Insurance companies, hospitals, the National Health Authority (NHA), insurance regulator IRDAI and other stakeholders have begun discussions on a mechanism that will eventually facilitate the fulfillment of all claims. cashless health insurance in the country.
“The idea [behind the proposal] if there will be no claims to consider, everything should be cashless from the customer’s point of view,” General Insurance Council Chairman Tapan Singhel said on Saturday, adding that high priority was given to the project yet to be named. .
Standardizing the cost of health care at different hospitals in cities, as well as faster information exchange between voters, will be at the heart of the initiative, in which around 30,000 hospitals are initially expected to participate.
On how fast the insurance claims process could become, Mr. Singhel, who is MD and CEO of Bajaj Allianz General Insurance Co., said it would be as simple as UPI payments.
He was speaking at a summit organized by the Federation of Telangana Chamber of Commerce and Industry (FTCCI) here to serve as a platform to evolve a ‘Health Insurance Vision, 2030’.
The two-day program, which was inaugurated by the Governor of Telangana, Tamilisai Soundararajan, served as a platform for various stakeholders to deliberate on the various aspects including healthcare costs and fine print on the insurance contracts. Representatives of health care providers spoke about the challenges facing hospital management.
Former IAS officer Ajay Mishra, a panel moderator, highlighted the time taken by hospitals to generate the bill. Sometimes it’s an agonizing 5-6 hour wait for the patient, he said, appreciating the proposed cashless claims initiative.
In a statement from the FTCCI, Health Insurance Vision Chairman Bejon Misra said the vision document should be ready within the next three months. Among the recommendations, approved following deliberations, is a facility for the FTCCI to conduct research on barriers to accessing affordable healthcare in Telangana. It will also work on standards and set up a cost accounting committee made up of representatives from cost accountants, CAs, hospitals, intermediaries, patient associations and insurance industry professionals. The FTCCI will also push for exclusive laws or regulations for the medical device sector.
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