Center for National Health Insurance is a is a key outcome of the initiatives within the Health Sector Transformation Program; that provides public insurance coverage to its beneficiaries and purchases health care services from accredited health institutions in order to ensure the provision of high quality and efficient healthcare services to all beneficiaries, based on a comprehensive health benefits package. The Center supports the response of the health system to the population health needs, while controlling the cost of healthcare and enhancing competitiveness and transparency to ensure financial sustainability and equitable distribution of resources, aligned with the goals of Saudi Vision 2030 to enhance the quality and efficiency of healthcare services in the Kingdom.

Center's Specializations

The Center aims to purchase healthcare (and all related issues) from accredited health institutions, to achieve the following:

  • Healthcare institutions provide healthcare to beneficiaries with high quality and more efficiency.
  • Support the responsiveness of the health system to the health needs of the community.
  • Optimizing healthcare costs and promote competitiveness and transparency to achieve financial sustainability and equitable distribution of resources.

Center’s Goals

  1. Operate effective contracting with healthcare providers
  2. Operate effective payment models and budgeting processes, and advance towards value-based financing
  3. Enable improvement opportunities in healthcare system through provider performance steering
  4. Guide all eligible beneficiaries along their healthcare benefits, and assure implementation of a comprehensive health benefit package and enrolment management
  5. Establish transparency around efficient cost and quality of care through updated and comprehensive costing, coding, and performance data
  6. Operate an agile and impactful organization that is true to its values, attracts talent, is digitally-enabled, and maintains a robust relationship with stakeholders

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