Dubai announces Ejadah new value-based health insurance scheme in UAE

Dubai announces new value-based health insurance scheme in UAE, Ejadah which is unique to Dubai. The Ejadah model emphasizes value rather than volume and is meant to improve preventive care.

According to the Health Insurance Corporation of the Dubai Health Authority (DHA), the healthcare model will reward behavior and results “that matter to patients”. Additionally, it would give medical professionals “evidence-based guidelines that will serve as a foundation to adhere with relation to treatment regimens for all disorders.”

Solid Foundation

Awadh Seghayer Al Ketbi, director-general of the DHA, stated that insurance companies will have a “solid foundation” to draw from when using data that is supported by research. And also that “all stakeholders will work together to promote healthcare and decrease medical expenditure.”

Strengthening the health industry

The project will help the government strengthen the health industry by monitoring clinical, financial, and human-centric outcomes, according to Saleh Al Hashimi, CEO of Dubai Health Insurance Corporation. Excellent results drive the concept, will prioritize preventive care and lower healthcare costs while putting health consumers at its core, resulting in the sustainability of healthcare.

He continued by saying that payers and providers would receive training to help them grasp the framework, which would speed up the approval of claims, reduce unnecessary spending on healthcare, and emphasize preventive treatment.

Managing non-communicable diseases

Dr. Mohamed Farghaly, director of the DHA’s Ejadah project, outlined how managing non-communicable diseases like diabetes costs more money to manage the complications of the disease than the disease itself.

“This cost may be greatly lowered by creating an ecosystem that focuses on preventative care and patient-centered care,” said Dr. Farghaly, a family medicine consultant, diabetologist, and professor of medicine at the Dubai Medical College. The model will empower patients, he continued.

“Ejadah will work to ensure that Dubai’s healthcare sector becomes more supportable and patient-centric. By incentivizing value – rather than volume – through alternative payment models,” said Karim Samy, Medical Director, Roche Pharmaceuticals. Similar strategies will undoubtedly inspire other nations in the region.

The project, according to Ahmed Fadl, GM of Merck Gulf, aims to improve effectiveness, efficiency, and safety. Improvements to the Ejadah program will “further boost the quality and address the expenses while giving access to next-generation technology.”

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