Oman has a strong public health system and a private sector that the government is actively encouraging under Oman Vision 2040. Private hospitals, polyclinics, clinics and pharmacies are spread across Muscat and the governorates, and many serve employees and expatriates who are now moving onto structured insurance. As a healthcare consultancy in Oman, Tulazai Health helps operators and investors prepare for that shift rather than react to it.
The Unified Health Insurance Policy, known as Dhamani, is the defining change. It moves private-sector employees, resident expatriates and visitors toward mandatory employer-funded cover on a single electronic platform linking insurers, providers and government bodies. Providers that were built for cash patients now need network contracts, pre-approval routines and coding discipline, and the private health establishment licensing rules of the Ministry of Health still apply to every step of setup and expansion.
The rules of the ground
Who regulates and pays in Oman
Insurance and claims
Dhamani, the Unified Health Insurance Policy, came into force in January 2023 and is being implemented progressively. It requires employers to fund cover for private-sector employees, with residents and visitors brought in over time, and defines a basic benefit that includes inpatient care, emergencies and treatment of common illnesses. For providers, the change is practical: patients increasingly present with a policy, insurers expect network agreements and structured claims, and the shared electronic platform rewards facilities whose registration, approvals and documentation are clean.
Sets national health policy and, through its Directorate General of Private Health Establishments, licenses private facilities and healthcare professionals across the Sultanate.
Reviews proposals, licenses private hospitals, polyclinics, clinics and professionals, and works with governorate directorates that inspect establishments for compliance.
Formerly the Capital Market Authority, it regulates insurers and launched Dhamani, the unified health insurance policy and its shared electronic platform.
The unified electronic system connecting insurers, hospitals, clinics and private pharmacies with regulators, used for coverage and transaction flows under the mandatory scheme.
Services
How we help providers in Oman
Clinic & Hospital Setup Consulting
We plan Omani clinics around catchment demand and the Dhamani shift, then take the project through concept, site, layout to MOH standards, equipment list, staffing and opening sequence. We align the build with DGPHE requirements early so inspection comments do not force late redesign, and we plan insurer readiness alongside the fit-out.
Facility Licensing & Approvals
We prepare the DGPHE application for your facility category, coordinate drawings and documents, manage professional licensing and evaluation for your staff, and support the governorate inspection. We track conditions and renewals afterwards. MOH makes the licensing decision; our role is a complete, well-sequenced file and steady follow-up.
Insurance Empanelment & Networking
Dhamani makes insurer networks central to patient flow in Oman. We map which insurers and administrators cover your target employers and patient groups, prepare empanelment applications, negotiate tariffs and terms, and set up the provider data and processes needed to transact on the unified platform from the first day.
Revenue Cycle Management
Many Omani private providers are moving from mostly cash to mostly insured revenue. We redesign registration, eligibility checks, pre-approvals, coding and claims submission for that reality, introduce denial tracking by insurer and reason, and train front office and billing teams so the transition does not stall cash flow.
Healthcare Operations Consulting
We review patient flow, scheduling, staffing and support services so the facility can absorb insured volume without longer waits or overtime. The work produces clear procedures, role definitions and a small set of operating measures that managers review every week.
Frequently asked questions
What is Dhamani in Oman and how does it affect private clinics?
Who licenses private hospitals and clinics in Oman?
Why use a healthcare consultancy in Oman rather than managing setup in-house?
Can you help an existing cash-based clinic prepare for insured patients?
Cities in Oman
Complimentary 30-minute call
Talk it through with Dr. Neeraj.
Tell us where your facility is today and where you want it to be. You leave the call with a clear next step.