Patients were entitled to services provided by their registered
provider networks, while the network received an annual budget
based on the capitation rate for OP service multiplied by total
number of registries. The registered network, as a gate keeper,
was liable to pay for the OP they referred to outside network out
of its OP capitation budget. Patients bypassing without a proper
referral were liable to pay OP services in full. Primary healthcare
gate keeping function resulted in systems efficiency as most OP
services can be and actually were provided by health centres and
district hospitals with lower medical cost, time and transport
costs shouldered by patients. Better outcome was noted,
especially for chronic non-communicable diseases needing