How does a GP clinic join Healthier SG?

Your clinic must first be Community Health Assist Scheme (CHAS) accredited, then be onboarded to Healthier SG. HSG clinics are also expected to be active members of a Primary Care Network (PCN), which provides the nursing, care-coordination and ancillary services (like diabetic foot and eye screening) that a small practice can't run alone. More than 1,000 GP clinics are already participating.

How are Healthier SG clinics paid?

Through a capitation model, not fee-for-service. MOH pays enrolled family doctors an annual service fee for each enrolled resident, tiered by the resident's health-risk profile, the scope of care required, and the progress made in preventive care or chronic-disease management. On top of that, the first Health Plan consultation is fully subsidised, and there's a one-off IT-enablement grant for Healthier SG family doctors. MOH does not publish a single fixed per-resident figure, so confirm your rates with your PCN or MOH.

What is the Healthier SG Chronic Tier?

From 1 February 2024, the Chronic Tier gives enrolled residents subsidies on selected common chronic medications on the Healthier SG Medication List (up to 87.5% with no dollar cap, depending on card status), so GP-clinic chronic-med costs are comparable to polyclinics. The subsidies apply only at the resident's enrolled clinic and only for the listed chronic medications. The list mirrors the conditions managed under the Chronic Disease Management Programme (CDMP).

Do patients have to enrol with just one clinic?

Yes. A resident enrols with a single chosen GP or family doctor (via the HealthHub app) for their ongoing preventive and chronic care, and the Healthier SG subsidies (the Chronic Tier and the fully-subsidised Health Plan consult) apply only at that enrolled clinic. For a clinic, that means an enrolled patient is a recurring, funded relationship rather than a one-off visit.

Is Healthier SG the same as CHAS or CDMP?

No. CHAS is a subsidy for cardholders and CDMP lets patients use MediSave for chronic care - both are per-visit, claim-based schemes. Healthier SG is a preventive-care enrolment model layered on top: the resident commits to one clinic, the clinic is paid by capitation, and enrolled residents unlock the Chronic Tier subsidies. Being CHAS-accredited is a prerequisite for joining Healthier SG, so the schemes stack rather than compete.

What does a clinic need to run Healthier SG day to day?

You need to track your enrolled panel, create and maintain each resident's Health Plan, and submit chronic-medication subsidy claims correctly - all tied to the right enrolled patient. A clinic system that keeps the enrolled list, the Health Plan and the subsidy claims in one place turns Healthier SG into part of the normal consult flow rather than a separate administrative burden.

Healthier SG for Clinics: Enrolment & Capitation

Healthier SG changes how a GP clinic earns from primary care: instead of being paid per visit, an enrolled clinic is paid by capitation to keep a panel of residents well, and to take part, your clinic must be CHAS-accredited and onboarded to the programme. This guide explains what Healthier SG means for a clinic (not a patient): how you join, how the capitation model pays you, and what enrolled residents get that keeps them coming back to you.

The 30-second version:

Healthier SG (enrolment opened 5 July 2023) has residents commit to one GP clinic for their preventive and chronic care. To take part, your clinic must be CHAS-accredited, onboarded to Healthier SG, and an active member of a Primary Care Network (PCN). You’re paid by capitation - an annual service fee per enrolled resident, risk-tiered, plus a fully-subsidised first Health Plan consult and a one-off IT grant. Enrolled residents unlock the Chronic Tier (chronic-med subsidies up to 87.5%, no dollar cap, since 1 Feb 2024) at your clinic only.

Setting up a clinic from scratch? Start with how to start a clinic in Singapore, which covers the HCSA licence and CHAS accreditation this article assumes you already hold.

What Healthier SG is, from a clinic’s side

Most explainers describe Healthier SG for residents: enrol with a family doctor, get a health plan, stay well. For a clinic, the important shift is financial and structural.

Enrolment ties a resident to one clinic. A resident chooses a single GP or family doctor (through the HealthHub app) for their ongoing preventive and chronic care. Their Healthier SG subsidies only apply at that enrolled clinic, so an enrolment is a recurring, funded patient relationship, not a walk-in.
Payment moves to capitation. Instead of being paid per consultation, an enrolled clinic receives an annual service fee to keep each enrolled resident well. That’s a deliberate move from workload-based, fee-for-service income toward a model that rewards prevention and good chronic-disease control.

More than 1,000 GP clinics are already participating, organised into Primary Care Networks (PCNs) - groupings of private GP clinics that share a team of nurses, care coordinators and ancillary services (such as diabetic foot and eye screening) that a solo practice can’t run alone. PCNs aren’t new: MOH set them up back in 2018 as the vehicle for team-based primary care, and Healthier SG builds directly on that structure.

How your clinic joins

Three things gate participation:

Be CHAS-accredited. Community Health Assist Scheme accreditation, which comes paired with CDMP accreditation, is the foundation Healthier SG builds on. No CHAS, no HSG. If you’re not yet accredited, that’s the same subsidy setup you sort when starting a clinic.
Onboard to Healthier SG. Your clinic and each participating doctor are onboarded to the programme.
Be an active member of a PCN. This isn’t optional because HSG clinics are expected to be active members of a Primary Care Network, which supplies the shared nurses, care-coordination and ancillary services (such as diabetic foot and eye screening) that make team-based preventive care workable for a small practice.

Because CHAS accreditation is the gate, the schemes stack rather than compete - the same MOH-side setup that lets you claim chronic subsidies is what opens the door to Healthier SG.

How the capitation model pays you

This is the part that changes clinic economics, so it’s worth being precise, and honest about what MOH does and doesn’t publish.

Annual service fee per enrolled resident. MOH pays enrolled family doctors an annual fee to care for each enrolled resident. It is risk-tiered: the amount reflects the resident’s health-risk profile, the scope of care they need, and the progress made in preventive care and chronic-disease management. Healthier residents and well-controlled chronic patients sit differently from complex ones.
The Health Plan consultations are fully subsidised. The first consult where you and the resident agree their Health Plan, and the annual check-ins after it, are fully subsidised, and the resident also earns $20 in Healthpoints via the Healthy 365 app for completing the first one - a built-in reason for them to complete it with you.
A one-off IT-enablement grant. Healthier SG family doctors receive a one-off grant to upgrade the IT that supports enrolled care.

No single public per-resident dollar figure exists - the fee is tiered and set through your cluster/PCN, so treat any headline number with caution and confirm your actual rates with your PCN or MOH. The strategic point stands regardless: capitation rewards a well-managed enrolled panel, not visit volume.

What enrolled residents get (and why it draws them to you)

Understanding the resident-side benefits matters because they’re what make enrolment, and staying enrolled with you, attractive:

A subsidised Health Plan. The first Health Plan consultation, and the annual check-ins after it, are fully subsidised, setting up the ongoing preventive relationship.
The Chronic Tier. Since 1 February 2024, enrolled residents get subsidies on selected common chronic medications on the Healthier SG Medication List - up to 87.5%, with no dollar cap, depending on card status - bringing GP-clinic chronic-med costs in line with polyclinics. Crucially, these subsidies apply only at the enrolled clinic, which is a strong retention lever.
MediSave with no cash co-payment. Also since 1 February 2024, Singapore Citizens and PRs treated for CDMP chronic conditions at their Healthier SG-enrolled clinic can fully pay the bill with MediSave (up to the withdrawal limit), without the usual 15% cash co-payment.

For a clinic, that stack - subsidised prevention, cheaper chronic meds, and MediSave with no cash co-pay, all locked to the enrolled clinic - is what turns a Healthier SG enrolment into a durable patient relationship.

What it means for your clinic system

Healthier SG adds three things you now have to track cleanly, per enrolled patient:

The enrolled panel - who is enrolled with you, so capitation and subsidies attach to the right patients.
The Health Plan - created at the first consult and maintained over time, not a one-off form.
Chronic-Tier and subsidy claims - the right medication list, the right card status, submitted from the consult you’ve already recorded.

When your clinic management system holds the enrolled list, the Health Plan and the subsidy claims together, Healthier SG becomes part of the normal consult flow rather than a parallel admin task. It’s one of the Singapore integrations worth insisting on when you choose a system since preventive-care programmes only pay off if the software carries the tracking for you.

Next steps

Healthier SG is a structural bet for a GP clinic: you trade some fee-for-service income for a funded, recurring relationship with an enrolled panel, and the Chronic Tier plus MediSave-without-co-pay give those patients a real reason to stay. The setup cost is CHAS accreditation, onboarding through a PCN, and a clinic system that can carry the enrolled panel, Health Plans and subsidy claims.

OtterSG is a clinic management system built for Singapore workflows, which carries your enrolled panel, Health Plans and Chronic-Tier subsidy claims so Healthier SG runs inside the consult you’ve already recorded, and it’s HIA-compliant for your NEHR obligation too. See how that works →

This guide is general information for Singapore clinics; it is not medical, legal or financial advice. Healthier SG enrolment rules, capitation rates, the Chronic Tier medication list and subsidy percentages are set by MOH and may change - verify on the official portals (healthiersg.gov.sg, moh.gov.sg) before acting.