Accra: Dr. Victor Asare Bampoe, Chief Executive of the National Health Insurance Authority (NHIA), has announced that the government's decision to uncap the National Health Insurance Levy (NHIL) has generated GHC9.76 billion in 2025, up from GHC6.52 billion in 2024.
According to Ghana News Agency, the financial boost has enabled the Scheme to clear outstanding arrears and disburse over GHC1.5 billion to healthcare providers over the past seven months, while also making the financing base more predictable. Dr. Bampoe, speaking through Dr. Kwesi Senanu Djokoto, Deputy CEO in charge of Operations, at the Fifth Annual General Conference of the Private Health Facilities Association of Ghana (PHAFoG), revealed that the Authority is rolling out automated claims processing and e-payment systems to ensure timely reimbursements.
The three-day event was themed: 'Unlocking Opportunities: Leveraging Government's Private Sector Development Policy to Boost Ghana's Private Health Sector.' Dr. Bampoe emphasized that the NHIA is pursuing transformative initiatives to strengthen its partnership with PHAFoG, including finalizing a new evidence-based tariff structure that accurately reflects the true cost of service delivery. The goal is to ensure fair compensation for providers while enhancing accountability and efficiency in claims management.
He also highlighted the role of the newly established Ghana Medical Trust Fund (Mahama Cares), which provides a framework for joint investments in healthcare facilities, equipment, and specialist training. Dr. Bampoe urged private players-clinics, laboratories, pharmacies, and insurers-to explore and expand their service delivery capacity. The NHIA has institutionalized stakeholder engagement through public-private dialogue and co-design, allowing private sector input to directly shape benefit package reviews, pricing, and operational policies.
The Authority is committed to enforcing ethical practices and eliminating co-payments, which are illegal charges that erode public trust in the Scheme. Dr. Bampoe commended facilities that have embraced cashless, transparent, and patient-centered service delivery, stating that compliance protects both the Scheme and the integrity of the profession.
He announced improvements to the NHIA's electronic interface for credentialing, alongside other transformative initiatives aimed at deepening healthcare delivery across all levels. Praising the government's private-sector development policy, Dr. Bampoe noted that no nation can achieve Universal Health Coverage without a vibrant, trusted, well-equipped, and supported private sector.
Nearly 30 percent of NHIS-accredited facilities are privately owned, with PHAFoG playing a leading role as an indispensable partner in the national journey toward equitable healthcare for all. Dr. Bampoe expressed hope that the conference would mark a new chapter in collaboration, moving from dialogue to delivery, from opportunity to action, and from aspiration to achievement.
Dr. Bampoe concluded with optimism that collective efforts will strengthen the healthcare system, drive innovation, and secure a healthier, more equitable future for all.