The Private Health Insurance Market in India

Transcription

1 Brochure More information from 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 The private health insurance market in context Market progression Products and services Procurement, pricing and expenditure Corporate environment Challenges and opportunities

2 About the author Disclaimer The private health insurance market in context 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 Genesis of insurance industry Regulatory background Emergence of health insurance market Market structure Vertical integration Sales progression Products and services Product/service types Recent innovations New vistas HIV coverage Portability Procurement, pricing, and expenditure 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 Recent trends Profile of Star Health and Allied Insurance Health insurance products (private sector)

3 Performance Profile of Max Bupa Health Insurance Health insurance products Performance Profile of United India Insurance Health insurance products Performance Oportunities, issues and challenges Opportunities Issues and challenges Innovation Consumer awareness Financial pressures Competitive environment Appendix Scope Exchange rates Methodology Abbreviations References List of insurance companies Ordering: Order Online - Order by Fax - using the form below Order by Post - print the order form below and send to Research and Markets, Guinness Centre, Taylors Lane, Dublin 8,

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