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34 health managers get insurance accreditation

Thirty four out of 57 Health Management Organisations (HMOs) have been given provisional accreditation, the National Health Insurance Scheme (NHIS) said. Speaking yesterday at a…

Thirty four out of 57 Health Management Organisations (HMOs) have been given provisional accreditation, the National Health Insurance Scheme (NHIS) said.

Speaking yesterday at a press conference, chairman of the NHIS council, Dr Eyantu Ifenne said, they scored the HMOs based on aggregation of criteria and at the first cut, only 11 out of the 57 scored over 70 percent, 40 HMOs scored between 50 and 70 percent, while 6 scored below 50 percent.

“The committee re-examined this and reduced the score further from 70 to 50 percent, but only the Defence HMO met most of the condition. But if we apply the law, none of the 57 HMOs fully met all the NHIS requirements for accreditation. We have advised that the 11 HMOs that were recommended for provisional re-accreditation should comply with specific critical condition within two to three weeks before they can be fully accredited,” Ifenne said.

She added that the 46 HMOs that scored below 70 percent were disaggregated depending on the critical condition they did not fulfil adding that the six HMOs that scored less than 50 percent were removed from evaluation. “That means they are not being considered for re-accreditation.”

 
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