Pre-intimation can make the hospitalisation experience better

This article was first published in the December 21st issue of HT Mint.

Pradeep Gaur/Mint

Making the adoption and utilisation of health insurance customer-friendly, simple and jargon-free for the policyholder is a continuous process that each industry stakeholder is tackling in its own way.

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Fixing Health Insurance’s Health

This article was first published in the April-June issue of the IRDA Journal.

India, a massive country with a population of 1.2 billion (source: wikipedia.com) stands on the historically rich soil where Ayurveda was born and surgery techniques once flourished. It is ironic how its people are perishing in the absence of the same healthcare services in the present era. Innovations in science and technology have certainly improved the very field of healthcare but at the same time, have done little to nothing for the masses at large. A major part of the population does not have access to basic healthcare services while, the benefits of the innovations are enjoyed by the ones with deep pockets only.  For around 70% (source: world Bank)  of the population living in the rural areas, the healthcare facilities are in a dismal condition. The inadequate number of Public Healthcare Centres adds further to the woes. .

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Cashless health plan better than reimbursement

This story was first published in the Financial Chronicle on March 15.

Being aware and staying informed about health insurance is as important as having a health insurance policy. The decision you make should be an informed one with all the options on the table. Incidences of individuals being miss-sold and claims getting rejected are plenty.

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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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Using Technology To Aid Cashless Payments In Hospitals – Remedinet

This post was first published on Networked India in December.

India’s healthcare insurance segment remains a largely untapped market for new technologies, but its adoption rate is on the rise. Gross written premiums grew by 16% in 2012-2013 to Rs 15,341 crore. Although this rise is good news for the country, the hassle of filing an insurance claim when you/family member falls ill, still continues. The typical processes are done manually, where patients get physical copies of reports, scan them and then upload them. Cashless payments take plenty of time to be cleared and only account for about 30% of the insurance market.

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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 »