Private Health Facilities Suspend NHIS Services Over Unpaid Arrears, NHIA Begins Partial Payments

Accra, Ghana – A growing financial dispute between private healthcare providers and the National Health Insurance Authority (NHIA) has led to the suspension of National Health Insurance Scheme (NHIS) services across multiple facilities, leaving patients in limbo. While the NHIA has now initiated partial payments to resolve the crisis, providers demand full settlement before resuming services.

Private Hospitals Halt NHIS Services Over Unpaid Debts

Frustrated by months of delayed reimbursements, the Coalition of Private Health Facilities announced an indefinite suspension of NHIS services starting April 2025. Members argue that outstanding arrears—some dating back over a year—have crippled operations, forcing them to cut back on essential medical supplies and staff salaries.

Dr. Samuel Donkor, spokesperson for the coalition, stated: “We cannot continue offering services without payment. Many facilities are struggling to keep their doors open.” Patients with NHIS cards have been turned away or asked to pay out-of-pocket, sparking public outcry.

NHIA Responds with Partial Payments, Urges Providers to Resume Services

Following pressure, the NHIA acknowledged the delays, attributing them to administrative bottlenecks and verification processes. CEO Dr. Aboagye Dacosta confirmed that partial payments had been released, urging providers to reinstate NHIS services immediately.

“We have started disbursing funds and are working to clear all arrears,” Dr. Dacosta said. However, providers remain skeptical, insisting that only full payment will guarantee service restoration.

Patients Caught in the Crossfire

The suspension has disproportionately affected low-income patients reliant on NHIS for critical care. At major private hospitals, long queues have formed as individuals scramble to pay for previously covered services.

“I came for my diabetes medication, but now I have to pay GH¢200. How can I afford this?” lamented Adwoa Mensah, a patient in Kumasi. Health advocates warn that the disruption could lead to worsened health outcomes, particularly for chronic disease patients.

Calls for Systemic Reform

This is not the first time NHIS arrears have triggered service suspensions. Stakeholders are demanding long-term solutions, including:

• Faster reimbursement mechanisms to prevent future delays.
• Increased government funding to sustain the NHIS.
• Transparent engagement between the NHIA and providers.

Health economist Dr. Ama Pokuaa argued, “The NHIS is vital for universal healthcare, but chronic underfunding and inefficiencies threaten its survival.”

What’s Next?

While the NHIA assures further payments in the coming weeks, private providers vow to maintain their stance until all arrears are cleared. The standoff highlights systemic challenges in Ghana’s health financing—and the urgent need for reform to protect both patients and healthcare providers.