Kathmandu. The Health Insurance Board has set a future course of action for the improvement of the health insurance program.
The board has issued a white paper and decided the future course of action. The board believes that this is the best time to reform health insurance. Since the political and administrative leadership is committed to the effectiveness of health insurance, it has got an opportunity to move forward by institutionalizing the good practices so far in this field and deciding the future course of action based on past experiences and experiences.
यस्ता future course of action##inline_tags_PLACEHOLDER_7#inline_tags_PLACEHOLDER_0##
##inline_tags_PLACEHOLDER_5#Universal participation in #स्वास्थ्य insurance its minimum conditions#inline_tags_PLACEHOLDER_7##
Arrangements will be made for people’s representatives at all levels, employees working in various agencies of the Government of Nepal, people working in the organized sector, people going for foreign employment and common citizens and foreign nationals coming to Nepal to participate in the health insurance.
##inline_tags_PLACEHOLDER_5#Integration of health aid and grant programs in #छरिएर#inline_tags_PLACEHOLDER_7##
The Ministry of Health and Population and various agencies of the Government of Nepal are running many health assistance programs in parallel. Similarly, the state governments and local levels have also been providing assistance and grants to the citizens for treatment. In this way, the scattered long and horizontal programs will be integrated and brought under the Health Insurance Board.
##inline_tags_PLACEHOLDER_5#Ensuring Financial Sustainability of #स्वास्थ्य Insurance Board#
The health insurance board’s dependence on the government will be reduced and administrative expenses will be kept within a certain limit. Increasing the number of insured, integration of scattered programs will make a special contribution to financial resource management. Scientific methods will be adopted in determining the premium and progressive premium will be implemented gradually. In addition, the contribution of the state government and local levels will also be included in the health insurance fund to raise additional resources. Initiatives will be taken to bring a certain part of the tax levied on the production and consumption of goods and services that adversely affect health to the Health Insurance Fund after studying the world experience and the possibilities of Nepal. Similarly, there will be a debate on the possibility of depositing some amount in the health insurance fund in areas such as consumption of petroleum products, use of recharge cards, aviation, electronic banking transactions, etc. that will help raise significant resources with small contributions. Efforts will be made to get permission from the Government of Nepal to play the health insurance lottery used by other countries as well. Apart from the income from the insured and the grant of the Government of Nepal, the health insurance fund will be strengthened by raising income from various other sources. Efforts will be made to pay the claims that have not been verified for a long time. Arrangements will be made to make the payment within the stipulated time after receiving the claim from the next financial year.
##inline_tags_PLACEHOLDER_5#strengthening #सेवाको quality
The health services available to the citizens associated with health insurance will be made easy, simple, accessible and quality. The standards of service provided by the service provider will be determined and implemented effectively. In addition to supporting capacity building of service providers, methods will be developed to make monitoring effective and standardize service providers. The facilities available to the insured person will be upgraded. A situation will be created for the insured to get the service from anywhere in the country.
#inline_tags_PLACEHOLDER_5#accessing the first service point enabled in #सबै location#
The first service points will be brought into operation at all local levels of the country. Collaboration will be made with the Ministry of Health and Population for capacity building of the first service point. The remittance system will be made online and more systematic.
##inline_tags_PLACEHOLDER_5#expanding the scope of #सेवाको##inline_tags_PLACEHOLDER_7#
The existing package of health insurance will be reviewed and widened further. Facilities for treatment of complex nature will be added. The cost of treatment of the person will be reduced by increasing the bag of facilities of all the insured.
बोर्डका work to be fully automated##
Emphasis will be laid on the use of state-of-the-art information technology to make the tasks to be performed by the Health Insurance Board fully automated. The board will work to increase the capacity of the servers in use, improve the software and increase the capacity of manpower. The unique ID of the insured will be prepared and implemented and the possibility of using the national id number will be analyzed for this. The identity card will be provided to the insured machine-readable digital card (the possibility of taking biometrics will also be studied). Automation will facilitate service, make spending and income transparent, maintain cleanliness and improve the quality of service.
##inline_tags_PLACEHOLDER_5#maintaining #दाबीमा hygiene##inline_tags_PLACEHOLDER_7#
The service provider will make the treatment provided to the insured more systematic and maintain cleanliness in the claim by making it more systematic to see whether the treatment is in accordance with the standards prescribed by the board, analyze whether the treatment is done properly or not. Efforts will also be made to use TPA if necessary.
#inline_tags_PLACEHOLDER_5##बोर्डको permanent organization structure and permanent posts will be approved and filled up##inline_tags_PLACEHOLDER_7
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For a long time after the establishment of the board, the permanent organization structure of the board has not been approved and the permanent posts have not been approved, its performance has been negatively affected. Questions have also been raised about the management of contractual employees for a long time. The rapid reshuffle of employees has hindered its institutional development. The work of filling the posts will be carried out on priority by approving the permanent organization structure and permanent posts. Also, efforts will be made to shift all its offices to government buildings. Cgas and PAMS will be used by the board in this financial year.
##inline_tags_PLACEHOLDER_5#Good Governance in #स्वास्थ्य Insurance
Good governance is the most complicated issue of the board. In order to achieve the objectives of the Board, special importance will be given to strengthening good governance and every functioning of the Board will be made lawful and transparent.
##inline_tags_PLACEHOLDER_5#conversion to #स्वास्थ्य insurance#
Since the problems of health insurance will not be addressed only through general reforms, radical reforms will be carried out in this sector in a planned manner to make it a successful and proud program of the country by addressing the shortcomings seen in the health insurance program.
