Participants of a national health insurance summit have called for the establishment of an independent high-powered health insurance grievance redress tribunal.
The event, the two-day “National Health Insurance Summit – 2023”, was organised jointly by the Hospital Board of India, General Insurance Council, insurance companies, third-party administrators, Indian Medical Association (IMA) Tamil Nadu State Branch (TNSB), Nursing Home Board of IMA Tamil Nadu, Insurance Committee of IMA TNSB, and IMA Coimbatore.
The tribunal should address grievances and disputes in a fair and impartial manner, providing an efficient mechanism for dispute resolution for health insurance providers to give appropriate medical care to patients, state resolutions passed at the summit, reported the newspaper The Hindu.
The meeting stressed empanelling all eligible hospitals and establishing a transparent single window process, scientific costing of healthcare services, and better collaboration between hospitals and insurance companies.
It also advocated for the involvement of the IMA and doctors’ associations in the policy-making bodies of the health insurance industry and the government.
