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 AikinsPublished 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.