Insurance firms,Providers met today over the cashless insurance service

The members of CII National Committee on Healthcare and other stakeholders including AMC met up with the leadership team of the 4 PSU insurance companies (New India Assurance, Oriental Insurance, United India Insurance and National Insurance Company) and GIPSA in Mumbai, today.

There was an exchange of issues faced by all the stakeholders concerned in a collaborative setting. All the parties unanimous in their view that health insurance and insurance benefits are necessary for the growth of good healthcare in India.

However, there were concerns of the current process involving the escalating and unsustainable claim ratios, and the optimum use of the insurance limit by the consumer during the entire policy period.  To address these concerns, the insurance companies have commenced certain initiatives around Preferred Providers Network (PPN). The provider group wants an expansion of the current Preferred Providers Network (PPN) in order to enable the consumers get wider access through the cashless facility.

 

The insurance companies reiterated their current position of willingness to expand the PPN and in 90 days work with CII and other stakeholders to address areas of concern.

Mr. M Ramadoss, Chairman cum Managing Director, The New India Assurance Co. Ltd. felt that in order to keep Health insurance premiums affordable and viable all stakeholders including the consumers have to respect and maintain the integrity of the system.

It was therefore felt that the higher level of consumer awareness is required to ensure that the process continues to be sustainable and beneficially to the consumers.

It was decided that the representative bodies of providers like CII will meet with insurance companies through TPAs to help expand the PPN through mutually agreeable terms.

Participants were:

From Industry-

1. Mr. A Vaidheesh, Chairman, CII Sub-Committee on Accessibility; Health Insurance & MD, Johnson & Johnson Medical India
2. Mr. Vishal Bali, CEO, Fortis Hospitals
3. Mr. Sanjay Rai, Director - Marketing & Customer Management, Max Healthcare
4. Mr. S L Narayanan, CFO, Max Healthcare
5. Mr. P Shivakumar, CFO, Apollo Hospitals
6. Dr. Rajiv Walavalkar, President, Association of Medical Consultants
7. Mr. Manish Jain, Health Policy Manager, Johnson & Johnson Medical India
8. Dr. Uma Nambiar, Director, Fortis Mumbai
9. Mr. Prabhat Jain, Deputy Director, CII

Insurers -

1. Mr. S Gopalakrishnan, GM, New India Assurance Co. Ltd
2. Mr A K Singhal, Chief Executive, GIPSA
3. Mr. Segar Sampathkumar, DGM, New India Assurance Co. Ltd
4. Mrs Reena Bhatnakar, DGM, Oriental Insurance Company  
5. Mr P S K Rao, DGM, Oriental Insurance Company 
6. Mrs T Alamelu, DGM, United India Insurance Company Ltd
7. Ms Vineeta Porwal, RM, National Insurance Company Ltd 
8. Mr. Sanjay Datta, Head - Customer Service - Health Insurance, ICICI Lombard General Insurance Company Ltd