Lifeworth HMO Champions Improved services delivery in the Health Insurance Industry

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(L-R) Dr Tosin Kolade, Associate Director, Health Systems Consult Limited; Dr Raymond Osho, CEO LifeWORTH HMO; Dr Mrs Adenike Olaniba, Former National President, Healthcare Providers Association of Nigeria and Dr Anthony Omolola, former National President, Association of General and Private Medical Practitioners of Nigeria [AGPMPN] at the Breakfast meeting organized for Managing Director of Hospitals and Service Providers by Lifeworth HMO in Lagos over the weekend

Lifeworth HMO, Nigeria’s proactive and trustworthy health management organization, organized a breakfast meeting for various Healthcare Providers within the industry. The event which recently took place in Lagos aims to enhance the quality of service within the healthcare value chain.

In his welcome address, the Chief Executive Officer, Dr. Raymond Osho, noted that the Health Insurance in Nigeria is at its infancy, however, the journey that has started must be periodically evaluated through discourses on how well to improve Healthcare delivery.

According to the Dr Osho, “Affordable healthcare must deliver on its mandate which include accessibility, responsiveness and quality. This will in turn give the enrollees the best of services from the HMO which is delivered by the Healthcare Providers. This is the way through which the enrollees can trust the system, as a whole.”

The keynote speaker at the event, the Past President of the Association of General and Private Medical Practitioners of Nigeria (AGPMPN), Dr. Anthony Omolola charged Healthcare Practitioners to digitize their practice as well as improve on their financial acumen. On the part of the HMOs, he emphasized on the need for seamlessly generation of authorization codes for providers on behalf of their enrollees in order to ensure speedy care.

While delivering a paper on “Health Insurance: Improving Service Delivery to the Enrollees,” the Associate Director, Health Financing, Health Systems Consult Limited, Dr. Oluwatosin Kolade shared the experience of  Nigeria’s Health Insurance Industry with what is obtainable in other African countries like Ghana, Rwanda amongst others.

He noted that while Nigeria was the first country to start Health Insurance amongst the three (3) countries, Nigeria has only been able to achieve fewer than 5% coverage of its population as compared to Ghana and Rwanda’s health insurance cover of about 50% and over 90% of their populations respectively.

Focusing on the healthcare systems, Dr. Kolade noted that the number of medical colleges in the country, estimated at thirty (30) colleges as compared to three hundred (300) colleges in India, is abysmally low, thus making the number of the doctors available to cater for Nigerians to be very limited. Compounding the shortage of trained medical doctors is also the mass exodus of medical practitioners currently been experienced at an alarming rate.

Concluding his lecture, he highlighted the insignificant budgetary allocation to the health sector in general and the poor regulatory framework of the National Health Insurance Scheme (NHIS) in particular.

There was also a panel session which consisted of Kunbi Adekeye, Head, People Outsourcing, ICS Outsourcing Limited; Dr Atinuke Nwjeh, CEO, Paediatric Partners Hospital; Dr Mohammed Isa, MD, Our Friend Hospital; Dr Tosin Kolade, Associate Director, Health Systems Consult Limited and Dr Raymond Osho, CEO, Lifeworth HMO.

Some of the main points from the session included the need to improve budget allocation to the healthcare sector at a minimum of 15% of national annual budget, in conformity with the Abuja declaration of 2001;  the need to improve regulatory framework of the NHIS; the need to rapidly grow the Health Insurance Coverage nationwide; the need for healthcare practitioners to improve their service delivery to enrollees; the need for HMOs to charge more realistic premiums from their clients and the need to educate enrollees in order to manage their expectations of the scheme.

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