General news

Expert calls for upward review of NHIS capitation



Expert calls for upward review of NHIS capitation

By Olanrewaju Akojede

A health insurance expert, Mr Frank Osimi, on Saturday called on the National Health Insurance Scheme (NHIS) to review upward the capitation to healthcare services providers.

Osimi made the call at a book launch on health insurance scheme in Nigeria.

Capitation is a type of healthcare payment system in which a doctor or hospital is paid a fixed amount per patient for a prescribed period of time by an insurer or physician association.

The News Agency of Nigeria (NAN) reports that the book launch was held at the WODIA Training Institute, Ogba, Lagos.

Title of the book is: “Health Insurance Customer Executive.”

Osimi said that due to the rate of inflation and the rising cost of medical infrastructure and services, the capitation, which has been fixed since 2007, needed an upward review.

“Funding has been the major challenge facing healthcare sector in Nigeria and all over the world.

“The NHIS scheme has been designed to help reduce the burden of paying out of the pocket.

“Capitation is the prepaid payment made by NHIS to the providers through Health Management Organisations (HMO) for primary healthcare services rendered to NHIS enrollees across providers in Nigeria.

“The capitation is for primary healthcare services for treatment of diseases such as malaria, fever, respiratory tract infections gastroenteritis, typhoid fever and others, however, the enrollee is expected to pay 10 per cent.

“Providers across the country have been continually asking for upward review of the capitation as it is too small compared to the services being  rendered by service providers in the hospitals,” he said.

Osimi said in spite of the low capitation, more patients were now visiting hospitals for one form or treatment or the other.

“On the other hand, NHIS argument is that though, the N750 may be small as capitation for an enrollee in a month, any hospital that has one thousand, two thousand or three thousand NHIS stands to receive substantial amount of money.

“In the sense that the N750 is paid per provider is multiplied by the total number of enrollees allocated by NHIS to a provider; in reality, most accredited hospitals have fewer enrollees.

“It is also worthy of note that more enrollees now visit hospital more often, maybe as a result of economic and social problems which has led to a burden of diseases experiences.

“The service providers will like to provide the best of the services to their patients which did not come at a cheap price at all; the hospitals have been at the receiving end,” he said.

Osimi said that the book would be made available to the public at book stores and some designated medical centres, while the E-copy would be sold on Amazon and other E-market platform.

NAN reports that the book launch drew many stakeholders across the medical sector, the HMO providers, government representatives among others. (NAN)


Short Link:


NNN: :is a Nigerian online news portal that publishes breaking news in Nigeria, and across the world. Our journalists are honest, fair, accurate, thorough and courageous in gathering, reporting and interpreting news in the best interest of the public, because truth is the cornerstone of journalism and they strive diligently to ascertain the truth in every news report. Contact: editor @

COVID-19 new wave: Bayelsa imposes fresh curfew UN chief calls on all parties to cease fighting in Gaza, Israel ICPC fugitive is not Buhari’s inlaw – Presidency Customs confirms 3 dead in Iseyin clash with smugglers Nollywood produces 416 movies in Q1, 2021-NBS Gov. Diri recommends electronic voting for future election Pfizer, Moderna vaccines 94% effective – CDC study Imminent food crisis: young farmers recommend emergency food security plan Nigeria’s security challenges surmountable, says Gov. Fayemi Police not Nigeria’s problem – Sen. Dickson Transition: We’ll lend helping hand, Buhari tells Chad Team Nigeria on course to qualify for Tokyo Olympics relay races —- George Eid-el-Fitr: Foundation distributes food items to widows, orphans in Kaduna WHO cautions on excessive speed to reduce road accidents Egypt receives second shipment of 1.77 million COVID-19 vaccines via COVAX Facility NGX resumes trading after Sallah break with N25bn growth UN condemns murder of aid worker in South Sudan Nigerian Army demolishes unserviceable ammunition, explosives in Imo Basketball Africa League unveils squad rosters ahead of inaugural season La Liga still planning to take matches to U.S., official says Day 3 – B-roll: African rugby teams meet to prepare for the Olympic Games and the Olympic draft – Day 3 No record of Indian COVID-19 variant in Edo – Obaseki CORRECTION: New Hapag-Lloyd East Africa service arriving in Kenya and Tanzania Police rescue abandoned baby in Lagos Siemens, German government and Solidarity Fund hand over 100-bed modular hospital solution NiMet predicts 3 days cloudiness, thunderstorms from Friday Arrival of the new Hapag-Lloyd East Africa service in Kenya and Tanzania Eid-el-Fitr: Uzodimma hosts Muslims in Imo Envoy pledges to strengthen Nigeria-Cuba relations Coronavirus – Rwanda: COVID-19 update (May 13, 2021) Real Madrid stay in title hunt with win at Granada Coronavirus – Eswatini: COVID-19 daily update (May 13, 2021) Nadal follows Djokovic into Rome Open quarter-finals after epic fightback Coronavirus – Kenya: COVID-19 update (May 13, 2021) Remittance inflows to Nigeria declined by 28% in 2020 – WB Coronavirus – Daily update of the state of COVID-19 statistics in Zambia (May 13, 2021) FG, Kebbi Govt working to tackle banditry – Bagudu Coronavirus – Nigeria: COVID-19 case update (May 13, 2021) Lawan to Governors: Restructure your States before calling for restructuring at federal level Coronavirus – South Africa: COVID-19 Statistics in South Africa (May 13, 2021) Police investigate fire incident at Enugu INEC office Pozzovivo forced to withdraw from Giro d’Italia after stage 6 crash Emir of Ningi tasks title holders to promote positive changes in communities New report on COVID-19 in Africa shows impact of COVID-19 on African continent has been underestimated Eid -el-Fitr: Gov. Ganduje frees 123 prison inmates Coronavirus – Malawi: Daily update of information on COVID-19 (May 13, 2021) World Bank to construct 13.16km Lagos farm roads Coronavirus – Ethiopia: COVID-19 cases reported in Ethiopia (May 13, 2021) Eid el-fitri: Cleric preaches unity, tolerance to check ethnicity Cargo Airport project ‘ll increase economic fortunes of Anambra- ONICCIMA