Interdisciplinary Social Research

The Kingdom of Saudi Arabia is currently on a vigorous healthcare transformation mission in line with its strategic plan, Vision 2030. In this study, a qualitative content analysis of five policy documents that form the basis of health data management and insurance efficiency in the Saudi healthcare ecosystem is introduced. With a rigorous analysis of Vision 2030, Ministry of Health Digital Health Strategy, Council of Health Insurance regulations and reports, and the Health Sector Transformation Programme, this paper determines emerging policy architecture to govern health data and critically analyses the mechanism of implementation and gaps that persist. The review has indicated that although Saudi Arabia has developed detailed strategic frameworks that require the sector to be governed by the data, interoperability standards, and unified health information exchange using the Nphies platform, there are still major problems with the translation of policy directives on an operational level in hospitals. The results indicate a gradual maturity of regulatory policies involving the division of payer, provider and regulators functions although it points out the necessity of improving the technical specifications and the standard requirement of data format. The study is relevant to comprehending how developing countries are building health data governance in the accelerated setting of digital transformation and provides a range of implications to the hospital administrators, policymakers, and health informatics professionals working at the borders of data governance and insurance efficiency.