This session will focus on the transformation roadmap of the healthcare sector in KSA and the role of actuarial capabilities in enhancing its evolution to the desired end stage as per the objectives of the Vision 2030. The discussion will focus how the system has evolved so far and shed light on the expected future changes. Through examining the transformation, we will highlight how the sector is and can use actuarial expertise to not only assist with this transformation but also use basic actuarial principles to identify the key risks and their respective mitigation strategies.
Executive director of the National Casemix Centre of Excellence, Saudi Arabia
Ehab is the Executive Director of National Casemix Center of Excellence (NCCoE) in KSA. He joined NCCoE in August 2021. NCCoE is a governmental entity that plays a role of a think-tank to provide strategic leadership and propose and inform national policy decisions in terms of clinical coding, casemix classification, costing and funding mechanisms.
Ehab has more than 15 years of insurance and reinsurance experience. He has worked extensively in the KSA market serving on a range of actuarial and strategic consulting projects.
Before joining NCCoE, Ehab was the Managing Director of Milliman KSA which is an international actuarial and health consultancy firm. He joined Milliman in July 2019 where he established Milliman’s office in Riyadh and managed its opportunities in all the practices and served as the lead in health projects in the KSA.
Before joining Milliman, Ehab was the Director of Actuarial and National Health Costing Department in the Ministry of Health of Saudi Arabia and one of the founders of the national health insurance entity to serve as the single public payer in the Kingdom. He also served as one of four main facilitators of building the 2030 national healthcare transformational strategy liaising with all the key health stakeholders in the KSA health ecosystem.
During his tenure with the Ministry of Health under different roles, Ehab has led several national health projects including health benefit package, funding, pooling, payment mechanisms, development and pricing of health benefit package for Umra pilgrims, assessment of health spending during Haj, development of national health costing standards and national health costing study and healthcare cost efficiency. He also led the financial workstream on carving out clusters’ budgets and developing models to estimate structural adjustment grants (SAG), funded mandate budgets and capitations.
Prior to relocating to the government sector, Ehab spent almost a decade in the private insurance market, where he was the Actuarial Manager in Solidarity Insurance Company. He established the actuarial department and was responsible for building the strategic financial plan for the company.
Before joining Solidarity, Ehab spent 8 years in the market lead insurer Tawuniya where he gained extensive experience in actuarial, reinsurance and underwriting domains.
Besides being an actuarial specialist, Ehab is also certified in strategic management, Casemix funding and project management.
Chief Actuary of the National Casemix Centre of Excellence, Saudi Arabia
Neha is the Actuarial Governance Director at the National Casemix Center of Excellence (NCCoE) in KSA. She joined NCCoE in May 2022.
Neha has about 15 years of healthcare actuarial experience specializing in developing product propositions, pricing, reserving, data analytics and regulatory filing and review work locally and globally. She has worked extensively on actuarial consulting projects in India, Middle East, UK and USA.
Before joining NCCoE, Neha was the lead consultant for projects and business development for the health practice in Milliman KSA. She joined the Milliman Riyadh office in July 2019 where she assisted with the establishment of the office and led several consulting projects including benchmarking analysis; evaluation and review of essential benefit packages in the GCC countries; implementation and evaluation of value-based mechanisms in the Kingdom.
Prior to joining the Riyadh office, Neha worked as a healthcare actuarial consultant at Milliman’s New Delhi and London offices.