After funding dispute, TU Teaching Hospital halts services under government health insurance
Summary
Tribhuvan University Teaching Hospital will halt government health insurance services after January 15 due to funding disputes, leaving insured patients unable to use their coverage temporarily.
Key Points
- Tribhuvan University Teaching Hospital plans to stop government health insurance services after January 15 due to unpaid dues and only partial claim approvals by the Health Insurance Board.
- Patients seeking care under the government insurance scheme at the hospital have been denied services despite some claims that services will continue until January 15.
- The hospital claims it incurs over Rs20 million loss monthly due to only 50% of claims approved and Rs400 million dues unpaid by the government.
- Health Insurance Board states that Rs14 billion has been paid to health facilities so far but faces a Rs10.5 billion shortfall due to funding issues, and claims rejection rate is around 20% largely due to documentation errors.
