NHIA’s tariff review signals financial turnaround under Mahama’s health reforms

The Acting Chief Executive of the National Health Insurance Authority (NHIA), Dr. Victor Asare Bampoe, says Ghana’s health insurance system is on a stronger financial footing thanks to the uncapping of the National Health Insurance Levy (NHIL) — a policy move introduced by President John Dramani Mahama.

Speaking at a stakeholder conference in Accra, Dr. Bampoe credited the uncapping decision as the “boldest financial reform” yet under the Mahama administration, noting that it has significantly increased the NHIA’s revenue base.

“The NHIA’s revenue for 2025 has grown to GHC9.76 billion, compared to GHC6.52 billion in 2024. This has enabled us to raise the proportion of revenue allocated to claims — our core business — from 56.2% to 65%, with a projected rise to 75% by 2026,” he said.

The conference, themed “Consolidating Strategic Partnerships for a Resilient and Inclusive Health Insurance Scheme,” brought together policymakers, traditional leaders, health service providers, and international partners, including the WHO and CHAG.

Dr. Bampoe revealed that a new medicines tariff has been in effect since 1 March 2025, and that the reviewed service tariff is in its final stages of approval for imminent rollout.

In a move to enhance transparency, the NHIA has also set up a Claims and Illegal Charges Taskforce to probe and eliminate unlawful fees that burden patients.

Touching on the Free Primary Healthcare for All Initiative, Dr. Bampoe said the policy represents one of Ghana’s most ambitious healthcare reforms, stressing that stakeholders must work in unison to define clear roles, timelines, and funding mechanisms.

He further disclosed plans to operationalise the Ghana Medical Trust Fund, also called Mahama Cares, which will serve as a safety net for persons living with non-communicable diseases — a critical milestone toward universal health coverage.

Under the current administration, the NHIS covers 95% of all primary disease conditions and now has 15.65 million active members, up by 670,000 from last year. The Authority targets 20 million active members by year’s end.

Observers say the NHIA’s stronger financial position, backed by fiscal reforms and upcoming tariff adjustments, reflects Mahama’s renewed push to make healthcare access a cornerstone of his governance agenda.

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