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The use of a sound contracts management system can improve patient care while also lowering operational costs, ensuring compliance, and reducing risk and liability. A contract management system makes the process of creating, routing, reviewing, and approving contracts much more straightforward than it would otherwise be. The insurer’s obligation to pay some or all of the insured’s medical expenses in exchange for a premium, which the employer typically pays, is represented by an insurance policy or contract. In Saudi Arabia, parties’ rights to insurance contracts are defined by the terms of the policy rather than by underlying legislation or regulations. The policyholder is the one who makes the purchase and the legal owner of the policy and is responsible for paying the payment(Al-Hanawi et al., 2018).
Health plans include three main components: the insured company and its employees who require insurance, the insurers who agree to offer it, and the healthcare facilities chosen to provide it. Formal rules govern how these components interact as part of a broader system(Starc & Town, 2020). Additionally, the government stands to benefit. Furthermore, there is a complicated relationship between Saudi healthcare and the national economy. The country’s growth rate would slow if healthcare spending rose faster than other industries. However, the government can save money by using the cooperative health insurance program. As a result, other vital areas, such as education, will benefit from increased funding(Al-Hanawi et al., 2018).
According to the (Al-Hanawi et al., 2018), employers should ensure their employees through a certified insurance carrier. Benefits for employees’ well-being and productivity are essential considerations for employers. As for employees, they believe they should pay for everything. Individual health insurance and health insurance for employees are the same things. Hospitalization costs are covered by health insurance for employees. Specialist and other medical follow-up visits may be covered under some employer sponsored health plans. Employer health insurance commonly covers pre-existing conditions; however, the waiting period varies by policy(Al-Hanawi et al., 2018).
Differences between employer, employee, and resident requirements
An employer can be a person or a company that hires or employs another person. To ensure that their employees receive the best possible healthcare, employers in Saudi Arabia must engage with various private healthcare providers, including private hospitals, clinics, and health centers. Healthcare expenses for employees can be covered or not by their employers, depending on various factors, including the precise nature of the accident or illness, the extent of treatment, and the extent of coverage provided by the employee’s health insurance. In addition, a company must ask their employees to submit their health insurance requirements so that the employers can plan and prepare it specifically for non-residents since they are the ones who can’t access public healthcare in the country(J., 2009).
If an employee is a non-resident and unable to access Saudi Arabia’s public healthcare system, they should not be concerned, as public and private healthcare systems are very similar. Employees in Saudi Arabia need to have a health insurance card in order to get private health insurance from their workplace; thus, they should be prepared to submit all of their paperwork to their employer. Other requirements include a valid ID photo, a residency permit or visa, and proof of domicile. The dental health service is an important consideration to consider when deciding on a health insurance plan with your job. Additionally, the personnel should be aware of the emergency phone numbers 999, 991, or 997 in the event of a crisis(Asmri et al., 2020).
Saudi Arabia’s healthcare system relies on private insurance. General practitioner services, numerous hospital treatments, dental treatments and management, and prescription drugs are all included in free healthcare in Saudi Arabia. Hospitals, clinics, and health facilities should provide private healthcare services to non-residents. Additional requirements include health insurance policies that their work may give. Cardiology, orthopedics, ophthalmology, and urology are only a few medical specialties covered by Saudi Arabia’s public and private healthcare systems. In addition, mental health treatments and improvements in women’s and children’s healthcare are made available(Asmri et al., 2020).
Al-Hanawi, M. K., Alsharqi, O., Almazrou, S., & Vaidya, K. (2018). Healthcare Finance in the Kingdom of Saudi Arabia: A Qualitative Study of Householders’ Attitudes. Applied Health Economics and Health Policy, 16(1), 55–64. https://doi.org/10.1007/s40258-017-0353-7
Asmri, M. Al, Almalki, M. J., Fitzgerald, G., & Clark, M. (2020). The public health care system and primary care services in Saudi Arabia: A system in transition. Eastern Mediterranean Health Journal, 26(4), 468–476. https://doi.org/10.26719/emhj.19.049
J., B. (2009). Health systems of the world: Saudi Arabia. Glob Health. Anesthesia & Analgesia, 2, 1–8.
Starc, A., & Town, R. J. (2020). Externalities and Benefit Design in Health Insurance. Review of Economic Studies, 87(6), 2827–2858. https://doi.org/10.1093/restud/rdz052
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