Critical Review of the Current Scenario of Health Insurance in India: a Comparative Review Study of Urban & Rural Population
Journal Title: International Journal of the Computer, the Internet and Management - Year 2018, Vol 26, Issue 1
Abstract
Health insurance is a social security instrument laid out for the rural population which has emerged, for people with chronic health problems, which arises due to prevalence of major & other diseases and inability & inaccessibility to an affordable health care system. This is a major threat for people who have low income earning capacity. The Insurance Regulatory and Development Authority (India) have laid down the path for health insurance intermediaries such as third party administrators (TPAs) who play a major role in setting up an easy & highly managed healthcare system. To provide better services to the policyholder, TPAs have been set up. They also imitate some negativity of private health insurance but still are pivotal for health industry. However, if we see the demand side and supply-side complexities of private health insurance and healthcare markets, insurance intermediaries face immense challenges. TPAs manage claims & reimbursements, which is purely described by the IRDA. So it is totally a managerial role played by TPAs for an ease in health insurance industry. They play role of controlling costs of healthcare and ensuring appropriate quality of care is less well-defined. As insurance sector in India are showing clear cut signs of requiring insurers to be innovative in their approach towards achievement of sustainable growth and the most important being expansion. The report explores and details the underlying trends in customer awareness levels and their implications on insurers. The specific objective of the survey was to draw a comparison of awareness levels of rural & urban population and how do they assess the experience of households with illness and health care utilization and the associated financial risks, including informal risk sharing mechanisms, perceptions about financial risks, demand for protection from these risks, and knowledge of health insurance and risk pooling mechanisms. The study also made an attempt to analyse social capital in the target populations, especially levels of institutional trust. A survey was carried out where 60 respondents were asked to fill the questionnaire. On that basis further interpretation & analysis was carried out & people were then taught about what things they need to keep in mind while they have the health insurance in hand, or before seeking one.
Authors and Affiliations
Sumit Kumar Bhalla, Nanda Lal Banik
Keywords
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