This document discusses healthcare and health financing in India. It notes that healthcare requires health infrastructure, services, and financing. Health insurance transfers risk from individuals and families to insurers and governments. There are over 1 billion people in India who need access to healthcare coverage. Models of health coverage include taxes, social or community insurance, private insurance, and medical savings schemes. Universal health financing in India will likely involve a mix of general revenues, social insurance, private insurance, and self insurance pools. Expanding health coverage faces constraints like most people working in the informal sector and being under or un-insured. The ideal system would be consumer centered and involve all stakeholders working together.
1. HEALTHCARE & HEALTH FINANCING AN OVERVIEW ASSOCHAM NATIONAL SUMMIT P C James Executive Director - IRDA
2.
3.
4.
5.
6.
7.
8.
9.
10. Policy Holders Insurance Company Third Party Administrator HEALTHCARE PROVIDER Insurance Premiums Insurance Coverage Health Services Benefits Administration, Provider Network TPA Fees Payments Claims Cashless Treatment FRUSTRATIONS IN THE SECTOR
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21. CREATING HEALTH VIRTUOUS CYCLE More Coverage Secure Payments Better Health Infrastructure More Affordability
![RISE OF HEALTHCARE & HEALTH FINANCING ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)