Overview:
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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 Support | Technical Assistance: GIZ Support to the Health Sector Programme (S2HSP) & Swiss Tropical and Public Health Institute (Swiss TPH) |
Health scheme implemented since | |
Implemented since | |
Name of openIMIS focal point |
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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 | |
Average size of a household | |
Household contribution amount | |
Individual contribution | |
Average amount paid for a claim |
Specifications of the openIMIS used:
Version | |
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Has anything been modified (customization) | |
What standards are used to code services, items, diagnosis and products |
Three main lessons learned:
One | |
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Two | |
Three |
Recommendations for Developers' Committee:
What to improve | |
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What to add | |
What to remove |
...
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 |