By A Staff Reporter, Kathmandu, July 4: The Health Insurance Board has directed hospitals and health institutions to provide continuous, quality healthcare services to citizens.
On Friday, the board issued a directive instructing hospitals and health institutions to ensure the uninterrupted provision of quality healthcare services in accordance with the prescribed standards of the Health Insurance Programme, without creating any obstacles or difficulties in the treatment of insured beneficiaries.
“Please provide continuous, quality health services in accordance with the prescribed standards under the Health Insurance Programme without creating any obstruction or difficulty in the treatment of insured service recipients,” the release stated.
The board also urged health institutions to ensure the responsible and appropriate use of health insurance services by all insured individuals.
It requested not to prescribe unnecessary services or tests and that doctors and health workers not be pressured into conducting more tests or providing more treatment than medically necessary. The board also called on health institutions to play their important role in maintaining the sustainability and effectiveness of the Health Insurance Programme.
More than Rs. 23 billion paid to hospitals and health institutions
According to the release, the Health Insurance Board has paid a total of Rs. 23.44 billion to hospitals and health institutions on various dates during the current fiscal year.
The board stated that these payments cover claims up to mid-December 2025. It added that initiatives are under way in coordination with the relevant authorities to secure the budget required to settle claims submitted after mid-December 2025.
The Health Insurance Board also made a special appeal to insured beneficiaries and doctors to help make the health insurance programme sustainable and effective.
Despite limited resources and structural challenges, thousands of insured citizens are receiving healthcare services through the programme every day. The board said the health insurance programme is making a significant contribution to protecting citizens from financial risks by reducing out-of-pocket treatment expenses.
In a press release issued on Friday, the board announced that it has fully settled the claim arrears of all affiliated health service providers up to mid-December 2025.
For some time, the board has been unable to make timely claim payments to hospitals and health institutions due to the lack of a fully established sustainable financial source and funding mechanism for the Health Insurance Programme. The board acknowledged that this situation has created difficulties for both healthcare providers and insured beneficiaries.
According to the board, it is continuing coordination and discussions with the relevant authorities to ensure proper budget management and secure sustainable financial resources for the payment of outstanding claims submitted after mid-December 2025.
As the payment process continues, the board has earnestly requested all service-providing health institutions to continue delivering quality healthcare services in accordance with the programme’s prescribed standards without causing any disruption or difficulty in the treatment of insured beneficiaries.
The Rising Nepal
