I support this scheme which by increasing access to health care by Kenyans will reduce the rich-poor gap by breaking poverty-ill health cycle. But, questions have been asked about how NHIF past and how they intend to utilize these funds:
1. Is NHIF coming clean with records of use of current funds? Or are they just seeking for more funds to misappropriate?
2. Is the criteria, for example, of currently re-reimbursing hospitals with more diagnostic facilities more money justified when actually clients pay separately for these services?
3. How much of current budget goes into direct patient support through rebates as opposed to other charges?
4. If you went to KNH today, most emergencies come from the slums-Huruma, Kibera, Mukuru, Mathare. What is NHIF doing currently to cater for these populations? Did they target hospitals and clinics around these areas during the pilot phase? and, overall, how does their strategy cater for the vulnerable; the poor, those in arid areas?
5 Most institutions whose workers are under FKE currently have comprehensive health care for employees provided for or compensation paid as medical allowance. What is the guarantee that workers will have any value added with the new scheme? How is NHIF addressing such issues? or do they just want more money?
6. The workers under TSC and civil service stand to lose their medical allowance which is quite substantial. This is money they budget and control. Will they willingly loose this control to some giant government body?
7. What happens to HMO's and Insurance companies which definately stand to lose their business?
I believe the intention is right, but the methodology ill conceived. Passage through courts will just increase strife as workers may not be compelled to pay more for what they are already receiving. Government must look for other avenues for financing this basic right, including targeted taxation.
Ajus
On Tue, Sep 28, 2010 at 12:49 PM, Papa Likondi <papalikondi@googlemail.com> wrote:
EricI made a posting here earlier on on how NHIF will utilize these funds. The funds will be disbursed to ACCREDITED HOSPITALS AND LABORATORIES in the country.WHO WILL ACCREDIT THOSE HEALTH FACILITIES- By now Kenyans must have formed companies that will provide accreditation services. NHIF can not offer this services to mission and private hospitals in the country. It is Kenyan companies that will offer this services. I am sure very soon there will be advertisements in the Newspapers for provision of Accreditation Services and most Kenyans will be caught flatfooted.I have been involved in Accreditation of the first few centers of Excellence in Mission Hospitals under the GTZ Backup Initiative.Interestingly NHIF has not developed its own toolkit for this exercise for private and mission hospitals in Kenya.You can read more on accreditation from ISQUA and COHSASA web sites.--On Tue, Sep 28, 2010 at 11:22 AM, Eric Wabwaya Mburi <ewabwaya@hotmail.com> wrote:
Mungai,--
It has been sent to court of appeal by FKE and other stake holders.
I personally do not have issues with the charges but the capacity of NHIF to handle such huge sum of money
Ja'kamburi
Date: Mon, 27 Sep 2010 22:37:44 -0700
From: mckama2003@yahoo.com
Subject: NHIF New Scheme
To: mlalahoi@googlegroups.com
Hi all,
The new scheme which has been approved by the court, i think is a good idea, covering both inpatient and outpatient. What i am worried about is how it is being implemented, taking for instance the categories highlighted in their website.( http://www.nhif.or.ke/healthinsurance/hospitals/)
The mind boggling thing is that category A (where members would enjoy comprehensive cover) in nairobi region barely add up to 10 hospitals which is in the capital. Nhif as our national insurer of choice we should have more health providers on Category A than C or B.
A small example to be specific:- I fall sick/ have a terminal illness and i visit the category A health providers it would take me roughly 1 month to get consultation and treatment, then if it is terminal another month or so to have a doctor availed to me to do the surgery or diagnose treatment. This is all in the name of having a comprehensive. Now tell me if i wouldn't go and get private consultation, do a harambee and in 2 months i will be recovering from what i was ailing from.
I have heard of cases where the insurer has worked for some but let us have more health providers on board covering comprehensive covers on category A.
Regardsceasarmungai
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