The Executive Secretary of Osun Health Insurance Agency, Dr Rasaq Akindele has said the withdrawal of Onward Specialist Hospital from the Osun Health Insurance Scheme is based on “country’s economy and internal restructuring with the hospital.”
Akindele said this on Saturday while reacting to misinterpretation trailing the voluntary withdrawal by the hospital management.
“We wish to state categorically that this narrative is false and should be disregarded.
“Onward Hospital, Osogbo, had on June 10, 2024, written to Osun Health Insurance Agency(OSHIA) indicating its withdrawal from OHIS citing inflation in the country and internal restructuring as the reasons. The hospital added that it would be willing to continue when the economy is more stable and the hospital fully restructured.
OSHIA responded on June 19, 2024, accepting the withdrawal of services from Onward Specialist Hospital to take effect from July 1st , 2024, though, it’s violation of OHIS Operational Guidelines, which expressly states that either party must give three months’ written notice before terminating the agreement.
Based on this, OSHIA management directed Onward Hospital to attend to all OHIS enrollees until the end of June 2024, in view of the month’s capitation that has been paid in advance.
We wish to put on record that:
“Osun Health Insurance Agency has not defaulted in any monthly capitation payments(which is usually in advance) to Onward Hospital or any other service provider across the state.
OSHIA pays the highest capitation and has the highest tariff in the whole of the South Western states.
The support from the State Government under the leadership of Governor Ademola Jackson Nurudeen Adeleke is unprecedented. The support given since the inception of this government exceeds that received since the creation of the agency.
OSHIA activities from the support and directives of Mr. Governor have been sources of emulation for many states in the country. The recent enrollment of all pensioners in the state and the adequate and prompt treatments of all enrollees are verifiable testimonies.
There have been special consideration given to catastrophic medical conditions of some individual by the people’s governor, Senator Ademola Adeleke. Supports have been given to atleast six(6) patients with renal failures(needing kidney transplants) and some serious orthopaedic conditions.
The agency has never defaulted in its contractual obligations and responsibilities to providers, including the payment of capitation and fee for service.
Since the inception of this administration, the agency has added new services and reviewed upwards its charges for professional tariffs.
The health insurance ecosystem and its operations are guided by tariffs and charges contained in the Service Level Agreement mutually agreed upon and signed by the agency and the providers. Therefore, private hospital charges do not apply to our enrollees and cannot be a basis for comparison as erroneously referenced.
For this reason, we wish to inform the general public, especially OHIS enrollees, that Onward Hospital will no longer be an OHIS service provider effective July 1, 2024. All enrollees are advised to switch to other service providers. For further clarification, enrollees can visit our office, speak with our Business Officers, or call our Customer Service Number at 07000-2255-6447.”
