SHOW OF SHAME FROM NHIS – WHILST NIGERIANS WAIT IN PAIN, AGONY AND SICKNESS! - Health Resource International West Africa (HRI)

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Wednesday, 14 June 2017

SHOW OF SHAME FROM NHIS – WHILST NIGERIANS WAIT IN PAIN, AGONY AND SICKNESS!

Dear All,

SHOW OF SHAME FROM NHIS – WHILST NIGERIANS WAIT IN PAIN, AGONY AND SICKNESS!

In 2006, at the one-year anniversary of the National Health Insurance Scheme (NHIS), Nigerians were full of hope and showered best wishes to the Scheme to succeed. Of the 36 state commissioners of Health and FCT Health Secretary, I signed up and took Cross River State under my boss HE Mr Donald Duke into the NHIS because only Cross River State at that memorable meeting called by the NHIS / FMOH, understood how a health insurance scheme works and how it has helped health systems in UK and the other industrialised world since the end of the second world war ( except USA before Obamacare)  have achieved and embedded Universal Health Coverage (UHC) for all their citizens and they make it mandatory. We hoped that Nigeria would make NHIS mandatory  soon after that 2006 meeting. In 2007, we again took it to Bauchi state under HE Malam Isa Yuguda.

Fast forward and then came March 2014 ‘The Declaration at the Presidential Summit on UHC in Abuja, Nigeria that recommended that the Government of Nigeria should work towards instituting mandatory health insurance in Nigeria, with contributions from all income earners-formal and informal- and make available special funds to cover the poor (UHC Fund).

What do we read today, a nauseating report of nonsense releases and fights by internal stakeholders of the failed scheme: the NHIS itself, the HMOs and The Providers!
Who is waiting and weeping, the Nigerian patient / user of the tragic scheme ? !!.

Health insurance for Nigerians does not need reinventing, it just needs taking a workable scheme (please NOT from USA) and localizing it for the sake of sick Nigerians who wait in pain and agony:

READ Below the self-indulging quarrel between the stakeholders in our country’s NHIS, 13 years after its heralded birth. Whilst Nigerians wait, these people and organisations so used to creaming the system are fighting over how to share the ‘booty’!!

We pray that somebody, urgently, FMOH/NASS/somebody can help us Nigerians. Health is too important to be left to these people. Somebody sort out the NHIS! :

Fraud allegations threaten universal health scheme
By Chukwuma Muanya (Assistant Editor) and Alabi Abdul (Kaduna)   |   09 May 2017   |   4:25 am
Inline image 
The scheme and its operators, including the Health and Managed Care Association of Nigeria (HMCAN) and Health Care Providers Association of Nigeria (HCPAN), are trading accusations over alleged financial misappropriation.
• ‘HMOs operate with expired licences’
• Operators allege disruption to NHIS scheme
• Nigeria records 33.7 deaths per 100,000 yearly
The plan by the Federal Government to achieve universal health coverage (UHC) through the National Health Insurance Scheme (NHIS) has suffered yet another setback.
The scheme and its operators, including the Health and Managed Care Association of Nigeria (HMCAN) and Health Care Providers Association of Nigeria (HCPAN), are trading accusations over alleged financial misappropriation.
HMCAN is the umbrella body of health maintenance organisations (HMOs), licensed operators of the NHIS. The bodies provide or arrange managed care for health insurance, self-funded health care benefit plans, individuals and other entities as well as act as a liaison for health care providers (hospitals, doctors, etc.) on a prepaid basis.

HCPAN was an offshoot of Decree 35 of 1999 that establishes NHIS to provide approved health services at retainer hospitals to the enrollees.HMCAN and HCPAN have, however, raised the alarm over alleged disruption and distortion of the scheme.
The Chief Executive Officer (CEO)/Managing Director of Ultimate Health Management Service, one of the HMOs, Mr. Lekan Ewenla and the National President, HCPAN, Dr. Umar Oluwole Sanda, told The Guardian that since his assumption of duties, the Executive Secretary of the NHIS, Prof. Yusuf Usman, had changed the payment pattern from prepaid to postpaid, whereby payments that were to be effected at the beginning of each quarter are now done on a monthly basis.
Ewenla said the implication of this alleged distortion was that the healthcare providers would not have the fund to provide services as earlier designed, resulting in the enrollees being denied access by facilities.
Sanda noted that the development had resulted in the re-introduction of out-of-pocket payment, which the scheme was designed to completely eliminate. This situation, according to him, has led to the enrollees and healthcare providers beckoning at their HMOs for help, far beyond their control.
But the NHIS boss, in his reaction, accused the HMOs of defrauding and owing the scheme and the primary care providers to the tune of N90 billion, even as he threatened to delist and publish the names of defaulting companies.
Usman told The Guardian that the licences of all the HMOs had expired. According to him, none has a legal licence to practise. He said: “We give them money upfront to pay the retainer hospitals nationwide but they do not. They keep the money. For the first time, the NHIS is working for the people not the HMOs.
They owe all the retainer hospitals nationwide. HMOs have been feeding fat on people’s money. They have to pay back all the money. I am going to publish the names of all the corrupt HMOs soon in the newspapers.”
Usman had last August accused them of criminal negligence. According to him, despite the fact that the NHIS releases funds three months ahead for the payment of the retainer hospitals where the enrollees are attended to, most of the HMOs do not pay the capitation to the hospitals.

The situation is critical since 90 per cent of Nigerian hospitals depend on the capitation to survive, he said. Meanwhile, the Federal Road Safety Corps (FRSC) has said Nigeria records 33.7 deaths per 100,000 persons yearly, making her one of the nations with the highest fatality rate on the African continent.
Quoting the World Heath Organisation (WHO) statistics, the Corps Marshal, Boboye Oyeyemi, during the kick-off of the Global Road Safety Week at the Nigeria Union of Journalists (NUJ) secretariat in Kaduna yesterday, said with a population of 178.5 million and over 7.6 million cars plying her 204,000-kilometre road network, the nation ’s road infrastructure face a high pressure resulting high rate of accidents.
A statement quoted Oyeyemi as saying: “FRSC, in its mitigating efforts, has introduced the installation of speed limiter devices in commercial vehicles and has been monitoring compliance.” Represented by the Deputy Corps Commander, Kaduna Zone, Yomi Asaniyan, he put the level of compliance at 33 per cent.’’
Joseph Ana
Africa Center for Clin Gov Research & Patient Safety
@ HRI West Africa Group - HRI WA
Consultants in Clinical Governance Implementation
Publisher: Health and Medical Journals 
8 Amaku Street Housing Estate, Calabar
Cross River State, Nigeria
Phone No. +234 (0) 8063600642

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