Revolutionising health insurance with technology

Munish Daga, CEO, Remedinet Technologies, expounds on the scope and possibilities of digital platforms for healthcare insurance in India. This article was first published in the January edition of Express Healthcare.

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The Gap

Despite the technological evolution of the healthcare sector over the past two decades, health insurance in India continues to grapple with the same difficulties such as lack of adoption and complex utilisation. As a result, the adoption numbers struggle to make it past a disappointing percentage figure in a country with the second largest population in the world. On the flip side, the situation in which the health insurance industry currently finds itself, also presents tremendous opportunities to evolve, possibility to scale, and scope to become profitable. The emergency of the situation, in several cases has not only served as a business opportunity, but also led to the adoption of digital frameworks as foundational pillars that ensure last mile delivery of health insurance for the policyholder.

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Role of Intermediaries in Health Insurance

This story was first published in IRDAI’s February Journal.

Introduction

Insurance is an important part of modern economics as well as the day-to-day life of any individual. Far beyond its role of protecting the country’s wealth, insurance is of greater significance to public interest and affairs. It is the only safety net that can help to reduce the financial burden one experiences in a calamity. Over the last few decades, insurance has become the critical tool that protects individuals, families and institutions against, accidents, natural calamities, and illnesses.

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Health Insurance in 2016: Will the consumer be king?

This story was first published in the January issue of Express Healthcare.

Munish Daga, CEO, Remedinet recommends using the mobile phone as a medium to improve health insurance coverage in the coming year

201601ehm65Keeping the current government’s Universal Health Assurance Mission (UHAM) in mind, a solution that promotes universal healthcare will have to use technology in a way that is simple and robust, as well as scalable. The focus needs to be on a solution that aims to bring the consumers – the beneficiaries into the loop and enables them with the ability to use as well as monitor their health policy with minimum hassles and maximum transparency. More importantly, this solution should be able to make a scheme such as UHAM accessible to every single citizen of the country. And, that is the prediction for healthcare insurance, not just for 2016 but also for the foreseeable future.

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Healthcare Insurance Driven by Technology – The Road Ahead

This article was first published in the February issue of Insurance Regulatory and Development Authority of India (IRDAI).

ABSTRACT

The need for Integration of Information Technology (IT) solutions is one of the major drivers for growth across industries today. Some sectors are catching on to this trend faster than others and are growing exponentially. The healthcare insurance sector in India has the potential for tremendous growth and the various policies introduced, since the inception of healthcare insurance, have tried to provide an appropriate healthcare cover to the citizens. However, the sector has reached a point where technology must form the backbone of all processes involved in insurance claim settlement. To cater to the growing consumer demands today and in the future, a standardized protocol supported by technology and implemented across hospitals, TPAs and insurance companies that facilitates cashless healthcare insurance for all is the answer. Read the rest of this entry »


Remedinet Technologies – Technology partner for Tamil Nadu Government Health Insurance Scheme

This article was first published in Ehealth.

The economically weaker sections of the Indian society often find it difficult to afford quality healthcare. Indian population living below the poverty line does not have necessary financial means to avail quality healthcare services. According to various studies, India has abysmal record on health care spending and one of the world’s poorest populations. India is home to the largest number of poor with one-third of the world’s 1.2 billion extreme poor living here. With 4 percent of GDP expenditure on healthcare, India ranks among the bottom five countries with the lowest public health spending globally.

With a view to provide affordable treatment to economically backward sections in Tamil Nadu, the Government of Tamil Nadu has introduced a scheme called the “Chief Minister’s Comprehensive Health Insurance Scheme”. Members of families whose collective annual income is less than Rs. 72,000 are eligible to avail benefits under this scheme. The scheme currently covers 1.32 crore families in Tamil Nadu, where beneficiaries can get cashless treatment across 800+ hospitals for a set of pre-defined medical conditions. Each member is issued a card by the government, which can be used to avail medical treatment at any of the participating hospitals. This scheme is entirely cashless, and the premium is paid by the Government of Tamil Nadu on behalf of the beneficiaries to the Insurance Company. Read the rest of this entry »


Making Cashless Health Insurance Painless

This article was first published in Healthcare Executive.

As India’s first electronic cashless health insurance claims processing network, Remedinet Technologies is making significant efforts in facilitating seamless exchange of data through an end-to-end Payer-Provider Network writes Munish Daga.

Indian healthcare insurance is witnessing a period of phenomenal growth and development. Market forces have compelled this sector to become a lot more customer centric today. Various initiatives are being undertaken to make the health insurance claim settlement process a hassle-free one for the insured. Cashless health insurance, designed specifically to relieve stress for the insured at the critical moment of hospitalization is a noteworthy step in making the claim settlement process simple for consumers.

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Karnataka government collaborates with Remedinet Technologies

The press release first appeared in Express Healthcare.

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Remedinet to provide technology support for ‘Rajiv Arogya Bhagya’ and ‘Jyothi Sanjeevini’

Remedinet Technologies has been signed on as the technology partner for Karnataka Government’s ‘Rajiv Arogya Bhagya’ and ‘Jyothi Sanjeevini’ cashless health insurance schemes. While Rajiv Arogya Bhagya Scheme aims to cover 33 lakh families above poverty line (APL) for catastrophic illnesses, Jyothi Sanjeevini scheme would support 5.6 lakh Karnataka Government Employees and their dependents. Aimed at providing affordable, cashless healthcare, both these schemes would run on the Remedinet payer provider network, fully geared towards making this process hassle free for about 1.6 crore Karnataka citizens. Read the rest of this entry »