Health Insurance Experts Blog

Status Check on Health insurance industry!

Worried about health insurance? “Insurance Cos slash list of hospitals offering cashless services in Mumbai for making fraudulent claims” “Medical insurers curb cashless facility” “Mediclaim crisis looms, hospitals seek way out”  “No more cashless mediclaim? Common man suffers” Reading these headlines in local dailies, you, as a customer, both prospective and existing, must be really worried. After all, you had counted on health insurance to ride . . .

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 . . .

Want to know your renewal premium? Ask your astrologer

Courtesy the insurance companies, the malaise that was until recently the exclusive preserve of senior citizens has now become universal in its applicability. I am talking about the vagaries of what you may be called upon to pay as renewal premium on your health insurance policy. In case of senior citizens, every renewal has, for quite some time now, become a hurdle. . . .

Cashless Chaos: Making Sense of it All

Cashles Chaos: Making sense of it all News Flash:  “The General Insurance Public Sector Association consisting of four major state-run insurance companies - United India, New India, Oriental Insurance and National Insurance have decided to stop cash-less hospitalization in most hospitals” Shock and outrage are the two words that describe the reaction of most of the customers and media reports on this piece of news.  We demanded to . . .

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 . . .

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, . . .

Health Insurance and Aids in India - A Narrow path leading nowhere!

Aids and Health Insurance in India A staggering 25 Million. That's the figure quoted by experts, for the number of Indians who will be afflicted by AIDS in the current year. Considering the 2.3 million in the year 2007 it is indeed a sharp rise, which horrifyingly will go on to increase in the near future, given the stigma and shame attached to the disease in India, . . .

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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