National Health Insurance Management Authority (NHIMA)

The National Health Insurance Management Authority (NHIMA) operates in Lusaka, Zambia. It manages the National Health Insurance Scheme (NHIS), focusing on providing oversight for accredited health care providers (HCPs). The Authority's activities include implementing facilities inspections, clinical and claims audits to ensure compliance with quality protocols under the NHI Act No. 2 of 2018. Furthermore, NHIMA provides services related to financial management, including overseeing resources for both the Authority and the National Health Insurance Fund (NHIF), and managing general administration and assets. The organization's scope covers legal advice, policy development, quality assurance coordination, and ensuring adherence to relevant national laws and standards in the healthcare sector.