Role of Actuaries in Promoting Financial Sustainability in KSA Public Health Sector

The Kingdom of Saudi Arabia (KSA) is initiating a significant overhaul of its healthcare system, aiming to create an integrated, beneficiary-centered, value-based model that will provide health coverage to 20 million beneficiaries, supported by a budget of USD 50 to 60 billion. This presentation will highlight key aspects of healthcare financing reforms in the public sector designed to enhance value and ensure financial sustainability for the health sector. It will then explore the establishment of the National Casemix Center of Excellence and its role in promoting and accelerating these reforms throughout the entire healthcare funding value matrix, particularly how actuarial functions will aid this transformation, including responsibilities for estimating and indexing the budget of USD 50 to 60 billion to the health benefit package and the system's financial sustainability.  The concluding part of the presentation will provide an overview of KSA's strategies for implementing these financial reforms, particularly through a population-based funding approach, highlight examples of actuarial contributions to this transformation such as budget estimation, financial monitoring and reporting, and population health analytics, and invite questions and feedback.