The council of cooperative health insurance, through its regulatory role, strives to provide the best affordable care to its beneficiaries, in an unprecedented experience. The council is an integral contributor to the Kingdom’s Healthcare-ECO system and shares the responsibility for executing the vision 2030 and the Health Sector Transformation Program. the CCHI’s current strategy is a cascade from the strategy of the Health Sector Transformation Program. The strategy emphasis the CCHI’s beneficiaries’ centricity, the commitment to enable both payers and providers to execute their professional role, its value driven objectives, the commitment to develop and improve regulatory policies and finally its catalytic role for the sector’s digital transformation. In line with its strategy, CCHI developed 17 programs and more than 60 initiatives. The underlying challenge is how to ensure the compliance of insurance companies and healthcare providers to the initiatives and programs. Therefore, CCHI developed separate programs for providers and payers to guide their sector journey, measure their compliance, assess their operational performance and motivate further improvement projects. Each program is formed from a number of standards that are grouped into functional chapters. The standards are scored by expert surveyors from CCHI, targeting a self-assessment process. It is envisioned that the programs are to be executed in phases with the first phase being a baseline assessment.
