aarogya.com
  • Home
  • Complementary Medicine
    • Ayurveda
    • Homeopathy
    • Naturopathy
    • Acupressure
    • Acupuncture
    • Aromatherapy
    • Batch Flower Remedies
    • Home Remedies
    • Massage
    • Yoga
    • Meditation
    • Reiki
    • Bodywork
    • Medical Palmistry
  • Conditions & Diseases
    • Acute Diarrheal Disease
    • Appendicitis
    • Blindness
    • Brucellosis
    • Chicken Pox
    • Conjunctivitis
    • Dysentery
    • Hookworm
    • Japanese Encephalitis
    • Lymphatic Filariasis
    • Plague
    • Rubella
    • Typhoid Fever
    • Yellow Fever
    • Allergy
    • Arthritis
    • Blood Pressure
    • Computer Health Hazards
    • Chikungunya Fever
    • Dengue
    • Guinea Worm
    • Influenza
    • Leprosy
    • Malaria
    • Poliomyelitis
    • Tetanus
    • Whooping Cough
    • Viral Hepatitis
    • Amebiasis
    • Asthma
    • Bronchitis
    • Diagnostic Tests
    • Cholera
    • Diphtheria
    • Hepatitis
    • Irritable Bowel Syndrome
    • Leptospirosis
    • Measles
    • Rabies
    • Tuberculosis
    • Yaws
  • Family Health
    • Children's Health
    • Diet & Nutrition
    • First Aid
    • Fitness
    • Humor & Trivia
    • Men's Health
    • Preventive Health
    • Senior's Health
    • Senior Citizen Corner
    • Teen’s Health
    • Vets and Pets
    • Women’s Health
  • Health Resources
    • Blood Donation
    • Career Opportunities
    • Daily Health Tips
    • Health Programs
    • Featured Hospitals
    • Medical Education
    • Health Professional's Negligence
    • Medical Tourism
    • Video Eye
    • Rural Health
    • Patients' Rights Forum
  • Insurance
    • Euthanasia
    • Health Insurance
    • Health Insurance Policies
    • Insurance Companies
    • Medical Ethics
    • Medical Jurisprudence
    • Research
    • Telemedicine
    • Compare Health Insurance
  • Sex & Sexuality
    • What is Sex & Sexuality?
    • FAQs
    • Marriage & Pregnancy
    • Sex Education
  • Support Groups
    • Addiction
    • Aids
    • Cancer
    • Epilepsy
    • Swine Flu
    • Blood Search
    • Vivah
    • Health Directory
    • Alzheimer's Disease
    • Medical Support Groups
    • Cardiology
    • Depression
    • Depression Screening Test
    • Diabetes
    • Disability
    • Kidney
    • Obesity
    • Pregnancy
    • Schizophrenia
    • Vitiligo
Aarogya.com
Marathi | Gujarati | Register | Login
  • Home
  • News and Updates
  • Year 2013
  • Docs in a bind over insurance cos’ fixed rates

Docs in a bind over insurance cos’ fixed rates

  • Print
Details
Hits: 4144

Imagine a patient lying on a hospital bed in excruciating pain and in desperate need of a major medical procedure. A life is at stake, but rather than have an experienced specialist attend to the patient, a doctor, who is just off the block, arrives at the patient’s bedside.

To the consternation of the patient’s relatives and friends, the hospital administration says it has no choice but to depute a newbie since insurance companies are unwilling to foot the entire cost of treatment.

It is precisely this scenario that the All Hospitals Association, a group of 30 major and small hospitals in the city is, is striving to avoid.

The hospitals are up in arms over a ‘fixed price list’ released by four major insurance companies which they are willing to pay for a number of major medical procedures in cases of cashless policies.

The hospitals contend that the prices issued by the insurance companies — National Insurance Company Ltd, New India Assurance, United India Insurance Company and Oriental Insurance, who together account for more than 80 per cent of the market — are far below the actual cost of treatment and would push them into the red.

Aarogya news

At a meeting last week (Aug 16), the hospitals association decided to push for a collective meeting with all four insurance companies to amicably resolve the issue.

Medical practitioners say Pune has been given a raw deal as the rates issued by the insurance companies are far lower than those suggested for Mumbai and Navi Mumbai. Moreover, they allege that the insurance companies are unwilling to hold a collective meeting with the hospitals association.

"The rates for Pune are far lesser compared to other cities such as Mumbai and Navi Mumbai," said Dr Nitin Bhagali, head of hospital board, Indian Medical Association. “Pune is as costly a city as Mumbai. In fact, electricity charges and property tax is higher here. The rates that these insurance companies have given us will not even help us break even."

Bhagali admitted that patients could receive substandard treatment and the likelihood of them being discharged sooner, is high. "There are chances that the hospitals may hand over the case to newbies as against specialist doctors as their (junior doctors) rates are lower," Bhagali said.

Doctors say hospitals in the city are at the receiving end even in terms of the Central Government Health Scheme (CGHS), despite the city having a high density of central government employees.

"Uniformity in rates is an excellent idea, but the rates have to be fair," said Manisha Sanghvi, president of All Hospitals Association. “Besides, they also have to consider the size of the hospital while deciding the rates."

Bomi Bhote, the CEO of Ruby Hall Clinic where the meeting was held, revealed that insurance companies were talking to hospitals individually. “None of the major hospitals have agreed to their proposals," he said.

When contacted, K Kedareshwar, regional manager of National Insurance Company Ltd, refused to comment saying he was not authorised to speak to the press. The rates issued by the insurance companies are likely to kick in from October this year under their new ‘Preferred Provider Network (PPN)’ scheme.


Source
Pune Mirror
23 August 2013, Pune.

Disclaimer: The news story on this page is the copyright of the cited publication. This has been reproduced here for visitors to review, comment on and discuss. This is in keeping with the principle of ’Fair dealing’ or ’Fair use’. Visitors may click on the publication name, in the news story, to visit the original article as it appears on the publication’s website.

0
Introducing Digital Practice for Doctors & Healthcare professionals
Swine Flu
National Award for Outstanding achievement by a Non-Professional - Tushar Sampat
Health Professional's Negligence
Health Professional's Negligence
Records of published articles in the newspapers helps common people about precautions to be taken while seeking the services from health professionals and also helps health professionals to rectify the negligence.
read more…
Specialties
Common Symptoms


Aarogya Network

aarogya.com aims to be India’s leading comprehensive health information portal. The site has sections, which cover almost all the medical specialties and give useful information on various diseases. To enhance its reach, the content is available in Indian languages too. We were the first health website to introduce online support groups. Addiction support and Epilepsy support are examples of some very active and vibrant communities.

» Click here to see all our support groups

Subscribe to Our Newsletter

 Get health related new information.

Pune Aarogya
Digital Media Dedicated to Healthcare of Punekars

Health Tools

  • Health Directory
  • Message Board
  • Health Calculators
  • Depression Screening Test

About Aarogya.com

aarogya.com aims to be India’s leading comprehensive health information portal. The site has sections, which cover almost all the medical specialties

Read more...

Suggestions

This is YOUR site, so if you have suggestions or feedback on how we can improve it for you, please let us know! We do our best to keep up!

Read more...

User Comments

“My name is Paulette Conners and I just had to send you an email thanking you since one of the pages on your site was very helpful!”

  • About Us
  • Company Profile
  • Contact Us
  • Privacy Policy
  • Feedback
  • Disclaimer
  • Sitemap
  • Invite Your Friends

© 2017 www.aarogya.com. All Rights Reserved.