The Private Health Insurance and Impact on BPL Public

private health insurance still works as a supplementary service in country. Only a very small portion of public is involved in gathering benefits of health insurance. There is a discussion on reason behind this lagging with special reference to BPL Public of country analyzing its impact.

Health insurance weather is private or public, informal or formal persist a limitation in developing country India. Near about 110million peoples making 11% o total population benefit themselves with insurance scheme. The private Insurance coverage is only limited to 400 to 500 million people consuming just half portion of total coverage. The two most aged health insurance named Mediclaim (All public) and Jan Arogya (BPL public) have shown no range of profitable business since last 3 decades. The claim ratio of Mediclaim was 86.3% in 1998 remained 87% in 2012, similarly for Jan Arogya it is 85% in 1998 and 98% in 2012. This criteria remained same in such long duration of time and researches were made to analyse the issues behind such loss.

The two identified reason behind this failure are: -

• Poor insurance product

• Lack of advance and required marketing strategy

• Inappropriate reimbursement strategy

• Limitation of health care services

The poor insurance products, especially the public insurance sector do not carry a health weight to attract customer. However, private policymakers are putting their effort to improve health insurance policy to meet customer satisfaction. But, the high part of Indian population is BPL sector that cannot afford the private policies due to its high cost.

The second reason is lack of marketing strategies especially in rural areas. As there are scarcities of advance healthcare services in these areas of country, which simultaneously affect the reach of health insurance sector. Poor people are still in 21st century not getting required healthcare do not have any idea about what is the purpose of health insurance.

The next reason of limited healthcare services affecting insurance involves lack of proper treatments, absence of rating, non-existence of database, no standardized billing, claims and proposals are reason that harshly affect reimbursement process provided by private health insurance company. These negligence's in healthcare make public lack trustworthiness in health insurance.

The health insurance and healthcare provision of country are directly or indirectly linked with each other. Therefore, power makers, such as Medical Council of India, Ministry of Health and Family Welfare etc. to provide extra effort, in resolving these issues and get a control over upcoming health insurance business in India. The profitable business of health care sector will only benefit the healthcare of public in country.  

Source : articlesbase.com