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Stakeholders in the National Health Insurance Scheme
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[QUOTE="Mataracy, post: 149679, member: 28733"] [B]GOVERNMENT[/B] The government, through the National Health Insurance Scheme sets standards, ensures and monitors compliance with standards and guidelines, while protecting rights and enforcing obligations of all stakeholders. [B] EMPLOYEES[/B] These are the contributors under the Formal Sector Social Health Insurance Programme. Their contributions (5% of basic salary) paid regularly, will guarantee employees and their dependants good quality health care whenever they fall ill. [B] EMPLOYERS[/B] These are public or private sector organizations employing ten (10) or more persons, for whom they are required to pay contributions (i.e. 10% of employee's basic salary). Under the Formal Sector Social Health Insurance Programme, employers are guaranteed good quality health care for their workers at a cheaper rate, with resultant increase in productivity. In addition, employers with in-house health facilities will run them cheaper, and make them earn income by registering them as providers under the scheme. [B] HEALTH MAINTENANCE[/B] [B]ORGANISATIONS (HMOs).[/B] These are limited liability companies, which may be formed by private or public establishment or individuals, for the sole purpose of participating in the scheme. They are registered by the schame to facilitate the provision of health care beefits to contributors under the Formal Sector Social Health Insurance Programme. [B] BOARD OF TRUSTEES (BOTs)[/B] Participants in the Urban Self-employed and the Rural Community Social Health Insurance Programmes through their elected Boards of Trustees, plan, run and manage their own health care,, thereby engendering a sense of ownership and true community participation. Etc. You can also add those Stakes holders in the National Health Insurance Scheme that you know. More idea is welcome. [/QUOTE]
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