The Implementation and Impact of Value-Based Healthcare in Saudi Arabia: Opportunities and Challenges

Abstract

This study examines how Value-Based Healthcare (VBHC) is being implemented in Saudi Arabia and what challenges are affecting its progress. As part of Vision 2030, the Kingdom has committed to shifting its healthcare system toward value-based models that improve outcomes. The research aims to explore the implementation and challenges, with a focus on policies, progress and barriers of VBHC healthcare in Saudi Arabia.

A structured literature review was carried out using academic databases and official Saudi health sector sources. Fourteen sources were selected, including studies and government publications from 2020 to 2025. These were analysed thematically based on their focus on policies, barriers and achievements related to VBHC.

The findings reveal strong policy support and early progress, such as pilot payment models, digital infrastructure and outcome measurement initiatives. However, several issues are slowing the implementation, including dependence on fee-for-service payments, weak data integration and limited clinical engagement. While early results are promising, the transition is still in early stages.

The study highlights the need for improved digital systems, provider autonomy, national performance tracking and larger staff training. Addressing these areas is essential to make VBHC sustainable and ensure that national reforms lead to meaningful change in everyday care.