KPMG Report: Saudi Healthcare Revenue Management System to Undergo Major Transformation

KPMG Report: Saudi Healthcare Revenue Management System to Undergo Major Transformation

KPMG's latest report on Revenue Cycle Management (RCM) in the Saudi healthcare sector marks a further step in the Kingdom's healthcare transformation. As part of Saudi Vision 2030 and the National Transformation Programme, the Ministry of Health is transforming from being an all-in-one payer, provider and regulator of health services to being predominantly a regulator.The report highlighted that, with the introduction of new service provider reimbursement reforms underway in the public sector in Saudi Arabia and the plan to standardize across the public and private sectors, Kingdom's healthcare providers will need to develop new capabilities to enable them to be self-sufficient."It is a milestone move in Saudi healthcare system which contributes to Saudi Vision 2030. One of the key implications for healthcare providers of this introduction is the transformation of how healthcare service providers are reimbursed. Providers will in the future primarily be paid on a per-patient basis, rather than via allocated budgets from the government,“ said Emmeline Roodenburg, Head of Healthcare, KPMG Saudi Arabia.Under the new reimbursement mechanism, healthcare providers will need to be able to raise invoices to payers for eligible patients. It will create the need for efficient processes from patient acceptance, to treatment and billing and