Country/Region | Nepal |
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Scheme Operator | Health Insurance Board (HIB) Nepal |
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Scheme type | National Social Health Insurance |
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Implemented since | 2016 |
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Implementing Partner(s) | HIB, GIZ Nepal, and previously https://openimis.atlassian.net/wiki/pages/resumedraft.action?draftId=835682333 |
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Supporting Partner(s) | Financial Assistance: German Development Cooperation |
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Version | |
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Functionalities used | Beneficiary Management Claims Management Claims Review Reports
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Coverage | 76 districts of Nepal |
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Number of beneficiaries | 3,700,000 |
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Number of users | 7147 |
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Number of health facilities | 375 |
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Last update | April 2021 |
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Scheme Features:Country/Region | Nepal |
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Scheme type | Health Insurance Scheme |
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Cooperation partner | Health Insurance Board (HIB) Nepal |
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Implementation Support | HIB, GIZ Nepal, and previously https://openimis.atlassian.net/wiki/pages/resumedraft.action?draftId=835682333 |
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Health scheme implemented since | 2016 |
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openIMIS Implemented since | 2016 |
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Name of openIMIS focal point | Mr. Suresh Tinkari |
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Total number of health scheme employees | - |
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Total number of employees using openIMIS | 7147 |
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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 | 3 |
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Product Features: Number of households covered | 800,000 |
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Number of beneficiaries | 3,700,000 |
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Average size of a household | 4.6 |
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Household contribution amount | 3500 |
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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: 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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