Tag Archives: Ghana

Medical underwriting and risk adjustment practices: Ghana

Health insurance models vary from country to country. As highlighted in our first series of articles on international health markets, governments often dictate the role of private and public health insurance within any country. Milliman has produced a new series of blogs focused on the medical underwriting and risk adjustment practices of eight countries: Australia, Ghana, Ireland, New Zealand, Saudi Arabia, South Africa, Spain, and United Arab Emirates. This is the third article in our series.

Ghana reformed its healthcare provision and launched the National Health Insurance Bill in 2003 with an aim to provide universal access to healthcare. The law translated into the National Health Insurance Scheme (NHIS), which comprises three health insurance schemes:

• District mutual insurance
• Private mutual insurance
• Private commercial health insurance

Every Ghanaian resident is required to enroll in one of the three schemes under the law.

The paper summarizes the health insurance landscape and underwriting practices in Ghana.

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