National Health Insurance Scheme and the Performance of Select Health Maintenance Organisations in FCT, Abuja

Abstract

The main objective of this study was to investigate the performance of select Health Maintenance Organiations (HMOs) in FCT (Federal Capital Territory) on the fulfilment of National Health Insurance Scheme (NHIS) obligation in University of Abuja Teaching Hospital. The population of the study consists of 296 people. The data used in this study were collected from primary source. The main research instrument was structured questionnaire. Descriptive statistics was used to analyse the demographic characteristics of the respondents while inferential statistics of multiple linear regression was used to test the hypotheses in line with the objectives of the study. From the analysis of the research questions and test of hypotheses, the researchers found that the performance of HMOs in the area of healthcare service delivery to enrolees was not world-class-rated when it comes to accessibility, responsiveness and quality which sums up to the state of service delivery in the health sector. Based on the findings, the researchers concluded that the introduction of HMOs has not really improved Nigerian healthcare delivery system and it was recommended that NHIS should enlist more standard hospitals to bring healthcare facilities closer to enrolees and strengthen their monitoring teams to ensure timely.