Table 4 Summary characteristics of the financing schemes
Indicator/purchasing function | Imo SMOH | IMSHIA |
|---|---|---|
Model | Supplier side | Partner–agent model |
Sources of revenue | Government budget 100%: tax revenue and other sources | Prepayment scheme (premium payment), BHCPF, equity funds, government subventions |
Target population | Total population | Imo state citizens/residents who pay the appropriate premium and meet criteria for enrolment |
Total expenditure per beneficiary per year | ₦31 966 (US$ 104.5) 2017 | Not available yet |
Requirement for entitlement | Registration card as citizen, OOP | (1) Payment of monthly ₦1000 premium (2) Employees of public and organized private sector (3) Employees of informal sector (4) Indigents and vulnerable persons |
Coverage | Not established | 1.8%, representing proportion of Imo state population covered to date (2019) |
Premium rate | Not determined | ₦12 000 per annum full benefit |
Benefit packages | Minimum packages of preventive, curative and promotive care services | Minimum package of preventive, curative and promotive care services |
Purchasing agency | SMOH (SHMB, SPHCDA) | IMSHIA/No third-party administrator |
Health service providers | Public providers | Public and private providers |
Provider payment mechanism | Salary, line-item budget | Capitation (primary care), FFS (secondary and tertiary care) |
Budget execution | State and local government levels | The agency |