Saudi health insurance council finds 10 violations

The Council of Cooperative Health Insurance (CCHI) has found 10 violations against six health care providers and one health insurance company. (Shutterstock)
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Updated 24 December 2019

Saudi health insurance council finds 10 violations

  • The council relies on various mechanisms to monitor violations in the private health insurance market

JEDDAH: The Council of Cooperative Health Insurance (CCHI) has found 10 violations against six health care providers and one health insurance company. The violations were dealt with according to the established procedures.

The council’s spokesperson, Yasser Al-Maarek, said that the department of supervision carried out 200 inspection rounds on certified health insurance companies and health care providers in 10 cities and governorates.

Al-Maarek said that the council gave great importance to monitoring and oversight in order to raise the level of commitment to CCHI’s regulations, the executive regulations and council decisions that guarantee the provision of health care services that are appropriate for the insured. This is while safeguarding the rights of the insurance parties and protecting the market’s integrity from any negative practices.

He explained that the council relies on various mechanisms to monitor violations in the private health insurance market. These include an automated system for issuing documents that enables compliance with laws and regulations and the hidden shopper technique of inspection visits to health insurance companies and health care providers, as well as fraud reports that reach the council from all parties to the insurance relationship.

Al-Maarek said that the most prominent violations were represented in: Failure to comply with the conditions for accepting the issuance of health insurance, failure to adhere to the criteria to request approval for a medical service, weak electronic systems, delay in paying financial claims to service providers, submitting fake claims to insurance companies, violations related to a delay in submitting financial claims to insurance companies, delay in sending approval requests to insurance companies, dealing with service providers that are not certified by CCHI, providing the council’s general secretariat with incorrect information, and not providing health insurance for Saudi workers and members of their families.

He said that the council was keen to control private health insurance operations and protect the market from any wrong practices, in a way that contributes to achieving the council’s vision to be a global pioneer in enhancing the quality of health services by raising the efficiency of private health insurance.


World leaders call for courage as virus death toll nears 70,000

Updated 06 April 2020

World leaders call for courage as virus death toll nears 70,000

  • Be strong, Pope Francis says
  • US faces ‘Pearl Harbor moment’

JEDDAH: World leaders urged people on Sunday to show courage and strength in fighting the coronavirus pandemic as the global death toll approached 70,000 from more than 1.25 million cases of infection.

Pope Francis described the outbreak as a tragedy, Queen Elizabeth of the UK offered her personal thanks to frontline health workers, and Americans were warned that they faced the “hardest and the saddest week” of their lives.

Saudi Arabia reported five more deaths from the virus, bringing the total to 34. The number of confirmed cases rose by 206 to 2,385, the highest among Gulf Arab states.

The Foreign Ministry will register requests this week from Saudis abroad who want to return home, with priority given to the elderly, pregnant women and people in countries most affected by the pandemic. Those who return are subject to a 14-day quarantine, and about 11,000 hotel rooms have been set aside for them.

The Health Ministry warned that too many people were ignoring advice to stay at home. “Unfortunately, there is still more than 40 percent mobility in shopping and outdoor activities. This is a very alarming percentage,”ministry spokesman Dr. Mohammed Al-Abd Al-Aly said.

“We are all in this boat together, and those who risk their own lives by going out for no urgent need are risking everybody else’s lives too.”

The six Gulf states have reported 6,757 cases of infection and 54 deaths from the coronavirus. The UAE, where 1,505 people have been infected and 10 have died, will increase its stockpile of strategic goods and waive residency visa fines for the rest of the year, said the prime minister, Sheikh Mohammed bin Rashid Al-Maktoum.

In Rome, on Palm Sunday, a Christian religious festival, Pope Francis celebrated mass by live stream with St.Peter’s Square empty of the usual huge crowds.

“Today, in the tragedy of a pandemic, in the face of the many false securities that have now crumbled, in the face of so many hopes betrayed, in the sense of abandonment that weighs upon our hearts, Jesus says to each one of us: ‘Courage, open your heart to my love’,” he said.

Queen Elizabeth gave a rare special address to the British people, only the fourth in her 68-year reign. She praised frontline health workers and more than 750,000 people who volunteered to help the state-run National Health Service.

“I hope in the years to come everyone will be able to take pride in how they responded to this challenge, and those who come after us will say that the Britons of this generation were as strong as any,” she said.

In the US, as the death toll approached 10,000, US Surgeon General Jerome Adams said: “This is going to be the hardest and the saddest week of most Americans’ lives … our Pearl Harbor moment, our 9/11 moment.”