| Topic : Hospital administration in india |
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Bright, Strong & Healthy India Community
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last activity : 08 26 2010 08:04:29 +0000
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Cashless hospitalization facility may soon be restored with the standoff between insurance companies and hospitals on the verge of a resolution.
This spat came to the forefront in July when 18 insurance companies including the four public sector entities, dropped several hospitals from the list that allowed mediclaim policy holders cashless hospitalization on account of overbilling.
Higher premium for super speciality hospitals:
While the final agreement is under way, it may still take close to a month for it to be released in its entirety.
It seems that policy holders will have to shell out more to cover treatment at super specialty hospitals.
So in Mumbai, if you want to be treated at Lilavati hospital or Breach Candy among others, you will have to pay a higher premium.
Hospitals to be categorized in 3 categories:
The rationale is that high-end or specialty hospitals cannot be asked to accept tariffs applicable to smaller ones.
Negotiation with hospitals underway:
The negotiation process with the various hospitals is underway and in Delhi it has been concluded with Gangaram and Medicity, Gurgaon, figuring among the list of high-end hospitals.
Others such as Apollo and Fortis, which have presence in other metros, are also ready to come on board on the same rates that Gangaram and Medicity have agreed to.
In Mumbai, because of high real estate prices, the packaged rates may not be accepted by some players.
Complete list of hospitals after they ink deal with TPAs:
The complete list will be available once these hospitals sign the deals with third-party administrators (TPAs).
Once this new structure comes into play, it is likely to result in savings for insurance companies who were bleeding because of hefty rates charged by hospitals.
On the other hand, customers wanting treatment in high end/super specialty hospitals should be ready to pay more as premium.
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