Funding Strategy Design & Reform

PwC has developed a structured approach to developing and/or redesigning the funding system at the national level to drive reform and can assist throughout the funding strategy design & reform journey. Services we offer include:

  • The development of a national funding strategy and guiding principles
  • The design of the funding scheme
  • The development of the core funding system elements and pilot strategy
  • The operationalisation/ implementation of the solution

Implementing funding reform is a multi-year journey that transforms critical aspects of how healthcare services are accessed, classified, reported, and funded. Under our approach, there are four key phases that will help you drive your funding reform programme. Irrespective of your system’s maturity in this area, we can support you in designing your entire programme, phases, or developing core components within them.


Key phases


Icon for Develop national funding strategy and guiding principles

Develop national funding strategy and guiding principles

We can support you in first developing the national funding strategy at the highest level and determining and agreeing the nature and model by which to run the system; examples of models to follow include:

  • Social/ universal health insurance
  • Mixed private/ government model
  • Purely privatised model
Icon for Design the funding scheme

Design the funding scheme

Based on the chosen model and developed strategy, we will help you design the elements of the funding scheme and its characteristics around:

  • Legal framework
  • Coverage
  • Classification/coding
  • Governance
  • Accessibility
  • Financing
  • Regulation
Icon for Develop core funding system elements and pilot strategy

Develop core funding system elements and pilot strategy

We will develop the core elements of the funding system:

  • Reimbursement model
  • Classification/coding
  • Reporting
  • Fee schedule
  • Funding policy development
  • Insurance premium
Icon for Operationalise/ implement the solution

Operationalise/ implement the solution

This phase entails support in setting up the entities, organisations, or units that will be responsible for regulating, managing and operating the developed/revised funding system/solution.

The implementation of the solution will require the development of significant administrative and operational infrastructure including: governance, back office functions, IT solutions, claims management, communications and physical infrastructure.

Contact us

Lina Shadid

Lina Shadid

Health Industries Lead, PwC Middle East

Hamish Clark

Hamish Clark

Health Industries Partner and Chief Wellness Officer, PwC Middle East

Oussama Nicolas

Oussama Nicolas

Health Industries Partner, Health System Transformation, PwC Middle East

Tel: +974 (0) 44 192 777

Homyar Buhariwalla

Homyar Buhariwalla

Transformation Management Unit - Health Industries Lead Partner, PwC Middle East

Tariq Beshtawi

Tariq Beshtawi

Health Industries Partner, Digital Health Transformation, PwC Middle East

Tel: +971 50 315 5493

Eyad Al-Musa

Eyad Al-Musa

Health Industries Partner, Digital Health Transformation, PwC Middle East

Tel: +971 52 839 8930

Zeina Koubar

Zeina Koubar

Health Industries Partner, Healthcare Operations, Quality and Patient Safety, PwC Middle East

Tel: +966 56 451 9649

Eyhab Abdeen

Eyhab Abdeen

Middle East Workforce Partner, PwC Middle East

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