Health Insurance Experts Blog

Why do Hospitals overcharge Cashless Health Insurance Claims?

Hospitals overcharging Patients under Cashless Claims is under the media buzz since a few days. Here is a quick post which reasons why Hospitals overcharge Cashless Claims: No Contracted Rates with Hospitals: TPAs do not have contract binding rates (treatment-wise) with Hospitals in their network. Globally, TPAs contract treatment-wise rates with each Hospital in their network. Treatment wise fixed rates would remove the disparities and anomalies that Hospitals currently enjoy. The core of the issue is TPAs lack negotiation power with Hospitals. Hospitals overcharging Patients under Cashless Claims is under the media buzz since a few days. Here is a quick post which reasons why Hospitals overcharge Cashless Claims: No Contracted Rates with Hospitals: TPAs do not have contract binding rates (treatment-wise) with Hospitals in their network. Globally, TPAs contract treatment-wise rates with each Hospital in their network. Treatment wise fixed rates . . .

Analyzing Future of Cashless Mediclaim in India

analyzing future of cashless mediclaim in India Preamble Last 3-4 days, we have been seeing a lot of news in various media about cashless network hospital list being brought down to fewer in numbers & this list does not have big hospitals where the treatment cost is high & hence, have a greater need for their presence in list. We fear that these news items have created . . .

Medimanage Exclusive: Analyzing PSU Health Insurers delisting Popular Hospitals!

Financial losses by health insruance company Health insurance companies are trying to salvage the losses which are just increasing each year and here is another of their moves. Public Health insurance Companies (Oriental, New India Assurance, United, National) have announced that they are taking down large number of the hospitals from their list of network hospitals to access Cashless service. From the 800 hospitals which were . . .

Male Menopause - The verdict is Out!

male menopause exists but affects only 3% of males Everyone’s heard about Female Menopause, but did you know that Male Menopause exists too! Yes its true, a study has found that some men experience a decrease in their hormone levels when they hit middle age, which in turn leads to menopause like symptoms such as a low libido and fatigue. A major difference that was observed between female menopause and . . .

60 Million Insured under National Rural Health Insurance (RSBY)

Recently, we came across news in an online Publication, hindustantimes.com Rashtriya Swasthya Bima YojanaRecently, we came across news in an online Publication, hindustantimes.com In 26 months, RSBY has enrolled more than 60 million people in 22 states; by next year that should double to 100 million. This is the first use, on this scale, of India's technology prowess to run a national socal-security programme. If RSBY succeeds, it could be the precursor for reforms . . .

Winners of the When You were a Baby Contest announced!

when you were a baby contest winners Announcing the Winners of ‘When you were a Baby’ contest. Congratulations! Medimanage.com also wishes to thank all the participants. Following is a list of the 10 lucky winners who will each win a gift voucher worth Rs. 500! Karthi R Sunil Kumar Geetha Suresh Sandeep Agarwal Govardhan MS Praveen Sridharmurthy Mahesh Nambiar Shilpa Chabbra Sheela Navaneenthan Abirami S . . .

TV watching leads to Junk Food Consumption in Kids!

TV ads are promoting junk food consumptions amongst Indian Kids which is leading to Obesity With obesity levels on the rise amongst children in India, a new study conducted by a Television channel (What’s On India) has found that the Idiot Box is a major contributor to kids becoming obese these days! The study found that most processed foods products were heavily advertising themselves on all children’s channels, leading to an upsurge in the demand . . .

Oriental Insurance’s Top Priority is Personal Health Insurance!

Recently, we came across news in an online Publication, economictimes.indiatimes.com Oriental InsuranceRecently, we came across news in an online Publication, economictimes.indiatimes.com India’s insurance sector witnessed dramatic changes in the last 10 years after it was opened up for private players at the turn of the millennium. An influx of private players and the tough competition that ensued forced state-run insurance firms to focus more on the quality of services, rather than just . . .

Indian Government proposes Health Insurance Scheme for BPL Families

Recently, we came across news in an online Publication, timesofindia.indiatimes.com Domestic workers may soon get health coverRecently, we came across news in an online Publication, timesofindia.indiatimes.com NEW DELHI: The labour ministry has moved a Cabinet proposal to extend the health insurance scheme for BPL families — Rashtriya Swasthya Bima Yojana — to domestic workers. It means government will register workers, mostly maids working in domestic households, to give them insurance benefit. The task force has recommended . . .

Life Insurance companies offering Health Insurance plan

Recently, we came across news in an online Publication, globalsurance.com Health Plus Life Insurance PlanRecently, we came across news in an online Publication, globalsurance.com Future Generali’s Health product is planned for a future launch date. Since the Insurance Regulatory and Development Authority (IRDA) decided to allow combination products of health insurance coupled with life insurance earlier in 2010, Future Generali is planning on having its health plus life insurance ready within the next two months. The . . .

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