Health Care Federation of Zambia (HFZ) has publicly appealed to President Hakainde Hichilema to intervene in a payment dispute with the National Health Insurance Management Authority (NHIMA).
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The HFZ, which represents the private healthcare sector, claims its members are on the brink of collapse due to NHIMA’s failure to pay for services, leading to huge debts and potential job losses.
In a press statement, the HFZ stated that private healthcare providers are owed money dating back to mid-2024.
The organisation alleges that NHIMA has an “unwritten rule” to pay public healthcare facilities first, leaving private providers with whatever funds remain.
This practice, the HFZ claimed, contradicts their role as “equal partners” in the national health insurance scheme, which has served hundreds of thousands of Zambians since 2021.
The federation highlighted several ongoing issues, including a 2021 tariff structure that was implemented without private sector consultation and has not been revised despite rising costs.
Recent changes in January 2025 further reduced the benefits package and divided payment for outpatient visits, making it difficult for providers to adequately treat patients.
HFZ also noted that delayed payments are preventing its members from meeting their tax obligations to the Zambia Revenue Authority, leading to fines and further financial strain.
The federation warned that without immediate payment, many private healthcare facilities will be forced to downsize or shut down completely, worsening unemployment and jeopardising the health scheme’s success.
The HFZ emphasised its commitment to the NHIS and its role in helping the government achieve universal health coverage.
Kalemba August 18, 2025
