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HMO Controversy: What Nigerians, hospitals need to know about health insurance

HMO Controversy: What Nigerians, hospitals need to know about health insurance

By GhanaSummary NewsroomNigeria

“Patients may not bear the bulk of their care costs out of pocket, as their respective insurance companies pay their healthcare providers directly through capitation and fee-for-service,” Mr Akinboade told PREMIUM TIMES.

The National Health Insurance Authority (NHIA) describes social health insurance as a system in which contributions are pooled to provide a defined package of healthcare services.

In this explainer, PREMIUM TIMES examines how health insurance works in Nigeria, the responsibilities of patients, healthcare providers and HMOs, and what the law says about their obligations.

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