Health Insurance Experts Blog

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 . . .

Insurance Cos. give deadline to Large Hospitals for standardizing rates for cashless claims

10-day time limit for hospital NEW DELHI: The standoff between insurance companies and private hospitals over cashless treatment continues, defying hopes of millions of Mediclaim policy holders for an early resolution. The four major public sector health insurance companies, which control 80% of the business, have now set a 10-day deadline for four major chains of hospitals — Apollo, Fortis, Max and Medanta — . . .

Competition Commission of India to investigate cashless mediclaim issue

CCI to investigate cashless mediclaim issue The Competition Commission of India (CCI) may take up the cause for consumers who have been hit hard due to the new arrangement entered into by leading insurance companies. In the new arrangement, the insurance companies will stop making direct payments to hospitals on behalf of their policy holders a pre-requisite as per the cashless mediclaim policy they offer. According to . . .

Health Insurance Companies to extend cashless facility in emergency and trauma cases

Health Insurance Companies to extend cashless facility in emergency and trauma cases MUMBAI: In a major relief to health insurance policy-holders, public sector insurance companies have announced that cashless treatment will be extended to all hospitals in emergency and trauma cases. During a healthcare meeting with the Confederation of Indian Industries (CII) in New Delhi on Friday, New India Assurance Company chairman M Ramadoss said a patient who requires emergency and . . .

Feasibility of Health Insurance Companies buying equipment directly?

Insurers to buy equipment MUMBAI: After curtailing the list of hospitals eligible for cashless mediclaim, public sector health insurance companies are going further by proposing to order and pay for medicines and medical equipment themselves. They claim the move would help reduce the cost of medication and equipment by at least 20-30% in cashless claims, as hospitals are overcharging for the same. The . . .

Medimanage Opinion: 50% Extra Premium on Mediclaim for treatment at high-end Hospitals

50 % extra premium to get treatment at high-end hospitals You might have to shell out 50 per cent extra premium to get treatment at the country’s high-end hospitals. Following the uproar over withdrawing cashless health insurance claims from high-end hospitals, state-owned non-life insurers are working on a product with differential rating that will bare the expenses of the top hospitals. The four insurers – New India Assurance, United India Insurance, National . . .

PSU Insurers: Fix rates or get delisted from our Cashless Network.

Insurers may expand the list of hospitals for cashless facility. NEW DELHI: Locked in a battle with big healthcare firms over censoring cashless health insurance claims, state-run insurers on Thursday asserted that the facility would be extended only to those hospitals that agree to their rates for medical expenses. "The purpose of working out such package rates and stabilising the hospitalisation costs, will benefit the insured in many ways," . . .

How will Common TPA for PSU Insurers impact consumers and health insurance industry?

Recently, we came across news in an online Publication, in.news.yahoo.com Common TPA to process the health insurance claimsRecently, we came across news in an online Publication, in.news.yahoo.com Chennai, July 11 (IANS) The four government-owned non-life insurers -- National Insurance, New India Assurance, Oriental Insurance and United India Insurance-- will soon be taking forward their idea of floating a common third party administrator (TPA) to process the health insurance claims. 'We will be issuing a Request for Proposal (RFP) shortly. . . .

Health Insurance Claims may get delayed, as I-T dept seal TPA accounts

Recently, we came across news in an online Publication, mydigitalfc.com Health insurance policyholders may face problems as I-T dept seals TPA accountsRecently, we came across news in an online Publication, mydigitalfc.com Several health insurance policyholders may face problems in getting cashless hospitalisation as the income tax department has sealed accounts of several third party intermediaries (TPAs) for non-payment of tax deducted at source (TDS). Industry officials say TPAs whose accounts have been sealed are Mumbai headquartered Pa­ramount Health Services, United Healthcare Services, . . .

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. . . .

RecentComments


SUPER SERVICE
Category
Medimanage in News