An assessmemnt of the impact of the biometric management system on the operations of the National Health Insuranse Scheme – A case study of the Asante Akim North Nhis district office

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AUGUST, 2015
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The National Health Insurance Scheme has been facing a lot of challenges since its inception in the year 2004. The primary challenges among others include payment of claims to health providers under the scheme, registration and enrollment of citizens onto the scheme, etc. The Biometric Management System was then introduced in 2014 to cure certain problems being encountered such as the claims payment and enrollment. This study is thus motivated through the use of quantitative explanatory analysis to come out as the first hand information to ascertain the impact of the Biometric Management System (BMS) on the monthly enrollment and claims payment levels and to again analyse the trend taken by the enrollment and claims payment at the Asante Akim North and Central Districts. The Paired-Sampled T test is employed as one of the most common experimental designs for the "pre-post" design. It is revealed that the correlation between the levels of registration between the two periods is not statistically significant at the 0.05 levels of significance. Similarly the correlation between claims payment over the two regimes or periods is also not significant. On the effects of BMS, it is proven that there is no significant difference between monthly mean of enrollment between the two regimes. Similar thing can be said about the mean difference in claims payment. However, the ordinary least square approach was used in determining the trend of enrollment and claims payment and it revealed that both have been taking an upward trend over the last three years. Since the BMS has not taken immediate impact especially in claims payment as expected, it is recommended that to management to probe further for possible reasons for such failure. Moreover, the significant positive trend in levels of monthly claims payment should be considered alongside the revenue levels to the scheme in the district to bring the two to an acceptable level of pegging. This is very necessary if the future sustenance and improvement of the scheme is under consideration.
A thesis submitted to Department of Accounting and Finance Kwame Nkrumah University of Science and Technology School of Business in partial fulfillment of the requirements for the degree of Master of Business Administration (Finance-Option)