Health Insurance Experts Blog

Corporate Hospitals criticize withdrawal of cashless service for Mediclaim.

Recently, we came across news in an online Publication, business-standard.com Withdrawal of cashless service for Mediclaim.Recently, we came across news in an online Publication, business-standard.com The decision by public sector health insurance companies to deny cashless services to their clients has been criticised by Fortis, a leading corporate healthcare chain. Chains such as Fortis generate a significant portion of their revenue through health insurance policy reimbursements. The Federation of Indian Chambers of Commerce and Industry was also critical. . . .

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 . . .

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 . . .

Why is the Health insurance Sector Bleeding?

Loss in health insurance industryWhat!? But you’ve heard that health insurance industry was growing like never before, didn’t it just record a growth of 20% in premium collected last year and there was also news of more foreign health insurance companies coming to India… While all you heard is true, it is also true most of health insurance companies which are general insurance companies, . . .

Boom in Health insurance attracts International Players

Health insurance industry as early as 10 years back was in its infancy with only public sector companies who were also life insurance players.  It was after the year 2000 that privately owned general health insurance companies came to India like HDFC, Tata, Max life, Kotak and Birla but it was only in year 2005 with Star health that a dedicated health insurance company came in India. It was followed with Apollo DKV now known as Apollo Munich and now Max Bupa which has launched in March. foreign health insurance companies are coming to IndiaHealth insurance industry as early as 10 years back was in its infancy with only public sector companies who were also life insurance players.  It was after the year 2000 that privately owned general health insurance companies came to India like HDFC, Tata, Max life, Kotak and Birla but it was only in year 2005 with Star health that a . . .

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