SHIA’s mandate combines the development of social health insurance financing with the purchasing of health services and protection of members. The following functions describe the system the Authority is working to establish.
Pool and manage resources
Develop transparent arrangements for collecting, pooling and managing social health insurance funds, with financial controls and public accountability.
Design membership and benefits
Prepare rules for membership, contributions and support for vulnerable groups, alongside a benefits package aligned with national health priorities and available resources.
Purchase and oversee services
Develop arrangements for provider assessment, contracts, payment and performance monitoring, with attention to quality and value.
Build reliable administration
Prepare the member registry, registration procedures, information systems and controls needed to manage payments and prevent misuse.
Protect and inform the public
Provide clear information and develop arrangements for complaints, appeals, member data protection and public reporting.
Legal framework
The Authority’s responsibilities are set out in its governing instruments. Official legal documents, when published, should be consulted for the definitive text.