Insurance firms seek standard hospital rate cards
The insurance industry is getting serious about cost cutting and is asking major hospitals to come up with standard rate cards. This is to reduce the cost burden which comes in the form of health claims
MAJOR INSURANCE companies in India are asking many hospitals to set uniform hospital rates in order to reduce the cost burden which comes in the form of health claims. A list of hospitals is circulated to all group mediclaim policyholders through MediAssist to ensure that all the employees in these companies go to only recommended hospitals to take the benefit of cashless facility. The TPA said in a statement that the customers who contact any other hospital for treatment will not avail any settlement from the company's side as per its mediclaim policy and the differences will be suffered by the policyholder. The newly circulated rate card is providing the standard charges for secondary as well as tertiary providers in both the categories of premium and non-premium. The rates are set with a difference for metros. However, some leading corporates are not happy with the new decision taken by insurance companies. Pavanjit Singh Dhingra from Prudent Insurance Brokers, who is also involved with some transactions of corporate buyers said that these changes indicate some changes in the contract. He added that it is not sensible to disturb the terms of contracts for controlling costs. MediAssist and New India did not answer queries. However, the other part of the industry is supporting the changes as president of the Association of TPAs, Pawan Bhalla said that this is beneficial because it is more transparent and reduces claims.
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