المملكة: Urgent linking to my mandatory "Precious" And unification of the standards .. The most prominent controls of the health insurance regulations
Detect on the features of a new stage of organization , by a draft of “The Regulation of Health Institutions to the National Health Insurance Center network for approved health institutions”, with the aim of exploring the opinions of the public and the relevant authorities." Integrated health based on the results, and ensures the provision of the best care for beneficiaries. Contracting contracts to buy health care, while ensuring the optimal use of resources to achieve sustainability and effectiveness for the comprehensive national health insurance system. The fulfillment of all conditions and requirements for a period of twelve months is renewable automatically, and “conditional dependence” is a temporary dependence that does not exceed six months, granted to institutions that have reasonable reasons that prevented the fulfillment of some requirements, with their pledge to complete them within the specified period. The emergency ”, which is considered all the health institutions licensed to provide emergency services in the Kingdom automatically obtain it as soon as the regulation is running out, to ensure that the beneficiaries are not affected by the emergency cases. The approved The draft clarifies that the center will create a list of the “Approved Health Institutions Network” that is updated periodically, and the institutions are classified according to the type of accreditation granted to them. It is approved by. Medical practices, without any discrimination. As for health communities, the regulations stipulated that at least 80% of its health facilities receive an accreditation certificate from the Saudi Center for Accreditation of Health Facilities “Sebahi”, or at least a certificate of compliance with the basic national requirements for patient safety “ESR”, in addition to the technical link with vital platforms such as “Nafis”. Similar to obtaining the necessary licenses from the Ministry of Health and the adoption of “Sebahi”, and the compulsory link with the “Nafis” health platform, in addition to registering on the “Finance” platform of the Ministry of Finance. />
To ensure transparency and governance, the regulation stipulated the formation of two specialized committees; The first is the “Committee for the Accreditation of Health Institutions” to study the requests for joining, and the second ”is a committee to consider the grievances of accreditation” specializing in considering the grievances of institutions from the decisions issued by the center.
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