Overview:
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| implementation-support |
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Scheme Features:
Country/Region | Nepal |
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Scheme type | Health Insurance Scheme |
Cooperation partner | Health Insurance Board (HIB) Nepal, German Development Cooperation |
Implementation |
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Support | Technical Assistance: GIZ Support to the Health Sector Programme (S2HSP) & Swiss Tropical and Public Health Institute (Swiss TPH) |
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Health scheme implemented since | |
Implemented since |
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Name of openIMIS focal point |
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Participation in the last implementer committee meeting |
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Total number of health scheme employees |
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Total number of employees using openIMIS |
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Total number of employees not trained on openIMIS |
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Number of health insurance products managed by the health scheme and using openIMIS |
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Product Features:
Number of households covered |
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Number of beneficiaries |
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Average size of a household |
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Household contribution amount |
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Individual contribution |
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Average amount paid for a claim |
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Specifications of the openIMIS used:
Version |
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Has anything been modified (customization) |
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What standards are used to code services, items, diagnosis and products |
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Three main lessons learned
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One |
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Two |
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Three |
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Recommendations for Developers' Committee:
What to improve |
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What to add |
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What to remove |
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More information here.
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Social Health Insurance in NepalScheme DesignBenefit packageContributionBusiness ProcessesEnrolment Insuree verification Service provision Claiming from facilities Claim review openIMIS ImplementationCustomizationConfigurationsDeploymentUser baseManuals |
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