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The Private Health Insurance Market in India
Description: The report presents a detailed examination of India's nascent private health insurance sector, exploring the market structure, the key trends and the main opportunities. In doing so, it sets the private health insurance sector in the context of the wider health insurance market, which is relevant because privately-owned insurance companies often participate in both the private and social sectors.
Features and benefits
- Gain an insight into how India's private health insurance sector relates to the wider social insurance sector. - Understand the mechanics of the healthcare delivery chain, from insurers to third party administrators (TPAs) to healthcare provider networks.
- Identify key health insurance competitors (which includes both private and state-owned companies). - Understand the latest trends in terms of pricing and procurement, and thereby avoid the pitfalls that have befallen a number of insurers.
- Gain an awareness of the main challenges that must be overcome in order for private insurance companies to achieve their full potential.
Highlights
Despite the rapid expansion of the private health insurance market in recent years, it covers less than 3% of the population, and many consumers remain unaware of the benefits of private health insurance. India's private health insurance market is poised to grow at a CAGR of 25-30% over the next five years.
The market is likely to become much more competitive in future, with a growing number of foreign insurance companies likely to form joint-ventures with Indian partners.
A severe lack of data on consumers and disease patterns has prevented insurers from offering the same type of innovative policies that are available in developed markets. A high claims ratio, combined with problems in the supply chain, has made it difficult for health insurers to make a profit in the short term. Your key questions answered
- What percentage of the population is covered by the various health insurance schemes (both private and social) that operate in India?
- What are the prospects for future growth in India's private health insurance market? - Who are the main players in India's private health insurance market?
- What are the main pitfalls for companies operating in India's private health insurance market? - How do the mechanics of the market work?
Contents: Executive Summary
The private health insurance market in context Market progression
Products and services
Procurement, pricing and expenditure Corporate environment
About the author Disclaimer
The private health insurance market in context Summary
Introduction RSBY scheme RSBY hospitals
Expansion of RSBY scheme ESIS
CGHS
New scheme to replace CGHS? Other social schemes
Jan Aushadhi
Community/microinsurance
Private health insurance (big picture) Market progression
Summary Introduction
Genesis of insurance industry Regulatory background
Emergence of health insurance market Market structure
Vertical integration Sales progression Products and services Summary Introduction Product/service types Recent innovations New vistas HIV coverage Portability
Procurement, pricing, and expenditure Summary
Introduction
Private sector procurement Public sector procurement Drug pricing framework Expenditure profile Overcharging allegations
Medical association denies overcharging Impact on insurers
Group policies lead to large losses Cost containment measures
Case study: Price increases by Reliance General Insurance Preferred Provider Network
Resistance to PPN PPN expansion
Change to TPA landscape PSUs plan new JV TPA
Private insurers' relationship with TPAs Corporate environment
Summary Introduction Recent trends
Profile of Star Health and Allied Insurance Background
Performance Outlook
Profile of Max Bupa Health Insurance Background
Health insurance products Performance
Outlook
Profile of United India Insurance Background
Health insurance products Performance
Outlook
Oportunities, issues and challenges Summary
Introduction Opportunities Issues and challenges Innovation
Consumer awareness Financial pressures Competitive environment Appendix
Scope
Exchange rates Methodology Abbreviations References
List of insurance companies
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