Project objectives

HPA participated in an international consortium advising the National Health Insurance Company of Qatar and the Qatar Supreme Council of Health on the pricing for Stage 2 of the National Health Insurance Scheme – Seha. HPA led the work of the consortium and undertook the major part of the consultancy.

Stage 2 involved expanding the scheme to all Qatari nationals and all services, from a limited coverage of maternity and gynaecology services in Stage 1. The project was performed under extremely tight deadlines, and high public interest.

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National Health Insurance Company of Qatar

Our approach

Classification enhancement, prices and payment rules were developed for:

  • Inpatient services (acute and sub- and non-acute)
  • Emergency departments
  • Specialty medical consultation clinics
  • Primary health care
  • Allied health and nurse-led clinics
  • Home based modalities
  • Dental
  • Diagnostic imaging.

HPA undertook consultations with the major public and private health care providers in Qatar, analysed local cost data and local prices and benchmarked local costs and prices with those from international systems.

Training webinars and workshop were developed and delivered to local providers on the classification systems and payment rules. A software application for the National Health Insurance Company to model the impact of various policy decisions was developed and delivered as part of the project.

Outcome

Stage 2 of Seha ran between April 2014 and December 2015 using the pricing and business rules resulting from the project.

Our vision

HPA aims to be a leading firm in specialist consulting services in the health care sector, offering qualitative and quantitative analysis and synthesis of evidence, providing expertise in statistics and data science, and contributing to well founded and practical policy advice. We aim to deliver the highest quality of services, helping our clients to achieve their objectives, while transferring our expertise and building their capabilities.

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