Benefit-cost analysis of electronic claims processing under Ghana's National Health Insurance Scheme
BMC Health Services Research
Ref: SRC-007-GHA-001
Accessed: 3/24/2026
Summary
Peer-reviewed benefit-cost analysis finding e-claims processing more efficient than paper-based processing (system-wide IBCR of 90.06 projected nationwide). Reports e-claims rejection rates of 3% (district) vs 10% (paper) demonstrating superior error detection. Describes CPC infrastructure (Accra, Cape Coast, Kumasi, Tamale), XML and web-based submission methods, and provider adoption statistics. Identifies benefits including enhanced fraud detection, reduced operational costs, and improved clinical auditing.
View Harvard reference
Apaak, D., Seddoh, A., Akazili, J. et al. (2022). 'Benefit-cost analysis of electronic claims processing under Ghana's National Health Insurance Scheme', BMC Health Services Research, 22, 632. doi:10.1186/s12913-022-07994-6. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC9086605/ (Accessed 24 Mar 2026).