Healthier SG for GP clinics: what it asks of you, and how to prepare

What Healthier SG asks of a GP clinic

Healthier SG, launched in July 2023, asks Singapore Citizens and Permanent Residents aged 40 and above to enrol with one family doctor. For a participating GP clinic, the programme comes down to five ongoing obligations:

• Enrol residents who choose your clinic, and co-create a first Health Plan with each of them, in person.
• Keep the relationship going, with at least one Health Plan check-in per enrollee every calendar year, plus regular chronic visits for enrollees with chronic conditions.
• Offer preventive care: the nationally recommended screenings and vaccinations under Healthier SG Screening and the vaccination subsidy schemes.
• Report care through a Healthier SG-compatible clinic management system (CMS). The data feeds MOH’s outcome tracking and your fees.
• Contribute to the National Electronic Health Record (NEHR), with every regular doctor holding NEHR access.

In return, MOH pays the clinic for the Health Plan and for caring for its enrollees through the year, and enrollees get subsidies for staying with you, including the Healthier SG Chronic Tier. Existing CHAS, CDMP, screening and vaccination claims carry on alongside.

Joining: the five requirements and the order they happen in

The Healthier SG playbook for GPs sets out five requirements. Two take the longest: accreditation, which is sequential, and the system, since the CMS decides whether reporting is effortless or a second job.

1. National Primary Care Schemes. MediSave for CDMP, CHAS, Healthier SG Screening, the vaccination and childhood developmental screening subsidies (VCDSS) and Public Health Preparedness Clinic.
2. A Healthier SG-compatible CMS, taken from the list Synapxe publishes, with the clinic agreeing to share data with NEHR.
3. At least one regular doctor on the Register of Family Physicians kept by the Singapore Medical Council. This takes effect from 1 July 2030.
4. Membership of a Primary Care Network (PCN), whose nurses and care coordinators support services such as diabetic foot screening, retinal photography and counselling.
5. A partner healthcare cluster, one of the three public clusters that connect your clinic to hospital and community services.

The playbook gives approximate timings: MediSave and CDMP accreditation first (about two months), then CHAS, VCDSS, Healthier SG Screening and PHPC (about one month), then PCN and Healthier SG onboarding (about two and a half months). It also notes that GPs should not practise across multiple Healthier SG clinics, which matters if your locums work elsewhere. If CHAS is new to you, our CHAS claims guide covers what the scheme expects.

From enrolment to check-in: what changes in the clinic

Enrolment and appointments

Residents usually enrol on the HealthHub app after an SMS invitation from MOH, choosing a clinic and booking the first consultation. Clinics can also enrol patients through the Primary Care Digital Services (PCDS) portal, but only when the patient is physically present, never by phone. Bookings arrive either through the national Health Appointment System (HAS), if the clinic has signed up, or as a request with the resident’s contact details for the clinic to follow up.

The first Health Plan

The first Health Plan must be co-created in person with a doctor at the enrolled clinic, and it is fully subsidised for the resident, who also earns $20 of Healthpoints for completing it. In that consultation the doctor is expected to measure height and weight, review lifestyle, screening and immunisation history, assess the patient against the weight management, cancer screening and smoking cessation care protocols, review any chronic conditions, set health goals together, and schedule the tests, screenings and vaccinations that are due. When the clinic uses a compatible CMS, the goals flow into the patient’s HealthHub automatically.

Every year after

The check-in can happen during an acute or chronic visit; otherwise the clinic must reach out and schedule one. That is the real change for the front desk: someone owns the list of enrollees who are due, and works through it well before December.

How Healthier SG clinics are paid

The playbook describes four payment streams. The dollar amounts sit in AIC’s clinic training materials and change over time; the structure is the stable part.

Two dates govern the ASF. The assessment period runs from 1 January to 31 December, and care reports for that period must be submitted by the last day of February of the payment year. The Health Plan protocol states that the two chronic visits, one of them in person, are part of the requirement for the ASF fixed payment for chronic enrollees. For scale, MOH told Parliament on 10 September 2026 that it paid about $350 million to GP clinics under Healthier SG and CHAS in 2025, averaging over $140,000 per clinic, and that it continues to review whether GPs are fairly paid for the expanded role.

The Healthier SG Chronic Tier at the counter

Since 1 February 2024, enrollees who hold CHAS, Merdeka Generation or Pioneer Generation cards can choose the Healthier SG Chronic Tier at their enrolled clinic: medicines on a whitelist drawn from the Standard Drug List and Medication Assistance Fund list are subsidised by percentage, with no dollar cap, at prices comparable to polyclinics. From the same date, enrollees treated at their enrolled clinic no longer pay the 15% cash co-payment on CDMP bills paid with MediSave.

• At registration, staff check the patient’s Healthier SG enrolment and CHAS card status.
• In the consult, the doctor reviews the chronic condition and the medicines, and helps the patient choose between the CHAS Chronic Tier and the Healthier SG Chronic Tier. A compatible CMS is expected to compute the bill both ways.
• For stock, whitelisted drugs can be bought through ALPS, from companies under MOH special pricing agreements, or through the clinic’s own arrangements. Drugs bought through ALPS can be sold only to the clinic’s enrollees.
• For delivery, ALPS offers Direct Patient Delivery to the patient’s home. It needs an Order Management System account and a Direct Debit Authorisation from a corporate bank account. Allow up to three working days for the account and ten for the authorisation.

Data, reporting and system requirements

MOH’s guide to Healthier SG-compatible systems (version of 25 June 2026) lists three things a clinic must do: sign the NEHR Accession Agreement and get NEHR view access for its practising doctors; implement and maintain a Healthier SG-compatible CMS; and contribute to NEHR from that CMS. Per the playbook, every doctor practising there at least weekly, locums included, needs NEHR access, applied for at least two weeks before starting.

• Care reports come from ordinary documentation. With a compatible CMS, the notes, results and diagnoses you already record are submitted as care reports. No separate form is needed.
• Submissions are cumulative. MOH warns clinics not to delete enrollees’ past data in the CMS, because it can leave submissions incomplete and affect the ASF. The PCDS Self Help Report Module lets you check what has been received.
• The list can change. If your vendor is removed from the compatible list, you must move to a compatible CMS within three months. A Notice of Suspension is issued 15 days before the end of that period if the move and NEHR contribution are not in place.
• The law is catching up. When mandatory NEHR contribution under the Health Information Act begins in September 2027, your CMS must support NEHR connectivity and meet cybersecurity and data security standards, and your vendor must follow the Code of Practice for Data Portability.

The contribution side is covered in NEHR contribution for private clinics. If a change of system is on the cards, switching clinic management systems walks through data migration, the step MOH’s guide singles out as the one to plan most carefully.

Preparing the clinic: a practical sequence

1. Confirm your CDMP and CHAS accreditation is current, and that every regular doctor and locum has NEHR access.
2. Check your CMS against the current compatible list on the Synapxe site, and ask the vendor how care reports and Health Plans are captured in the consult screen.
3. Decide who owns the enrollee list: who is due a first Health Plan, an annual check-in or a second chronic visit, and how they will be contacted.
4. Build Health Plan time into the appointment book. A first Health Plan is a longer consult than an acute visit and has to be in person.
5. Brief the counter on the two chronic tiers, and on what to check at registration.
6. Diarise the reporting calendar: the assessment year ends on 31 December, and care reports are due by the end of February.

Frequently asked questions