National Health Insurance Authority
The National Health Insurance Authority is a Bahamian statutory body that administers the NHI Bahamas programme, delivering a government-funded primary-care benefit to 160,000-plus enrolled beneficiaries through a credentialed national provider network underpinned by eClinicalWorks EHR and NIB Smart Card eligibility.
- Company typePrivate
- Founded2016
- HeadquartersNassau, Bahamas
- Headcount11–50
- GTM typeB2C
- OfferingServices
What National Health Insurance Authority does
The National Health Insurance Authority (NHIA) is a statutory body of the Government of The Bahamas, established under the National Health Insurance Act and headquartered in Nassau. It administers the National Health Insurance (NHI) Bahamas programme, which delivers a defined primary-care benefit package to enrolled beneficiaries at no point-of-care cost. The Authority is governed by a Board appointed by the Minister of Health and operates with a small executive team led by a CEO and Medical Director.
The Authority's core product is the Primary Care Benefit, delivered through a credentialed provider network of more than 100 physicians and 90-plus facilities across The Bahamas. The technology backbone is built on the eClinicalWorks electronic health record platform, integrated with the National Insurance Board's (NIB) Smart Card eligibility infrastructure, enabling real-time beneficiary verification and centralized clinical records. The NHIA also operates a telehealth channel, a patient portal, and wellness initiatives (including a Diabetes Reverse Alchemy Programme), extending reach beyond physical provider sites.
The Authority is funded entirely by Government of The Bahamas general revenue and contracts providers under a capitation payment model. Beneficiaries do not pay premiums or co-payments at point of service for covered services. A draft NHI Bill advanced in 2022 contemplates extending coverage into high-cost care via a Standard Health Benefit, introducing employer-employee contributions and dedicated revenue streams (including a proposed sugary-drinks tax) — moves that would shift the financing model and broaden the benefit package beyond primary care.
National Health Insurance Authority firmographics
Firmographics- Name
- National Health Insurance Authority
- Legal name
- National Health Insurance Authority
- Website
- https://nhibahamas.gov.bs
- Company type
- Private
- Founded year
- 2016
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- The National Health Insurance Authority is a Bahamian statutory body that administers the NHI Bahamas programme, delivering a government-funded primary-care benefit to 160,000-plus enrolled beneficiaries through a credentialed national provider network underpinned by eClinicalWorks EHR and NIB Smart Card eligibility.
- Ownership category
- akta.pro rank
National Health Insurance Authority industry classification
Industry- Product category
- National Health Insurance
- NAICS
- Direct Health and Medical Insurance Carriers (524114), Direct Life, Health, and Medical Insurance Carriers (52411)
- SIC
- Accident & Health Insurance (6321), Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Open-Access HMOs (HLAEAMAF)
- akta.pro secondary industry
- Territorial/Island Health Departments (HLAJAAAE)
Keywords
Where National Health Insurance Authority is headquartered
LocationHeadquarters
- HQ city
- Nassau
- HQ country
- Bahamas
Offices1 record
Markets served
National Health Insurance Authority business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales, Others
Revenue model
- Government General Revenue Funding: Currently, all funding for NHI Bahamas comes from the Government's general revenue allocated to the NHIA. Under the current Primary Care phase, beneficiaries receive services at no cost at point of care with no copayments, deductibles, or new taxes.
- Employer-Employee Shared Premium Contributions (Proposed): A proposed shared funding mechanism under the new policy framework where employers and employees would share premium costs. Proposed employer collection at 1.5% of monthly income (lowered from 2%), with employers paying the balance up to the standard premium rate of $1,000 per person per year. Higher-paid employees would contribute more to reduce business burden.
- Sugary Drinks Tax (Proposed Funding Source): A proposed sugary drink tax as a potential funding source for expanding NHI benefits. Survey data indicates 74% support if proceeds reduce healthcare costs for vulnerable populations, and 76% support if proceeds fund a national wellness plan.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Primary Care Benefits — No cost to beneficiaries at point of service |
| Subscription | Monthly | Standard Health Benefit (SHB) — Proposed expanded benefits package |
Go-to-market motion1 record
Distribution channels6 records
Marketing channels6 records
National Health Insurance Authority product offering
Product offeringCore offering
The National Health Insurance Authority administers NHI Bahamas, a national health insurance program providing all legal residents of The Bahamas with access to Primary Care services at no cost at the point of care. Covered services include doctor visits, lab tests, immunizations, cancer and STD screenings, maternity and pediatric care, chronic disease management, telehealth consultations, and chronic disease monitoring, delivered through a network of over 100 registered physicians and 90+ facilities across multiple islands. Beneficiaries access care using the NIB Smart Card for eligibility, supported by an eClinicalWorks Electronic Health Record system, Medigent provider/beneficiary portals, and a Healow mobile app.
Product overview
NHI Bahamas is a national health insurance program implemented by the National Health Insurance Authority (NHIA) to provide affordable, accessible healthcare to all legal residents of The Bahamas. The program operates in phases, starting with Primary Care services. The core offerings include: NHI Bahamas (main insurance program), Electronic Health Record (EHR) system for patient data management, Telehealth/Televisits for remote consultations, Patient Portal & Healow App for digital access, Wellness Initiatives for health promotion, and the Primary Care Transformation Initiative (PCTI) as the strategic framework for expanding services. The Primary Care Benefits Package covers services including doctor visits, lab tests, immunizations, and screenings. Beneficiaries access care through a growing network of primary care providers across multiple islands with no copays or deductibles during the initial phase.
Differentiator
Problem solved
Functional benefit
Products and services
- NHI Bahamas Primary Care Program National health insurance program providing all legal residents of The Bahamas with Primary Care coverage including doctor visits, lab tests, immunizations, screenings, maternity and pediatric care, and chronic disease management at no copays or deductibles during the initial phase.
- Electronic Health Record (EHR) System Cloud-based Electronic Health Record system implemented in partnership with eClinicalWorks, providing a single central patient health record across the NHI Bahamas provider network. Eliminates paper records, reduces medical errors, and enables providers to verify enrollment and report service activity.
- Telehealth / Televisits Service Remote consultation service enabling beneficiaries to see their registered healthcare provider via video chat, addressing geographic and mobility barriers to accessing care across the Bahamian archipelago.
Quantifiable outcome
- Over 95% patient satisfaction with healthcare experience (57.64% very satisfied, 38.07% satisfied)
- +7 more outcomes
Companies that use National Health Insurance Authority
Customer profileNamed customers2 records
Segments5 records
Ideal customer profiles2 records
National Health Insurance Authority technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration4 records
Feature5 records
National Health Insurance Authority partnerships and signals
Strategic signalPartnerships
Five partnerships are on record, tiered core.
- Hospitals and Healthcare Facilities Licensing Board (HHCFLB)coreNHIA and HHCFLB collaborated to align and synchronize facility inspection requirements across both networks. Under this partnership, healthcare facilities that have completed inspection with NHIA will not be required to complete an additional inspection with HHCFLB. This initiative standardizes facility inspections nationally, reduces duplication, improves quality of care, and aligns with the PCTI goal of integrating public primary healthcare systems. Endorsed by the Ministry of Health and Wellness.
- eClinicalWorkscoreNHIA partnered with eClinicalWorks, a healthcare IT solutions leader, to deploy a secure Electronic Health Record (EHR) system across all NHI Bahamas providers. The system eliminates paper records, provides a single central patient health record, enables superior care and improved patient safety, and reduces medical errors. The partnership covers all care delivered to more than 75,000 NHI beneficiaries initially, expanding to serve over 250,000 Bahamians when fully implemented. NHIA is the only organization in The Bahamas with certified EHR specialists through this partnership.
- National Insurance Board (NIB) of The BahamascoreThe NIB Smart Card is the primary means of determining eligibility to enroll in NHI Bahamas. NHIA receives and processes personal data from NIB for beneficiary enrollment, residency determination, rate setting, claims processing, fraud detection, and audit. The NHIA IT system is integrated with NIB registration data. A Memorandum of Understanding (MOU) governs data sharing between the organizations. The NIB remains the data controller for registrant data while NHIA has access privileges and duty of care for the subset of data relevant to NHI Bahamas.
- Private Health InsurerscoreUnder the proposed Standard Health Benefit (SHB) framework, all private health insurers would be required to mirror the SHB coverage provided by NHIA in all their plans. A National Fee Schedule for high-cost care would enable both NHIA and private insurers to reimburse at the same rates, simplifying the risk equalization process. Risk equalization mechanisms would adjust insurer risk profiles to equalize with the national risk pool, keeping premiums affordable and promoting fairness.
- Public and Private Primary Care ProviderscoreThe Primary Care Transformation Initiative (PCTI) brings together public and private primary care delivery networks under a common and comprehensive model of care. Both sectors participate as registered providers in the NHI Bahamas network, with over 90 provider facilities and 100+ physicians across multiple islands. Private providers can opt into the NHI program alongside public clinics, creating a pluralistic healthcare system.
Scale indicators13 records
Recent moves9 records
Expansion highlights6 records
National Health Insurance Authority competitors and assessment
Company assessmentMarket position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
National Health Insurance Authority social profiles
Digital presenceNational Health Insurance Authority compliance and trust
Trust signalCompliance2 records
National Health Insurance Authority financial estimates
Financial estimateRevenue estimate
Valuation estimate
National Health Insurance Authority leadership team
Management profileNumber of profiles
Profiles9 records
National Health Insurance Authority funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
National Health Insurance Authority M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about National Health Insurance Authority
What does National Health Insurance Authority do?
The National Health Insurance Authority administers NHI Bahamas, a national health insurance program providing all legal residents of The Bahamas with access to Primary Care services at no cost at the point of care. Covered services include doctor visits, lab tests, immunizations, cancer and STD screenings, maternity and pediatric care, chronic disease management, telehealth consultations, and chronic disease monitoring, delivered through a network of over 100 registered physicians and 90+ facilities across multiple islands. Beneficiaries access care using the NIB Smart Card for eligibility, supported by an eClinicalWorks Electronic Health Record system, Medigent provider/beneficiary portals, and a Healow mobile app.
Is National Health Insurance Authority a public or private company?
National Health Insurance Authority is a private company. It is classified as state government owned and is currently operating.
When was National Health Insurance Authority founded?
National Health Insurance Authority was founded in 2016. It employs 11 to 50 people.
Where is National Health Insurance Authority based?
National Health Insurance Authority is headquartered in Nassau, Bahamas.
How does National Health Insurance Authority make money?
Three revenue lines are on record. Government General Revenue Funding is the primary driver. The others are employer-Employee Shared Premium Contributions (Proposed) and sugary Drinks Tax (Proposed Funding Source).
Does National Health Insurance Authority have an API?
No public API is recorded for National Health Insurance Authority.
What industry is National Health Insurance Authority in?
National Health Insurance Authority's product category is National Health Insurance. Its primary akta.pro industry code is HLAEAMAF, Open-Access HMOs, with a secondary code of HLAJAAAE, Territorial/Island Health Departments. Its NAICS code is 524114 and its SIC code is 6321.