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The NHIS faced significant inefficiencies in its paper-based health insurance claims processing system, including slow processing times, high administrative costs, limited real-time monitoring capabilities, and vulnerability to fraud. The lack of digital infrastructure hindered Ghana's vision to become a regional leader in healthcare innovation.
Governmental organization responsible for managing Ghana's national health insurance program, providing financial access to healthcare services for residents.
Implementation of the digital eClaims system is projected to reduce processing costs by 95%, accelerate healthcare provider payouts by 65%, and decrease fraud losses by 40% within 11 years. The system will process over 21 million annual claims while maintaining compliance with evolving healthcare regulations and supporting Ghana's position as a regional leader in healthcare innovation.