Versions Compared

Key

  • This line was added.
  • This line was removed.
  • Formatting was changed.


Page Properties
idimplementation-support


Country/Region

Nepal

 

Program type

Health Insurance Scheme

 

Current status

62 of 77 districts in Nepal are covered by the scheme

 

Cooperation partner

Health Insurance Board (HIB) Nepal, German Development Cooperation

 

Implementation support

Technical Assistance: GIZ Support to the Health Sector Programme (S2HSP) & Swiss Tropical and Public Health Institute (Swiss TPH)

 

Health scheme implemented since

OpenIMIS implemented since

2016

 

Implementation Support

 

Name of openIMIS focal point

 

 

Participation in the last implementer committee meeting

 

 

Total number of health scheme employees

 

 

Total number of employees using openIMIS

 

 

Total number of employees not trained on openIMIS

 

 

Number of health insurance products managed by the health scheme and using openIMIS

 

 

Follow up of main indications for each product:

 

Number of households covered

 

 

Number of insured people

 

 

Average size of a household

 

 

Household contribution amount

 

 

Individual contribution

 

 

Average amount paid for a claim

 

 

Specifications of the openIMIS used:

 

Version

 

 

Has anything been modified (customization)

 

 

What standards are used to code services, items, diagnosis and products

 

 

Three main lessons learned by using openIMIS:

 

One

 

 

Two

 

 

Three

 

 

Recommendations for Developers Committee:

 

What to improve

 

 

What to add

 

 

What to remove

 

 


More information here.

Excerpt
hiddentrue

Social Health Insurance in Nepal

Scheme Design

Benefit package

Contribution


Business Processes

Enrolment

Insuree verification

Service provision

Claiming from facilities

Claim review

openIMIS Implementation

Customization

Configurations

Deployment

User base


Manuals