Functions Of National Hospital Insurance Fund
The National Hospital Insurance Fund (NHIF) is a Kenyan government agency established under the NHIF Act of 1998. Its primary mandate is to provide accessible, affordable, and sustainable health insurance to all Kenyan citizens and legal residents.
NHIF collects contributions from its members, which include employed individuals, self-employed individuals, and voluntary contributors, and uses the funds to cover the cost of medical care for its members and their dependents. The organization also contracts with healthcare providers to offer medical services to its members at an affordable cost.
NHIF’s benefits package covers a wide range of medical services, including inpatient and outpatient care, surgical procedures, laboratory and radiology services, maternity care, and specialized treatments such as cancer treatment and kidney dialysis. The fund also provides additional benefits for specialized groups, such as those living with disabilities and retirees.
Functions Of National Hospital Insurance Fund
The National Hospital Insurance Fund (NHIF) has several functions, including:
- Providing health insurance coverage: NHIF’s primary function is to provide affordable and accessible health insurance to Kenyan citizens and legal residents. The organization collects contributions from its members and uses the funds to cover the cost of medical care for its members and their dependents.
- Contracting with healthcare providers: NHIF contracts with healthcare providers, including hospitals, clinics, and pharmacies, to provide medical services to its members at an affordable cost. NHIF negotiates the rates with these providers to ensure that its members receive quality care at reasonable prices.
- Managing healthcare finances: NHIF is responsible for managing healthcare finances in Kenya. The organization collects contributions from its members, invests the funds, and uses them to pay for medical care. NHIF also manages the risk pool to ensure that all members have access to medical care when they need it.
- Developing healthcare policies: NHIF works with the government and other stakeholders to develop healthcare policies that support the provision of quality medical care to Kenyans. The organization plays a key role in shaping the country’s healthcare system and ensuring that it meets the needs of all citizens.
- Providing additional benefits: NHIF provides additional benefits to specialized groups, such as those living with disabilities and retirees. The organization also offers social health insurance programs that cover funeral expenses and maternity expenses.
- Promoting healthcare awareness: NHIF works to promote healthcare awareness among Kenyans. The organization conducts public education campaigns to raise awareness of health issues, the benefits of health insurance, and how to access medical care.
NHIF Key Objectives
- Increase the numbers of principal members from 7 million in 2018 to 19 million by 2022
- Enhance revenue inflow and its utilization
- Enhance compliance to good governance
- Enhance synergies in information and resource sharing with stakeholders and partners
National Hospital Insurance Fund Leadership
The National Hospital Insurance Fund (NHIF) is led by a board of directors appointed by the President. The board provides overall leadership and direction to the organization and is responsible for ensuring that NHIF meets its mandate of providing affordable and accessible health insurance to Kenyans. The current Chairman of NHIF board is Eng. Michael S. M. Kamau.
In addition to the board, NHIF is headed by a Chief Executive Officer (CEO), who is responsible for the day-to-day management of the organization. The CEO reports to the board and is accountable for the organization’s performance and delivery of its mandate. Currently the CEO of NHIF is Dr. Samson Kuhora.
NHIF also has several departments headed by directors who oversee specific areas of the organization’s operations, such as finance, operations, strategy, and policy. These directors work closely with the CEO and the board to ensure that NHIF delivers quality services to its members and achieves its objectives.
The NHIF board and leadership team are expected to operate with integrity and transparency in all their activities. They must also adhere to the organization’s governance structures, policies, and procedures and ensure that NHIF operates within its legal and regulatory framework. Their leadership plays a critical role in the success of NHIF and the provision of healthcare services to Kenyans.
National Hospital Insurance Fund Contacts
For any inquiries or assistance, you can contact the National Hospital Insurance Fund (NHIF) using the following contact information:
- Toll Free Telephone: 0800 720 601
- Email: customercare@nhif.or.ke
- NHIF Website: https://www.nhif.or.ke/
- Physical Address: NHIF Building, Upper Hill, Ragati Road, P.O. Box 30443 – 00100, Nairobi, Kenya.
- Social Media: NHIF is active on social media, including Facebook and Twitter. You can follow their official pages for updates and news about NHIF.
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