NHIA Chief announces GHC9.76 billion revenue boost from uncapped NHIL and outlines transformative initiatives for private healthcare sector

Dr. Victor Asare Bampoe, Chief Executive of the National Health Insurance Authority (NHIA), has revealed 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.

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), Dr. Bampoe noted that 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 providing a more predictable financing base.

The three-day conference, themed “Unlocking Opportunities: Leveraging Government’s Private Sector Development Policy to Boost Ghana’s Private Health Sector,” provided a platform for public-private engagement and collaboration.

Dr Bampoe highlighted several transformative initiatives by NHIA, including the rollout of automated claims processing and e-payment systems to ensure timely reimbursements. He also announced the finalisation of a new evidence-based tariff structure designed to fairly compensate providers while enhancing accountability and efficiency in claims management.

He further emphasised 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. “We encourage private players, clinics, laboratories, pharmacies, and insurers to explore and expand their service delivery capacity,” Dr Bampoe urged.

The NHIA has institutionalized stakeholder engagement through public-private dialogue and co-design, allowing private sector input to shape benefit package reviews, pricing, and operational policies. Dr Bampoe also reaffirmed the Authority’s commitment to enforcing ethical practices and eliminating illegal co-payments, praising facilities that have embraced cashless, transparent, and patient-centred service delivery.

Additional improvements include enhancements to the NHIA’s electronic interface for credentialing, aimed at deepening healthcare delivery across all levels. Dr. Bampoe underscored the importance of a vibrant private sector, noting that nearly 30 percent of NHIS-accredited facilities are privately owned, with PHAFoG playing a pivotal role in achieving equitable healthcare.

He concluded with optimism that the conference would mark a new chapter in collaboration, “moving from dialogue to delivery, from opportunity to action, and from aspiration to achievement,” emphasising that collective efforts will strengthen the healthcare system, drive innovation, and secure a healthier, more equitable future for all Ghanaians.