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Reducing medical claims cost to Ghana's National Health Insurance scheme: a cross-sectional comparative assessment of the paper- and electronic-based claims reviews.

Moses AikinsFrancis Asenso-BoadiLydia Dsane-SelbyFrancis-Xavier Andoh-AdjeiNathaniel OtooPatricia AkweongoMoses Aikins
Published in: BMC health services research (2017)
The electronic-based review adjusted significantly higher claims cost than the paper-based claims review. Scaling up the electronic-based review to cover claims from all accredited care providers could reduce spurious claims cost to the scheme and ensure long term financial sustainability.
Keyphrases
  • health insurance
  • affordable care act
  • healthcare
  • quality improvement
  • palliative care
  • randomized controlled trial
  • young adults
  • chronic pain
  • clinical evaluation