Decisions of the Board of Directors of the General Insurance Authority in its monthly meeting

The Board of Directors of the General Health Insurance Authority held its monthly meeting No. 88 & rdquo; during the meeting, a number of decisions aimed at enhancing the efficiency of the comprehensive health insurance system, and ensuring the quality of services provided to the beneficiaries, were approved and approved the results of the performance measurement of the strategic plan for the first and second of the current fiscal year. 2024/2025.

& nbsp; Provided by the system with service providers. Profit. Al -Zumar, Professor of Cost Accounting at Cairo University. Health Insurance.

Dr. Ahmed Khalifa, Health Economy Expert – World Health Organization. Dr. Hisham State, Chairman of the Egyptian Authority for Unified Purchase, Supply and Medical Supply. The General Authority for Comprehensive Health Insurance for Technical Affairs – Director of the Health Economics Unit of the Authority – represented by the General Health Insurance Authority. Dr. Mohamed Habas, member of the Office of the Chamber of Health Services Chamber Follow -up of the implementation of the plan and achieving the strategic goals of the authority. Ismailia, South Sinai, Suez) 81.6% of the total population of those governorates until the second quarter of the current fiscal year, and the authority works to achieve the extension of the insurance coverage umbrella of all citizens of the application through the availability of registration of beneficiaries by multiple means and with best practices. The claims submitted with the conditions for submitting claims for the General Authority for Comprehensive Health Insurance, reached 85%, which achieves the target from this indicator during the first quarter of the current fiscal year, and it is targeted to reach 90% by the end of the current financial public. For hospitals of the Public Authority for Health Care, and only 30 days for service providers from the private sector, which was achieved during the first quarter of the current fiscal year 2024-2025.

As for the & laquo index, referrals & raquo;, the divine succeeded during the first quarter of the current fiscal year in issuing the letter of briefing to the beneficiaries within 48 hours (the average time cycle to issue the referral letter), where it reached The total number of referrals carried out by the authority to the beneficiaries outside the facilities of the General Authority for Health Care is more than 63 thousand, and the number of referrals within the governorates reached 92% of the total number of referrals, and the number of referrals outside the governorates is only 8% of the total referrals that took place during the first quarter of the fiscal year. The percentage of complaints to the authority received more than 95 % of the total number of complaints received by the authority during the second quarter of the current fiscal year, in addition to resolving complaints that were not resolved during the first quarter, and the average period of solution to complaints reached two days. To provide specialized technical services and digital transformation services for the comprehensive health insurance system.

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