Health Insurance Experts Blog

TPAs to move Competition Commission against PSU Insurance Cos.

TPAs to move competition panel against PSU insurers The association of third party administrators (TPA) has decided to move the Competition Commission of India (CCI) against the four public sector non-life insurance companies and their association, called General Insurers Public Sector Association of India (Gipsa), for forming a cartel and abusing their dominant market position in planning their own TPA outfit. “The TPA floated by Gipsa companies will . . .

Cashless Mediclaim row debated in Parliament.

Cashless Mediclaim row debated in Parliament. NEW DELHI: “More and more hospitals will join the network (Preferred Provider Network) in coming days," said minister of state for finance Namo Narayan Meena while replying to a calling attention on the issue, raised by BJP member S S Ahluwalia, in the Rajya Sabha. He said public sector insurance companies had to resort to rationalization of rates for cashless facilities . . .

Mobile Applications help you lose weight!!

Loseit Losing weight was never that easy. From dieticians to nutritionists to gym trainers, they all tell you the same thing. Eat less and exercise more, keep a watch on how many calories you intake and how many you manage to shed. But what if you had a real time monitor over how much you were consuming and how much you were . . .

Mechanisms like Uniform Claim form will improve efficiency

IRDA plans new health insurance rules On Monday, J Harinarayan, Chairman, IRDA said “The mechanisms are being put in place to improve efficiency in health insurance and administration. Expert committees of industry bodies like CII and FICCI have recommended measures including uniform claim forms, re-authorization. We are also looking into aspects related to billing,” he said. As of July 1 328 hospitals were in the network for . . .

Cashless is a mechanism in health insurance, not the product in itself.

Cashless facility heal thyself Unfortunately, despite the growth and their leading market share, state-owned insurers have not been able to give focused attention to health insurance through the creation of a health insurance division. The grapevine has it that the current imbroglio over cashless is partly because of differences between two senior executives entrusted with health insurance in a leading public sector firm. Instead . . .

Bajaj Allianz increases its health insurance premiums by 20%. Introduces Claims Loading.

Bajaj Allianz as a company is best known in the health insurance industry for its focus on health insurance and quality servicing. It has set some good benchmarks for the industry including being the first company to introduce in-house claims processing for Health Insurance in India. Very recently, in what seems to be a bid to cover . . .

IRDA to follow HC direction on resuming cashless facility

IRDA to follow HC direction on resuming cashless facility Insurance regulator IRDA today said it will follow the Delhi High Courts direction to take steps on resuming cashless facility to policyholders provided by four PSU general insurers. Now that HC has given direction, we will follow that, IRDA Chairman J. Hari Narayan told reporters on the sidelines of a FICCI event here. On Tuesday, the Delhi High Court had asked IRDA . . .

Creation of a Health Fund for Medical Emergencies in the Cashless Chaos

Medical exigencies and an empty wallet When faced with a medical emergency, you pay cash or use your credit card, instead of asking why the hospital is not accepting your cashless medical insurance. This is exactly what harassed consumers found out when health insurance companies recently stopped cashless treatment making customers pay first and then get reimbursed. Health insurers blamed private hospitals of inflating bills that were . . .

Are uniform rates for Medical procedures plausible for Insurance Claims?

Cashless mediclaim policy Pvt hospitals seek government help The association of private hospitals have sought state government’s intervention to settle the ongoing dispute with insurance companies over cashless mediclaim policy. The association, which includes hospitals like Jalok, Breach Candy, Hinduja and Hurkisondas, has said that the demands of uniform rates for medical procedures that had been put forth by insurance firms were not plausible. “Rates differ according to available . . .

Government’s role in the Cashless fight between Insurance cos. and Hospitals?

No cure yet for cashless medical claims impasse The Association of Hospitals, which represents most private hospitals in the city, has asked health insurance providers to offer cashless medical insurance claims to patients at all hospitals till the differences between the two groups are resolved. The root of the tussle lies in the long standing allegation that hospitals overcharge patients with cashless medical insurance. Since it’s the insurance . . .

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