation fees noting FAO of
diagnosis and treatment of diseases, including heart surgery in the
country.
Management said it cost changes have been made after they do some
research and see no need to make improvements and involving various
stakeholders including the Association of Private Care Providers
(APHFTA).
After these discussions, the fund has started to use those prices new
July this year and still have given time till December this year to
continue to receive ideas and feedback on improvements to service
providers and citizens for the purpose of removing any challenges
emerging during its implementation.
In the improvement, the money to pay doctors at the district and
regional presence added while containing price ratio in some tests and
see specialists among its centers of service to subscribers.
Already there complaints related to actions taken by NHIF exactly
balanced in dimensions and also the fee to see the champions, the
complaints that can be exploited by service providers for customers
NHIF, who can say the tests do not exist just because they want the
customer to add money they want them.
In this there is a need to NHIF continue negotiations and reach a
compromise, as they say the window is open and the service providers and
not to go against the consensus for such improvements were involved.
I stress this due to the fact that there are some hospitals have been
using food badly card insurance for champions they decide to have a
certain number only to card holders of insurance in the total number of
people who saw that day while others said certain measure or drugs not
count.
I would advise, guidance package put their people in various
hospitals, particularly private help its members to have someone to make
sure they get the service you deserve and when he told something is on
the cover that he could look to help a member get those services.
I say so because not all members who know the service or medicine he
can get based on his card but assure him that none of the check member
is rejected accessing squeeze complaint.
Is there really a telephone number to provide information or
complaints fund but not all of them can do it, especially in rural
regions and so that he said, and the service provider are the same.
But
it is preferable to the fund, to ensure complaints of its members are
implemented especially when controversy arises because it makes members
remain and uncertainty in various aspects. Given
the number of its members have many and growing every day with
technology continuing to grow is preferable to use, various
communication technologies to provide education to the community.
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