Private Clinics Reject New Medical Transfer Guidelines

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By Daniel Sabiiti

The association of Private clinics has insisted that until their demands are met they will continue with earlier medical treatment guidelines and arrangements on patient transfer procedures

An announcement released by the association (AMPR) stated that the private medics have agreed to go by the Insurance cost provisions (of 1/02/2017) until a response to their plight is offered by Rwanda Social Security Board (RSSB).

The new medical transfer guidelines state that without a transfer, patients seeking treatment in private clinics will have no choice, but to top up an extra balance on the normal 85% paid by RSSB. These guidelines were supposed to be effective May 1, 2017

Dr. Jean Dieudonné Gatsinga, the chairperson of AMPR said that the association will not charge any one an extra coin and will not send away anyone without a medical transfer (from a General Clinic).

“We (AMPR) will continue receiving patients as before, without any transfer, no extra charges, following the pricing list of 1/02/2017 as we wait for a response to our demands” Gatsinga said in a statement signed on May 1, 2017

The association demanded that the transfer procedures are reconsidered with fear that they will lose out on clients and business.

But RSSB says the changes in Rama Health insurance reimbursement was triggered by an the rise in health costs incurred by private health insurance providers.

Last year, the cabinet approved an upward adjustment whereby patients subscribing to Rama scheme pay 25 per cent more for healthcare while those subscribing to schemes offered by private insurance companies would pay 15 per cent more.

The Director General of Rwanda Social Security Board, Jonathan Gatera told KT Press that his office will remain cordial to its clients.

“Without abandoning our members, RSSB will keep reimbursing 85% of medical services according to instructions and modalities based on the system of referral,” he said.

According to Gatera, the decision to go by the General Clinic tariffs was because “60% of our members under health insurance scheme seek healthcare at general clinics.”

 

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