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Health Management Organizations and Accountability in Nigeria

The National Insurance Scheme defines Health Maintenance Organization (HMO)  as a private or public incorporated company registered by the scheme solely to manage the provision of health care services through health care facilities accredited by the scheme. There has been accusations of mismanagement of funds by the HMOs including ill and nonchalant treatment of their clients.

How can we make HMOs more accountable for their clients regarding access to care, the package of care and satisfaction with their services?