Written by Williams ABAH

FGFG warns HMOs, demands operations review

The federal government has warned operators of Health Management Organisations, HMOs, that it would no longer accept any form of anomaly in the delivery of quality health care services to enrollees of the National Health Insurance Scheme, NHIS.

According to the government, several complaints of poor quality health care and service delivery had been damaging the reputation of the NHIS.

The Minister of Health, Dr. Osagie Ehanire, issued the warning during a strategic stakeholders’ engagement for HMOs organised by the NHIS in Abuja.

While expressing his displeasure over the series of complaints on the poor performance of HMOs in the country, he directed the HMOs to critically examine their operations and carry out internal reforms within and among themselves.

Ehanire, represented by the Director Hospital Services, Dr. Joseph Amedu, stated that President Muhammadu Buhari was committed to rejuvenating all organs and units for an unfettered performance, in order to ensure the citizens’ access to social and economic benefits in line with his administration’s Next Level agenda.

He urged all stakeholders in the health sector to take advantage of the ongoing reforms in the NHIS and engage in frank conversations, with a view to addressing the issues that clogged the wheels of the scheme in the past.

Ehanire said, “Let me at this juncture call on all of you, operators of the Health Management Organisations, HMOs to use this opportunity to review your operations and business processes"

He stated that reports reaching him indicate that an overwhelming percentage of enrolees and health care providers have expressed grave concern over the performance of HMOs, with the areas of concern including, but not limited to, non -remittance of payments to health care providers, poor customer service delivery and inaccessibility to

enrollees’ at critical moments of need.

He added that the collective results of these and many other cases of service failure in the industry are poor service delivery, poor quality of health care and worrisome reputation damage for the NHIS.

In his words, "Let it be noted that these anomalies are no longer acceptable because this government is determined to get it right with NHIS, in view of its status as a strategic tool for effective and efficient health care delivery system in the country. I, therefore, have no doubt that the HMOs will key into the reforms to rebrand NHIS, by frankly addressing internal reforms within and among themselves.”

The Executive Secretary NHIS, Prof. Mohammed Sambo, explained that the meeting with the HMOs is part of the ongoing process to reposition the scheme to ensure not only quality healthcare service delivery to all enrollees, but also to meet the target of Universal Health Coverage by 2030. 

 

The federal government has warned operators of Health Management Organisations, HMOs, that it would no longer accept any form of anomaly in the delivery of quality health care services to enrollees of the National Health Insurance Scheme, NHIS.

According to the government, several complaints of poor quality health care and service delivery had been damaging the reputation of the NHIS.

The Minister of Health, Dr. Osagie Ehanire, issued the warning during a strategic stakeholders’ engagement for HMOs organised by the NHIS in Abuja.

While expressing his displeasure over the series of complaints on the poor performance of HMOs in the country, he directed the HMOs to critically examine their operations and carry out internal reforms within and among themselves.

Ehanire, represented by the Director Hospital Services, Dr. Joseph Amedu, stated that President Muhammadu Buhari was committed to rejuvenating all organs and units for an unfettered performance, in order to ensure the citizens’ access to social and economic benefits in line with his administration’s Next Level agenda.

He urged all stakeholders in the health sector to take advantage of the ongoing reforms in the NHIS and engage in frank conversations, with a view to addressing the issues that clogged the wheels of the scheme in the past.

Ehanire said, “Let me at this juncture call on all of you, operators of the Health Management Organisations, HMOs to use this opportunity to review your operations and business processes"

He stated that reports reaching him indicate that an overwhelming percentage of enrolees and health care providers have expressed grave concern over the performance of HMOs, with the areas of concern including, but not limited to, non -remittance of payments to health care providers, poor customer service delivery and inaccessibility to

enrollees’ at critical moments of need.

He added that the collective results of these and many other cases of service failure in the industry are poor service delivery, poor quality of health care and worrisome reputation damage for the NHIS.

In his words, "Let it be noted that these anomalies are no longer acceptable because this government is determined to get it right with NHIS, in view of its status as a strategic tool for effective and efficient health care delivery system in the country. I, therefore, have no doubt that the HMOs will key into the reforms to rebrand NHIS, by frankly addressing internal reforms within and among themselves.”

The Executive Secretary NHIS, Prof. Mohammed Sambo, explained that the meeting with the HMOs is part of the ongoing process to reposition the scheme to ensure not only quality healthcare service delivery to all enrollees, but also to meet the target of Universal Health Coverage by 2030.

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