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Fair play in Indian Health Insurance

Author

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  • Malhotra, Shefali

    (National Institute of Public Finance and Policy)

  • Patnaik, Ila

    (National Institute of Public Finance and Policy)

  • Roy, Shubho

    (National Institute of Public Finance and Policy)

  • Shah, Ajay

    (National Institute of Public Finance and Policy)

Abstract

In recent years there has been an increased role for health insurance in Indian health care, through government funded health insurance programs and privately purchased health insurance. Our analysis of the claims ratio and the complaints rate in the health insurance industry, suggests that there are important difficulties with the working of health insurance. The lack of fair play in this industry is derived from deficiencies in regulations, weak enforcement of regulations and faulty institutional design of consumer redress. The solutions lie in laws and regulatory processes for consumer protection. Examination of health policy and financial policy,together would formulate a strategy for change.

Suggested Citation

  • Malhotra, Shefali & Patnaik, Ila & Roy, Shubho & Shah, Ajay, 2018. "Fair play in Indian Health Insurance," Working Papers 18/228, National Institute of Public Finance and Policy.
    • Handle: RePEc:npf:wpaper:18/228
    Note: Working Paper 228, 2018
    as

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    File URL: http://www.nipfp.org.in/media/medialibrary/2018/05/WP_228.pdf
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    References listed on IDEAS

    as
    1. Choudhury, Mita & Mohanty, Ranjan Kumar, 2018. "Utilisation, Fund Flows and Public Financial Management under the National Health Mission," Working Papers 18/227, National Institute of Public Finance and Policy.
    2. Patnaik, Ila & Roy, Shubho & Shah, Ajay, 2018. "The rise of government-funded health insurance in India," Working Papers 18/231, National Institute of Public Finance and Policy.
    3. Sane, Renuka & Halan, Monika, 2017. "Misled and mis-sold: financial misbehaviour in retail banks?," Journal of Comparative Economics, Elsevier, vol. 45(3), pages 429-444.
    4. Ranjan Kumar Mohanty & N.R. Bhanumurthy, 2018. "Assessing Public Expenditure Efficiency at Indian States," Working Papers id:12837, eSocialSciences.
    5. Eisenberg, Theodore & Kalantry, Sital & Robinson, Nick, 2013. "Litigation as a Measure of Well-Being," IEL Working Papers 15, Institute of Public Policy and Public Choice - POLIS.
    6. Monika Halan & Renuka Sane & Susan Thomas, 2014. "The case of the missing billions: estimating losses to customers due to mis-sold life insurance policies," Journal of Economic Policy Reform, Taylor and Francis Journals, vol. 17(4), pages 285-302, October.
    7. Monika Halan & Renuka Sane & Susan Thomas, 2014. "The case of the missing billions: estimating losses to customers due to mis-sold life insurance policies," Journal of Economic Policy Reform, Taylor & Francis Journals, vol. 17(4), pages 285-302, December.
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    Cited by:

    1. Milind Kumar Yadav & Pratap C. Mohanty, 2021. "Determinants of choice of health insurance: Empirical evidence from responses of Indian households," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(5), pages 1809-1829, September.

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