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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)HIB, GIZ Nepal, and previously https://openimis.atlassian.net/wiki/pages/resumedraft.action?draftId=835682333 |
Health scheme implemented since | 2016 |
openIMIS Implemented since | 2016 |
Name of openIMIS focal point | Mr. Suresh Tinkari |
Total number of health scheme employees | - |
Total number of employees using openIMIS | 7147 |
Total number of employees not trained on openIMIS | - |
Number of health insurance products managed by the health scheme and using openIMIS | 3 |
Product Features:
Number of households covered | 800,000 |
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Number of beneficiaries | 3,700,000 |
Average size of a household | 4.6 |
Household contribution amount | 3500 |
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 |
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Three main lessons learned:
Recommendations for Developers' Committee:
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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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