Health Insurance Experts Blog

Mediclaim costs may rise as TPAs plan to double charges

TPAs plan to double the service charges Come October 1 and third party administrators (TPA) that service health insurance claims will double the service charges they claim from non-life insurance companies. This may lead to a hike in health insurance premiums if insurers choose to pass it on to consumers. At present, TPA charges 5.25 per cent of the premium paid by policyholders as service fee. This . . .

Hospitals in Mumbai unite against Health insurers

Hospitals in Mumbai against insurers Healthcare providers in Mumbai formed a core committee on Friday to deal with the controversial preferred provider network (PPN) programme unilaterally introduced by public sector general insurance companies under the cashless mediclaim facility.  “The rate for a procedure of cataract is about Rs24,000 under the PPN,” said Dr Sujata Rao, president of the AMC. Thus the maximum reimbursement that a . . .

The Big Fight: Hospitals V/s Insurance Companies V/s TPAs

Purandar Bhavani from Medimanage.com All kinds of news are currently floating in the media and the industry regarding the Cashless Mediclaim. After PSU Insurance Companies taking a stand to stop Cashless at some high ended hospitals in top cities, as a reverse salvo Hospitals in Mumbai have united against Insurance companies and decided to refuse cashless hospitalization. There is always a danger of adverse reactions . . .

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 . . .

The News: Premium up 20% | The "Breaking" News: Loss up 63%

OK. Assume you are a journalist in a business daily. You get a press release with the following figures. 1. XYZ Ltd. Sales grows by 20% 2. XYZ Ltd. Operating Loss grows by 63% Which would you select as your headline? All major dailies reported "The News" from one of the general insurance companies, mostly copy-pasted from the press release they received from . . .

Ways to Boost Health Insurance Sector in India

Health Isnurance Market in IndiaShe is the second most populous country in the world. She has been successful in gradually overcoming the global recession and is very much on her way towards achieving a double-digit growth and donning the mantle of being the fastest-growing economy in the world within the next four years. But even as she continues to march ahead and bask in . . .

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