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Future Of
Health
Insurance
Agenda
Introduction
01
Challenges
02
Opportunities
03
Community Based
Health Insurance
04
Recommendations
05
Health Insurance Cover
age in India: Stats from
NSSO survey 2016
CHALLENGES
• Claim processing management
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• Lack of financial literacy & complex policy structure
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04
• Prices of policies
• Migrants returning to their places after COVID-19
OPPORTUNITIES
Increased
Healthcare
Awareness
Product
development
and Innovation
Digitization
COMMUNITY BASED
HEALTH INSURANCE
E A S Y T O C H A N G E C O L O R S
Managerial problems like poor
design, mismanagement
and corruption
Lack of trust and awareness of
the members
Inability to cover large number of
poor and unorganized
sector workers.
Problems with Community based
Health Insurance(CBHI)
In some cases, people who can afford paying
the premiums also do not join such schemes
RECOMMENDATIONS
6 DIMENSIONS
AFFORDABILITY
•Usage of data science in claims
management
•Financial modelling can be used to
determine premium rates
ACCESSIBILITY
LOCATING
LISTING
ENROLLING
Accomodation
• Categorization of health service providers.
• Suggesting beneficiaries about different
service providers
ACCOMMODATION
ACCEPTABILITY
• Customized products as per the
needs of customers
• Surveys to understand the socio-
psycho profile of communities.
AVAILABILITY
• Collaboration with local govt. and
private health service providers for
better availability of insurance.
• Role of aggregators
AWARENESS
• NGO
• Sarpanch
Market Research Evaluation And Product Launch
Partnerships and Pilot-Testing
Product Design
Prototype Design & Testing
FRAMEWORK
VIKAS DAGAR 20DM244
YAMAN MITTAL 20DM250
SWASTI JAIN 20DM290
THANK YOU

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Future of health insurance