Country Director of PharmAccess Foundation, Dr. Maxwell Antwi

Country Director of PharmAccess Foundation, Dr. Maxwell Antwi says his outfit will continue to partner with the National Health Insurance Authority (NHIA) to deliver on their digitisation efforts.

One of the major challenges of the NHIA has been corruption and inefficiency, fueled over the years by a lack of data and use of innovation in making payments for claims provided by its service providers.

The Authority has over the years been in debt to its service providers, with several allegations of corruption also.

Whilst the National Health Insurance Authority under its new leadership have made strides in shedding this poor image of itself and improving on its past, there still exists a significant amount of work to bring it at par with global standards.

One major factor to fuel this new development will be data and digitalization. The Authority has one the biggest set of data in the country with at least 80% of the Ghanaian population enrolled on its National Health Insurance Scheme (NHIS), although a number of them are not active.

PharmAccess Foundation is an international non-profit organization with a digital agenda dedicated to connecting more people in sub-Saharan Africa to better healthcare. By making use of public-private partnerships, they leverage donor contributions, which they believe will pave the way for private investments thereby contributing to healthier populations and social and economic development.

The National Health Insurance Authority (NHIA) is partnering with PharmAccess on data analytics to strengthen NHIA’s capacity and stimulate its ambition as a data-driven health insurer.

Speaking at the Data Day as part of the NHIS week celebration, Ghana Country Director Dr. Maxwell Antwi emphasised the importance of data, particularly in the workings of the NHIA.

“Data is the new gold of the world. If you’re not looking at your data, you’re not different from someone who doesn’t have data. Every decision that the NHIS makes, going forward must be driven by data towards getting to financial sustainability. Now we know that the single largest cost driver of the NHIS is not malaria, it’s pregnancy and delivery. So it makes good economic sense for Ghana to add family planning to the NHIS benefit package”, Dr. Maxwell Antwi stressed.

NHIA’s challenges include ensuring financial sustainability, operational difficulties including delayed claims processing and compensation, and inadequate population coverage.

This is why PharmAccess’s partnership and support for the NHIS is key in its digitization drive. PharmAccess provides technical assistance to make the NHIA a data-driven insurer and knowledge institute that capitalizes on the disruptive potential of technology to create value out of its data.

PharmAccess provides technical assistance (e.g., capacity building, advice, and data analytics) to make the NHIA a data-driven insurer and knowledge institute that capitalizes on the disruptive potential of technology to create value out of its data.