Problems hospitals under Ghana’s national health insurance scheme face hospitals under the Ghana’s National Health Insurance policy faces several problems following its induction. The aim is to delve the assessment of hospital administration under the scheme in regards to compensation, claims and delivery time.
This study involves key hospital administrators from accredited hospitals under the National Health Insurance Scheme. The mode of selection of these hospitals administrators is two districts each from five selected regions In Ghana. The districts that will be considered will be one less endowed and one well to do with from each of the selected regions. The mode of data collection will be personal interview with hospital administrators, managers of pharmacy, procurement, accounts and insurance scheme department. Data analysis will be based on prominent themes that will come up during interviews. The framework approach to qualitative data analysis will be used, grouping and incorporating themes that will come up during the interview.
Findings with problems confronting hospital administration includes delays of cash flows from the insurance authority; capacity of the scheme insufficient to procure essential drug and other consumables; inability to take initiatives; inadequate human resource; and limited spaces in the hospital to cope with increasing number of service users.
The National Health Insurance Scheme has brought many challenges to the organizational and service management of hospitals. These challenges can be resolved if there is constant flow of cash and hospitals under the scheme should induct the use of new technology to facilitate the delivery system. This will ease the tension with managing the procedures. Moral hazards can also be reduced if appropriate fund management systems is