Dubai to strengthen value-based medical insurance scheme

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Dubai Health Authority (DHA) will apply its value-based healthcare mannequin throughout 30 illness areas by 2025.

The mannequin often known as EJADAH, which suggests proficiency in Arabic, was launched in June 2022 and is a value-based mannequin moderately than a volume-based healthcare mannequin.

It makes use of A.I. expertise for predictive healthcare evaluation for early intervention, illness prevention and to keep away from issues.

The mannequin can even embody patient-reported final result measures (PROMs) to evaluate the end result of care from the affected person’s perspective.

The A.I. expertise might be initially used for 2 illnesses: diabetes and bronchial asthma.

The DHA’s Dubai Health Insurance Corporation, which regulates the medical insurance sector within the emirate, is overseeing the implementation of the scheme.

The particulars had been introduced on the sidelines of the Arab Health exhibition, going down on the Dubai World Trade Centre from January 30 to February 2.

“The value-based healthcare model will pay for performance and outcomes that matter to patients, it will provide healthcare service providers with evidence-based guidelines, which will be a framework for all physicians to follow with regard to treatment protocols for all ailments,” mentioned Saleh Al Hashimi, CEO of Dubai Health Insurance Corporation.

Insurance suppliers can have a robust basis to seek advice from evidence-based knowledge and all stakeholders will work collectively to boost healthcare and cut back pointless medical expenditure. 

“The model is driven by quality outcomes and at its core lies the health of patients, it will help shift the focus on preventive care, which will benefit patients and lead to reduced healthcare expenditure thus leading to healthcare sustainability. It will also help improve government oversight of the health sector by overseeing clinical outcomes, economic and human-centric outcomes,” defined Al Hashimi.

He added that payers and suppliers have been present process coaching to know the framework and KPIs which is able to result in minimal waste of healthcare expenditure and enhanced give attention to preventive care. 

• Since the launch of the mannequin final 12 months, the DHA has recognized and prioritised 30 illnesses till 2025 the place this mannequin might be utilized.
• In 2022, Dubai’s healthcare sector acquired coaching to make use of this mannequin for bronchial asthma, diabetes, Gastroesophageal reflux illness (GERD), decrease again ache and respiratory infections. The sector was additionally supplied in-depth coaching on maternity care pointers. 
• In 2023, the main target might be on: Chronic obstructive pulmonary illness (COPD), Inflammatory bowel illness (IBD), Osteoporosis, Hyper Hypothyroidism, Atopic dermatitis, Urinary Tract Infections, Migraine and Myocardial infarction( MI).
• In 2024, the main target might be on: Peptic Ulcer Disease, Rheumatoid Arthritis, Obesity and Metabolic Syndrome, Polycystic Ovarian Syndrome, Acne, Benign Prostatic Hyperplasia and Arrythmia.
• In 2025, the areas of focus will embody: Gallstones, Osteoporosis, Thyroid illness, Dermatitis, Psoriasis, CHD/Stroke, DVT and renal failure.

Dr. Mohamed  Farghaly, Family Medicine Consultant, Diabetologist and Professor of Medicine at Dubai Medical Collage and Consultant on the Dubai Health Insurance Corporation highlighted that the mannequin will result in a sustainable healthcare system.

Dr Farghaly, who can be the lead of the EJADAH venture on the DHA, shared the small print with ARN News.