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JOUD ALTUBAITI
Describe a situation that would trigger a medical insurance claim.
COLLAPSE
Describe a situation that would trigger a medical insurance claim.
One situation that could trigger a medical insurance claim is if an individual gets into a car accident and sustains injuries that
require medical treatment. In this scenario, the individual would need to file a claim with their insurance company in order to
receive coverage for the costs associated with their medical care (Feinman, 2018).
Describe the path taken to resolve the insurance claim and any time limits that must be met in resolving the claim.
The first step in resolving the insurance claim would be for the individual to notify their insurance company of the accident and
provide any necessary documentation, such as police reports or medical records. The insurance company would then review
the claim and determine the coverage that the individual is entitled to based on their policy (Berndt, 2020).
Once the claim has been filed and reviewed, the insurance company will typically have a specific time frame in which they must
respond to the claim and make a determination on coverage. These time frames can vary depending on the insurance company
and the specific circumstances of the claim but typically range from 15 to 30 days (Berndt, 2020).
If the insurance company determines that the claim is valid and provides coverage for the medical expenses, they will then
work with healthcare providers to directly pay for the services rendered. If there are any disputes or issues with the claim, the
insurance company may request additional information or documentation from the individual before making a final decision
(Berndt, 2020).
Why do you think these specific time frames are important?
It is important for insurance companies to have specific time frames for resolving claims in order to ensure that individuals
receive timely and efficient coverage for their medical expenses. Delays in processing claims can result in individuals being
unable to receive the treatment they need or being faced with significant financial burdens (Nerurkar, 2022).
Additionally, having time frames for resolving claims helps to ensure that insurance companies are held accountable for
providing prompt and fair coverage to their policyholders. By setting these time limits, insurance companies are motivated to
efficiently process claims and provide timely responses to their customers (Nerurkar, 2022).
Overall, time frames for resolving insurance claims are crucial in order to ensure that individuals receive the coverage they are
entitled to and to hold insurance companies accountable for their responsibilities. By having these specific time frames in place,
both policyholders and insurance companies can work together to efficiently resolve claims and ensure that individuals receive
the medical care they need in a timely manner (Smith et al., 2019).
References
Berndt. (2020, July 20). Healthcare Claims Processing: How To Improve Efficiency. https://sdata.us/2020/07/20/healthcareclaims-processing-workflow/
Feinman, J. M. (2018). Contract and Claim in Insurance Law (SSRN Scholarly Paper 3379680).
https://papers.ssrn.com/abstract=3379680
Nerurkar, B. (2022). Important time frames in health insurance. Deccan Herald.
https://www.deccanherald.com/business/important-time-frames-in-health-insurance-1152060.html
Smith, M. A., Vaughan-Sarrazin, M. S., Yu, M., Wang, X., Nordby, P. A., Vogeli, C., Jaffery, J., & Metlay, J. P. (2019). The
importance of health insurance claims data in creating learning health systems: Evaluating care for high-need high-cost patients
using the National Patient-Centered Clinical Research Network (PCORNet). Journal of the American Medical Informatics
Association: JAMIA, 26(11), 1305–1313. https://doi.org/10.1093/jamia/ocz097
AFNAN ALHARBI
Discussion 6
COLLAPSE
The Journey of a Medical Insurance Claim
Introduction
Medical insurance claims are a crucial component of healthcare administration. They guarantee that people have the financial
resources necessary for medical services and treatments (Sidonio et al., 2020). Various events, including hospital stays,
surgeries, and outpatient procedures, might result in these claims. Insurance claims resolution entails a particular procedure
and deadlines. This helps to guarantee prompt payment and efficient processing of medical costs.
Scenario
Imagine a situation when someone is undergoing surgery in a hospital. After the procedure, the hospital files a claim with the
patient’s insurance company to pay related medical costs. The claim contains information on the procedure type, related
medical codes, and the total cost of the services rendered.
Path to Resolution
Upon receipt of the claim, the insurance company examines it to ascertain coverage eligibility and confirms the information
submitted’s correctness. This review procedure can require contacting the healthcare practitioner to obtain more information
or clarification (Andrews et al., 2018). Following approval of the claim, the insurance provider initiates reimbursement.
Time Limits
Insurance firms typically have deadlines to adhere to while processing and handling claims. These deadlines can change based
on the kind of claim and the provider’s internal procedures. They are usually specified in the terms and conditions of the
insurance policy (Andrews et al., 2018). For instance, some insurance companies have a 30-day claim processing deadline.
Others may have shorter or longer deadlines.
Importance of Time Frames
For several reasons, the deadlines for settling insurance claims are essential. First, they guarantee prompt payment for medical
bills, enabling people to pay for medical care without excessive delay (Sidonio et al., 2020). Furthermore, meeting deadlines
guarantees timely claim processing, minimizes backlogs, lessens administrative load, and raises overall customer satisfaction.
Conclusion
Medical insurance claims are essential for controlling healthcare expenses and enabling access to medical services. Insurance
firms can efficiently handle claims and give consumers prompt payouts by sticking to deadlines and taking a systematic route to
settlement. Ultimately, this simplified procedure ensures seamless and effective administration of medical costs for insured
patients and healthcare providers.
References
Andrews, R., Wynn, M., ter Hofstede, A. H., Xu, J., Horton, K., Taylor, P., & Plunkett-Cole, S. (2018). Exposing impediments to
insurance claims processing: Compulsory third party insurance in Queensland. Business Process Management Cases: Digital
Innovation and Business Transformation in Practice, 275-290. https://doi.org/10.1007/978-3-319-58307-5_15
Sidonio Jr, R. F., Zia, A., & Fallaize, D. (2020). Potential undiagnosed VWD or other mucocutaneous bleeding disorder cases
estimated from private medical insurance claims. Journal of Blood Medicine, 1-11.
https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-016-1357-y
MONTAHA ALZUBAIL
privatization in KSA
COLLAPSE
Introduction
As it is evident by the given article, the success and failures of the privatization plans of the healthcare system in other
countries are to be considered when trying to replicate this strategy in the Kingdom of Saudi Arabia. It is out of most important
to consider every angle of this proposed plan before initiation.
The first step is to form a strategic detailed plan by combining efforts of all entities that deals with the issue of healthcare.
Governmental entities involved in the privatization and their effect of healthcare in the KSA
The MOH ( the Ministry of Health) is the main governing entity that controls and monitors all aspects of healthcare in the
kingdom (Khan & Nasrulddin, 2022). A clusters of administrative regions in the kingdom is formed to pave the way for
privatization, it has its own independence when it comes to man-power and financing. This will help increase work efficiency
and financial accountability.
Another entity is the CCHI (Council of Cooperative Health Insurance) with the help of the Nafise system, which will monitor the
interaction between the clames and the approvals, rejections and disputes of healthcare service in the private sector (Bawazir
et al., 2013). This will help improve access and improve quality of care. In a way, this will encourage the privet sector to rise to
the competition when the public sector is also accommodating health insurance holders. In return this will help create more
improvement to patient care and a reduction in prices (AlMubarak et al., 2021).
When it comes to prescribed medications, the MOH developed “Wasfaty” which is an advanced electronic service that aims to
raise the level of health services and ensure the availability of medications by linking the hospitals and primary health care
centres with the community pharmacies to make it easier for the patient to receive the medications from the nearest
community pharmacy for free.
It is an integrated platform for orders and delivery of executive prescriptions from specialized agencies or other information
systems between the points of receipt of medicines from delivery companies that have a request for receipt from the point of
receipt (pharmacy, hospital, or warehouse) and immediate delivery to others in order to facilitate health care services. Services
for the sector. Health in the Kingdom of Saudi Arabia (wasfaty, n.d.).
The benefits of such entity is Enhancing the efficiency of the medication dispensing process by automating and organizing the
distribution of orders to community pharmacies and transportation companies. Providing equal opportunities for community
pharmacies to dispense medicine. Providing opportunities to benefit from the service to qualified beneficiaries. Complementing
Wasfaty services with transportation and home delivery services. Increasing the satisfaction rate of beneficiaries with the
services provided. Build a contingency plan for epidemics and external risk factors. Saving costs for government health agencies
by standardizing delivery prices (Almaghaslah et al., 2022).
Conclusion
In the given article it is surprising to find that the lack of good application in the early stage of the plan for privatizing the
healthcare system in KSA is alarming. The unclearness of the directed authority and diction making is something that needs to
be delt with very seriously. A defined role and jurisdiction of the authority personal is curtail if success is achieved in the future
(AlMubarak et al., 2021).
References
Almaghaslah, D., Alsayari, A., Almaghaslah, S., & Alsanna, H. (2022). Patients’ Satisfaction with E-Prescribing (Wasfaty) in Saudi
Arabia: A Survey of Country-Level Implementation. Healthcare, 10(5), 806. https://doi.org/10.3390/healthcare10050806
AlMubarak, S. H., Alfayez, A. S., Alanazi, A. T., Alwuhaimed, L. A., & Bo Hamed, S. S. (2021). Autonomy, accountability, and
competition: The privatisation of the Saudi health care system. Journal of Taibah University Medical Sciences, 16(2), 144–151.
https://doi.org/10.1016/j.jtumed.2020.11.005
Bawazir, S. A., Alkudsi, M. A., Al Humaidan, A. S., Al Jaser, M. A., & Sasich, L. D. (2013). Pharmaceutical policies used by private
health insurance companies in Saudi Arabia. Saudi Pharmaceutical Journal, 21(3), 267–276.
https://doi.org/10.1016/j.jsps.2012.10.005
Khan, C., & Nasrulddin, V. (2022). Privatization, Corporatization, and Public-Private Partnership in the Kingdom of Saudi Arabia.
Health Services Insights, 15, 117863292211042. https://doi.org/10.1177/11786329221104240
wasfaty. (n.d.). Wasfaty. Client.wasfatyplus.com. https://client.wasfatyplus.com/about-wasfaty
MAY DUMYATI
Navigating Healthcare Privatization
COLLAPSE
Navigating Healthcare Privatization
The government, several social bodies, and the private sector in the Kingdom of Saudi Arabia cooperate to privatize healthcare
to provide for the needs of the changing healthcare system. One way to maximize efficiency, care quality and access to
healthcare is that the government has reformed through the privatization program and Saudi Vision 2030 (Sama’a et al., 2021).
As a result, autonomous health clusters operating throughout the Kingdom’s regions have been established, including the E1Cluster.
Governmental Entities Involved in Privatization
In Saudi Arabia, the privatization of healthcare is primarily the result of the Ministry of Health (MOH). It carries out the
privatization program and is the primary source of funding and public healthcare services. The creation of health clusters, like
the E1-Cluster, is supervised by the MOH to offer comprehensive and integrated healthcare services in their respective areas
(Sama’a et al., 2021). The MOH has granted these clusters the authority to make decisions, allowing them to function
autonomously.
The Ministry of Health’s Directorate of Health Affairs is another government agency that participates in the privatization of
healthcare (Alshahrani et al., 2023). Although it has historically overseen healthcare in Saudi Arabia’s areas, it currently works
with the recently formed health clusters. However, conflicting governance arrangements between the Directorate and the
clusters have made implementation easier, highlighting the importance of collaboration and clear communication (Sama’a et
al., 2021). The hospitals in each cluster are managed and governed by consulting organizations, which are also essential to
privatizing healthcare. They are in charge of managing the clusters’ operations, distribution of resources, and decision-making.
Meeting Healthcare Needs
The government’s healthcare agenda is shaping the Kingdom of Saudi Arabia into a healthcare provider that answers its needs.
This includes reforms to ensure efficiency, care quality, and access to healthcare services (Alshahrani et al., 2023). The
government is promoting innovation and exploring a new route to invest in the health sector by setting up health clusters and
delegating decision-making authority. The government wants to make the sector proactive (Sama’a et al., 2021). Furthermore,
the emergence of competition between public and private hospitals is encouraging improved resource utilization and care
quality advancements.
Surprising Findings
The article’s unexpected conclusion is the uncertainty and disarray around the functions of various governmental bodies,
especially in light of the disagreement between the Directorate of Health Affairs and the E1-Cluster (Sama’a et al., 2021). This
emphasizes the difficulties in implementing complicated reforms and the value of effective stakeholder collaboration and
communication.
Conclusion
In conclusion, several governmental organizations collaborate to meet the changing demands of the healthcare system due to
the privatization of healthcare in the Kingdom of Saudi Arabia. The government hopes to increase effectiveness, care quality,
and accessibility to healthcare services by creating autonomous health clusters and assigning decision-making authority.
References
Alshahrani, H., Al-Matrafi, N., Al-Qahtani, N., Taliby, R., Hassanein, M., & Al-Rowilly, I. (2023). Mapping the Private Healthcare
Sector in Riyadh Region: Size, Services, and Alignment with the Saudi Ministry of Health Priorities. Materia Socio-Medica, 35(3),
172. https://doi.org/10.5455%2Fmsm.2023.35.172-177
Sama’a, H. A., Alfayez, A. S., Alanazi, A. T., Alwuhaimed, L. A., & Hamed, S. S. B. (2021). Autonomy, accountability, and
competition: the privatisation of the Saudi health care system. Journal of Taibah University Medical Sciences, 16(2), 144-151.
https://doi.org/10.1016/j.jtumed.2020.11.005
this is my dis about my internship
Internship
Role in the Internship
In my internship, I worked in several facets of patient safety and quality management at
Mahalla Hospital for Maternity and Children. My duties encompassed the examination of
patient outcome data, provision of support for the creation of quality enhancement programs,
and implementation of audits to guarantee adherence to protocol. To discuss ways to improve
patient care and safety, I also took part in meetings with hospital staff.
Transition from Student to Intern
It has been insightful to move from student to intern. I mostly concentrated on theoretical
ideas and classroom instruction when I was a student. On the other hand, I’ve been able to put
these ideas to use in a practical setting as an intern. I now have a better understanding of the
real-world applications of patient safety and quality management principles thanks to this shift.
Furthermore, I now have a greater understanding of the difficulties involved in providing
healthcare as well as the value of cooperation and communication in guaranteeing patient
safety.
New Knowledge and Skills
My knowledge and skill set has expanded significantly since the start of the internship. I now
know how to work with healthcare professionals from different backgrounds in an efficient
manner, employ evidence-based practices to improve patient care, and carry out root cause
analyses to pinpoint areas that need improvement. The interpretation of data and the
discovery
3
of trends that can guide quality improvement initiatives have also helped me hone my
analytical abilities. Therefore, I feel that the internship has been a worthwhile educational
opportunity that has greatly improved my knowledge of patient safety and quality management
in healthcare environments.
reply for Alaa
In the initial weeks of my internship at the security force hospital, I underwent a comprehensive orientation program spanning
various subdivisions, including quality assurance, performance improvement, risk management, and patient safety. During this
period, my primary objective was to familiarize myself with the functions and objectives of each division, with a keen emphasis
on ensuring that healthcare services maintained the highest standards of quality and safety.
The experience proved to be enlightening as it provided me with the opportunity to bridge the gap between theoretical
knowledge and practical application. Applying the concepts and tools learned in my academic studies to real-world scenarios
was immensely beneficial, offering a deeper understanding of their significance in healthcare practice.
Throughout the orientation, I acquired essential skills such as risk analysis, patient journey mapping, and performance
improvement methodologies. These skills not only enriched my professional development but also equipped me with valuable
tools to contribute effectively to the hospital’s mission of delivering exceptional healthcare services.
Overall, the initial weeks of my internship provided a solid foundation for my role in promoting quality and safety within the
hospital setting, reinforcing the importance of practical experience in complementing academic learning.
reply for Mezna
I am currently doing my Internship in King Faisal Specialist Hospital & Research Centre (KFSHRC) in Quality Section.
Role: I am currently been oriented for Quality Analysis and Quality Coordinator- in these role I do the following responsibilities
and tasks:
Facilitator for Quality Survey for Hospital KPI such as Pressure Injury Survey, patient Fall Survey, PIV Survey and Patient
Identification Survey. In the survey, we conducate a unit visit to assess compliance and observe unit practice and adherence
toward hospital policy. It is a form of clinical audit. These survey could be announced like Pressure Injury and non-announced
such as Patient identification.
Arrange Root Cause Analysis with stakeholder for patient safety issue that been reported via Safety Reporting System such as
patient medication error, patient fall and mismanagement of patient case.
Do Data collection and Analysis for Hospital KPI such as documentation audit, patient satisfaction data, medication error data,
peri-op data such as Surgical site Infections.
Do unit quarterly dashboard and unit score card.
What differences have you noticed as you have transitioned from your role as student to intern?
The difference I have notice was opportunity to practice knowledge that I gain during my Master Journey. When I was a student
I primarily focused on acquiring theoretical knowledge, however, during my internship I have the chance to apply the
knowledge in a real-world setting.
In addition, currently I have opportunities for professional development, such as attending Leaders Safety Huddles, involved in
patient safety incident which allow me to learn from other and gain a new knowledge and how to critically look to patient
safety incident and solve it. In addition, I was allowed to attend workshops, training sessions related to health quality
improvement. These experiences can broaden my understanding of the field and help me build a network of professionals in
the healthcare industry.
What new knowledge or skill did you learn since the beginning of the internship?
I actually gained a variety of new knowledge and skills which includes:
I worked in quality improvement initiative and used quality improvement methodologies such as Plan-Do-Study-Act (PDSA)
cycles. I was exposed in how to participated in Project improvement and learn a structured approaches to identify problems,
analyze processes, and implement changes to improve healthcare outcomes.
Handle and arrange for Root Cause Analysis with involved stakeholders. When patient safety incident occur, we set as team and
identify the root causes to prevent recurrence, we use such 5 Whys or Fishbone diagrams.
Work in Regulatory and Accreditation Standards. In KFSHRC we comply with various regulatory and accreditation standards to
ensure patient safety and quality of care. During my training I became familiar with these standards, such as The Joint
Commission, CBAHI Standards. In addition, we conduct site visit to clinical unit to ensure readiness.
1 day ago
KHALIL AL SHAHRI
The governmental entities involved in the privatization of healthcare in the Kingdom of Saudi
Arabia
COLLAPSE
Article Summarization
The study “Autonomy, accountability, and Competition: The Privatization of the Saudi
Health Care System delves into the nuanced perceptions of healthcare privatization in Saudi
Arabia, particularly under the Vision 2030 reform plan. Using a qualitative case study design, the
research interviewed 21 administrators and clinical staff from a public hospital in the Eastern
Province, analyzing their insights alongside official documents related to healthcare privatization.
The study reveals three main themes from the privatization process: reforming governance and
introducing autonomy to healthcare institutions, introducing accountability within hospitals, and
fostering both cooperation and competition within the healthcare sector.
1. Reforming Governance and Introducing Autonomy: The study highlights the shift in governance
structures towards increased autonomy from the government, aiming to reduce bureaucracy and
improve resource utilization. This move is part of a broader decentralization effort, allowing health
clusters to operate with greater independence, thereby enhancing efficiency and innovation in
healthcare delivery.
2. Introducing Accountability: With privatization, the study notes a significant emphasis on
accountability. Healthcare institutions are now held responsible for their operational expenditures,
pushing them towards more prudent resource use. This accountability is seen as a mechanism to
address the previously noted waste of government resources and to improve the overall efficiency
and quality of healthcare services.
3. Cooperation and Competition: The findings describe a new dynamic within the healthcare
sector, characterized by cooperation among public hospitals within health clusters and competition
with the private sector. This environment is expected to drive improvements in service quality,
patient satisfaction, and cost efficiency, as public hospitals strive to attract and retain patients in a
more competitive market.
The study concludes that the privatization of Saudi Arabia’s healthcare system, as part of
the Vision 2030 reforms, introduces a complex interplay of autonomy, accountability, and
competition. These changes are aimed at enhancing the efficiency, quality, and sustainability of
healthcare services. However, the study also acknowledges the challenges in implementation,
particularly in terms of governance structure and clear communication, suggesting areas for future
research and policy consideration (AlMubarak et al., 2020).
Governmental entities involved in the privatization of healthcare in the Kingdom of
Saudi Arabia
The privatization of healthcare in the Kingdom of Saudi Arabia involves several key
governmental entities, each playing a significant role in transforming and meeting the healthcare
needs within the Kingdom. Here are the primary entities and their contributions:
1. National Centre for Privatization & PPP (Public-Private Partnership) and the Private Sector
Participation (PSP) Law: These entities aim to boost investor confidence in the privatization
process and facilitate the establishment of health clusters. They emphasize careful research to
identify barriers to PPP implementation, the development of the Saudi workforce, and ensuring
access to quality healthcare for vulnerable populations, alongside legislative advancements toward
healthcare transformation (Alasiri & Mohammed, 2022).
2. Saudi Ministry of Health: Establishes guidelines for healthcare provider’s compliance with the
Notifiable Diseases Surveillance System (NDSS), highlighting a significant relationship between
the notification timeline and being a doctor in governmental institutions, which suggests variations
in practices between private and governmental facilities (Alshamari et al., n.d.).
3. HRSD Ministry: Plays a role in determining the appropriate privatization strategy for healthcare
organizations based on their specific needs. Despite concerns over job security and workload,
healthcare workers have generally positive perceptions regarding work conditions, participation in
decision-making, and the relationship between privatized organizations and the HRSD
Ministry (Alqobali & Sadiq, 2023).
4. Private, Governmental, and Quasi-Governmental Primary Healthcare Centers (PHCs) in the
Eastern Province: These entities focus on addressing challenges in adopting patient safety cultures,
with teamwork scoring the highest positive response and areas for improvement identified in event
reporting and non-punitive responses (Aljaffary et al., 2022).
5. National Unified Procurement Company (NUPCO) and the Saudi Food and Drug Authority
(SFDA): Key players in managing drug availability within the healthcare system, working to
define, report, and manage the availability of pharmaceutical products in the market (Almutairi et
al., 2023).
6. Health Leaders from Various Governmental Institutions: They contribute through workforce
competency, planning, and potential privatization and corporatization efforts aimed at enhancing
quality and addressing system fragmentation and accessibility issues (Hejazi et al., 2022).
One surprising aspect found in the literature is the emphasis on the need for careful research
and the development of the Saudi workforce to ensure access to quality healthcare for vulnerable
populations, despite legislative progress towards healthcare transformation. Additionally, the
importance of sustaining weight loss as a significant factor in alleviating the burden of obesityrelated complications in Saudi Arabia emphasizes the need for policy initiatives like ‘Vision 2030’
to prioritize obesity reduction and enhance access to support and treatment within the healthcare
system (Alqahtani et al., 2023). These efforts reflect a comprehensive approach to privatization,
focusing not only on infrastructure and legislative frameworks but also on the well-being and
involvement of healthcare professionals and the wider community.
References
Alasiri, A. A., & Mohammed, V. (2022). Healthcare Transformation in Saudi Arabia: An
Overview Since the Launch of Vision 2030. Health Services Insights, 15,
11786329221121214. https://doi.org/10.1177/11786329221121214
Aljaffary, A., Awad Albaalharith, M., Alumran, A., Alrawiai, S., & Hariri, B. (2022). Patient
Safety Culture in Primary Healthcare Centers in the Eastern Province of Saudi
Arabia. Risk Management and Healthcare Policy, 15, 229–
241. https://doi.org/10.2147/RMHP.S336117
AlMubarak, S. H., Alfayez, A. S., Alanazi, A. T., Alwuhaimed, L. A., & Bo Hamed, S. S.
(2020). Autonomy, accountability, and competition: The privatisation of the Saudi health
care system. Journal of Taibah University Medical Sciences, 16(2), 144–
151. https://doi.org/10.1016/j.jtumed.2020.11.005
Almutairi, M., Almomen, S., Alhazzani, H., Almutairi, B., Alenzi, A., & Hafiz, R. (2023). Drug
Shortage Concepts among Stakeholders in Saudi Arabia. Saudi Journal of Health
Systems Research, 3(1–4), 65–74. https://doi.org/10.1159/000529168
Alqahtani, S. A., Al-Omar, H. A., Alshehri, A., Abanumay, A., Alabdulkarim, H., Alrumaih, A.,
Eldin, M. S., & Schnecke, V. (2023). Obesity Burden and Impact of Weight Loss in
Saudi Arabia: A Modelling Study. Advances in Therapy, 40(3), 1114–
1128. https://doi.org/10.1007/s12325-022-02415-8
Alqobali, H., & Sadiq, A. (2023). DOES UNCERTAINTY ABOUT PRIVATIZATION
IMPACT EMPLOYEES’ PERCEPTIONS? EVIDENCE FROM THE HEALTHCARE
SECTOR IN SAUDI ARABIA. International Journal of Research GRANTHAALAYAH, 11(12), Article
12. https://doi.org/10.29121/granthaalayah.v11.i12.2023.5465
Alshamari, W. K., Aldawwas, K., Al Shammari, M. K., Alshammari, Y. K., Alsuwailem, S. I.,
Alkhaldi, E. H., Almutairi, K. S., & Alotaby, S. (n.d.). Compliance of Healthcare
Providers With the Notifiable Diseases Surveillance System in Riyadh, Saudi
Arabia. Cureus, 15(7), e41530. https://doi.org/10.7759/cureus.41530
Hejazi, M. M., Al-Rubaki, S. S., Bawajeeh, O. M., Nakshabandi, Z., Alsaywid, B., Almutairi, E.
M., Lytras, M. D., Almehdar, M. H., Abuzenada, M., & Badawood, H. (2022). Attitudes
and Perceptions of Health Leaders for the Quality Enhancement of Workforce in Saudi
Arabia. Healthcare (Basel, Switzerland), 10(5),
891. https://doi.org/10.3390/healthcare10050891
1 day ago
OMAR AL ABBASI
Governmental Entities Involved in the Privatization of Healthcare in the Kingdom of Saudi Arabia
COLLAPSE
The privatization of healthcare in the Kingdom of Saudi Arabia involves various
governmental entities playing key roles in the process. These entities include the Saudi Ministry
of Health (MOH), the Saudi Arabian General Investment Authority (SAGIA), and the Council of
Cooperative Health Insurance (CCHI). The MOH oversees the overall healthcare system in the
country and is responsible for setting regulations and standards for healthcare providers. SAGIA,
on the other hand, facilitates foreign investment in the healthcare sector, aiming to attract private
investors to establish healthcare facilities and services in the Kingdom. Additionally, the CCHI
regulates private health insurance and ensures compliance with insurance laws and regulations
(Sama’a et al., 2021).
These governmental entities are instrumental in meeting the needs of healthcare in the
Kingdom of Saudi Arabia through various initiatives and strategies. For instance, the MOH
collaborates with private healthcare providers to expand access to healthcare services across
different regions of the country, particularly in underserved areas. SAGIA’s efforts to attract
foreign investment contribute to the development of advanced healthcare infrastructure and
technologies, thereby enhancing the quality of healthcare services available to the population.
Also, the CCHI’s regulatory role ensures that private health insurance schemes are effectively
implemented, promoting financial sustainability and equitable access to healthcare coverage
(Sama’a et al., 2021).
One surprising aspect highlighted in the article is the significant role of privatization in
driving competition and innovation within the Saudi healthcare system. The introduction of
private healthcare providers and facilities has led to increased competition among healthcare
providers, which has in turn incentivized improvements in service quality, efficiency, and patient
satisfaction. Additionally, privatization has fostered innovation in healthcare delivery models and
technologies, leading to the adoption of advanced medical practices and treatments in the
Kingdom (Sama’a et al., 2021).
Overall, the involvement of various governmental entities in the privatization of
healthcare in Saudi Arabia has facilitated the expansion and improvement