A Suggested universal process & pricing system in Healthcare delivery in India. Concept is being suggested in context of upcoming Universal healthcare for all citizen.

1. 3
2
1
Creating Single standard directory of Health services in India
Single Process & Pricing system across india
Enabling Healthcare IT for best result
Healthcare Pricing for Indian Market place
during Universal health coverage

2. 1
Consolidating list
of all type of
Health Servises
being provided
in India
2
Generating
lowest posible
cost of such
service in India
3
Codification of all
services using
CPT codes
4
Generating
parameter based
point system for
each category of
service with
exception of
selected services
5
Generating
standard process
of delivering such
service
6
These points will
become a
multiplication
factor to
standard lowest
price by any
service delivery
center
Phases for Pricing standard across India

3. 1
Insvestigations
& Diagnostics
4
Ambulance
Services
2
Minor
Procedures
5
Non Medical
Services
3
OT
Procedures
6
Room
Charges
Different category of health services for Pricing standard across India
Note : Healthcare Packages (OP,IP & Home services) will be made out of it

4. 1
2
3
Every Individual
4
Healthcare Delivery Centers
Insurance / Corporate payer companies
State & Central Government
Major Beneficiaries of Pricing standard across India
Note : List of Services and approved healthcare provider may be listed in Website

5. 1One India Healthcare services prices
2Assurance for single standard process for the services across India
3Clearity on premium charges by Healthcare provider by point system
4Choice of selection of Healthcare provider based on point system
5Minimum dispute with Healthcare provider & Insurance payer company
6Proper estimation of healthcare cost for better budgeting
Benefit to every Individual by Pricing standard across India

6. Easier implementation of Healthcare IT project 2
1 No confusion in services list selection and standard on process
3 Clearity on service delivery process and its expectation
Undisputed cost on Patient care 4
Easier relation with Insurance payer company or Corporate payer 6
5 Opportunity to improve internal standard by increasing points
7 Improve on the processes to reduce internal cost
Easier customer acquisition by improviement on better points approval 8
Benefit to Healthcare provider by Pricing standard across India

7. Offering Insurance premium related to point system 2
1 Assurance for reasonable billing from healthcare provider
3 Undisputed tie-up with different healthcare service provider
4
6
5
7
8
Benefit to Healthcare Insurance provider by Pricing standard across India
Instant eligibility approval during service request
Clearity on non medical charges coverage from Patient during treatment
Structured data availability for proper analylitcs
Ability to give coverage to larger group in lowerest point eligibility
Possibility to include International Patients for higher point system

8. 1 One India Healthcare pricing system (Govt. & Private)
2
3
4
5
Benefit to State & Central Government by Pricing standard across India
Important tool to restrict universal healthcare expenses
Availability to know actual national healthcare spending
Govt. & Private healthcare services will work at par
Possibility to cover large population via Insurance
6
7 Availability of national Health delivery data for analytics
Availability to analyse location wise disease pattern