Bundled Payment as a Mode of Strategic Purchasing

Prior to August 2015, NHIF was only offering Inpatient services.  In order to meet the increasing customer demand for quality and enhanced benefits, NHIF embarked on conducting an Actuarial Study on the viability of enhancing the benefits & the cost implications for sustainability purposes. This paved way for the introduction of enhanced bundled benefits. These were;

1.        Outpatient Services

2.         Caesarean Section

3.         Normal Delivery

4.         Dialysis

5.         Rehabilitation for Drug & Substance abuse

6.         Minor Surgery

7.         Major Surgery

8.         Dental

9.         Optical

10.       MRI

11.       CT-Scan

12.       Chemotherapy

13.       Radiology

14.       Kidney Transplant

15.       Specialized Surgery

The isolation of these costly episodes allowed for the smooth implementation of the capitation method.

Award Region
Award Year
2017
Guideline book
Main country
Main region