Health insurance in India: Need for managed care expertise

American Journal of Managed Care

Volumn 17, Issue 2, 2011, Pages

  Thomas, Thomas K ^a  

^a KARPAGAM UNIVERSITY   (India)

Author keywords

[No Author keywords available]

Indexed keywords

CONSUMER; COST CONTROL; ECONOMIC EVALUATION; HEALTH CARE COST; HEALTH CARE POLICY; HEALTH INSURANCE; HUMAN; INDIA; MANAGED CARE; MANAGED CARE ORGANIZATION; PRIORITY JOURNAL; REVIEW;

DIFFUSION OF INNOVATION; HEALTH CARE SECTOR; HEALTH POLICY; HEALTH SERVICES NEEDS AND DEMAND; HUMANS; INDIA; INSURANCE COVERAGE; INSURANCE, HEALTH; MODELS, ORGANIZATIONAL; NATIONAL HEALTH PROGRAMS;

EID: 79960207283     PISSN: 10880224     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (28)

1. National Health Accounts Cell. National Health Accounts India 2005-05. New Delhi, India: Ministry of Health and Family Welfare, Government of India; September 2009: Table 1.2.
2. Insurance Regulatory And Development Authority (IRDA). Annual Report 2008-09. Hyderabad, India: IRDA; 2009.
3. Institute of Public Health (IPH). Training Manual on Health Insurance. Bengaluru, India: IPH; 2009.
4. Mendiratta D. Rise of health insurance in India. Paper presented at: IFC International Health Conference 2007: Private Health Care in Emerging Markets - Evolution or Revolution? April 20, 2007; Washington, DC.
5. US Agency for International Development (USAID). Private Health Insurance in India: Promise and Reality. New Delhi, India: USAID; 2008.
6. Goswami N. The biggest challenge in insurance is distribution. DNA Daily News & Analysis. June 23, 2009. http://www.dnaindia.com/money/interview-the- biggest-challenge-in-insurance-is-distribution-1267539. Accessed June 27, 2010.
7. Ghosal S. Seeking solutions. Business India. September 5, 2010:66-69.
8. Nagpal S. Overview of the health insurance market in India. Associated Chambers of Commerce and Industry of India (ASSOCHAM). National Summit on Indian Insurance. January 29, 2009. New Delhi, India. http://www.assocham.org/events/ recent/event-310/sess3-Nagpal.pdf. Accessed June 28, 2010.
9. National Commission on Macroeconomics and Health. Financing and Delivery of Health Care Services in India. New Delhi, India: Ministry of Health & Family Welfare, Government of India; 2005:283.
10. Syed F. Private health insurers in move to pare losses. Hindustan Times. December 6, 2009. http://www.hindustantimes.com/Pvt-health-insurers-in-move-to- pare-losses/Article1-483693.aspx. Accessed June 25, 2010.
11. Life Insurance Council. Mumbai India. Statistical industry data. http://www.lifeinscouncil.org/industry-information/statistical-industry-data. Accessed June 25, 2010.
12. Star Health. How much to pay. http://www.starhealth.in/mediclassic. Accessed January 31, 2011.
13. United Nations Statistics Division. Social indicators. http://unstats.un.org/unsd/demographic/products/socind/inc-eco.htm. Accessed June 29, 2010.
14. World Health Organization (WHO). National health accounts. http://14.www.who.int/nha/country/en/index.html. Accessed June 29, 2010.
15. Hewitt Associates. Companies making small but aggressive health plan changes to help stabilize rate of increase. September 29, 2009. http://www.hewittassociates.com/intl/na/en-us/AboutHewitt/Newsroom/ PressReleaseDetail.aspx?cid=7360. Accessed June 29, 2010.
16. Centers for Medicare & Medicaid Services. National Health Expenditures Data. US Department of Health and Human Services. Table 12. https://www.cms.gov/NationalHealthExpendData/downloads/tables.pdf. Accessed June 29, 2010.
17. Press Trust of India. PSU insurers to set up own TPA to vet mediclaims. Business Standard. August 15, 2010. http://www.business-standard.com/india/news/ psu-insurers-to-setown-tpa-to-vet-mediclaims/105222/on. Accessed September 6, 2010.
18. Zwanziger J, Melnick GA. Can managed care plans control health care costs? Health Aff (Millwood). 1996;15(2):185-199.
19. Joint Council International (JCI). JCI accredited organizations. http://www.jointcommissioninternational.org/jci-accredited-organizations/#India. Accessed June 25, 2010.
20. National Accreditation Board for Hospitals (NABH). NABH accredited hospitals. http://www.qcin.org/nabh/hospitat-accre/accredited.php. Accessed June 25, 2010.
21. Aggarwal M. Hospitals-insurance firms standoff continues. DNA Daily News & Analysis. August 3, 2010. http://www.dnaindia.com/india/report-hospitals- insurance-firms-standoff-continues-1418036. Accessed September 13, 2010.
22. Robinson JC. Hospital tiers in health insurance: balancing consumer choice with financial incentives. Health Aff (Millwood). 2003;Suppl Web Exclusives:W3-135-146.
23. Sulger JF. A closer look at capitation. Am J Manag Care. 1996;2(8):1091-1096. (Pubitemid 126466146)
24. Trude S, Au M, Christianson JB. Health plan pay-for-performance strategies. Am J Manag Care 2006;12(9):537-542. (Pubitemid 44412034)
25. Dixon A, Greene J, Hibbard J. Do consumer-directed health plans drive change in enrollees' health care behavior? Health Aff (Millwood). 2008;27(4):1120-1131.
26. World Health Organization (WHO). Integrating prevention into health care. Fact sheet No. 172. http://www.who.int/mediacentre/factsheets/fs172/en/index. html. Accessed June 28, 2010.
27. Pay more for fancy hospitals, says IRDA. The Economic Times. August 12, 2010. http://economictimes.indiatimes.com/personal-finance/insurance/insurance- news/Pay-more-for-fancy-hospitals-says-IRDA/article-show/6296064.cms. Accessed September 6, 2010.
28. Thakur P. Star hospitals blink, to okay cashless deal. The Times of India. August 19, 2010. http://timesofindia.indiatimes.com/india/Cash-less- claims-Hospitals-set-to-sign-on-package-deal/articleshow/6333181.cms. Accessed September 6, 2010.