December 29, 2016

Govt schemes help boost health cover by 14% in 10 yrs



Expansion in India's health insurance coverage, particularly the government 
schemes, has helped improve various health indicators as more people seek 
treatment and medical services. For instance, insurance penetration has resulted 
in a rise of over 15% in institutional deliveries, thus reducing maternal and infant 
mortality.

Similarly , people in rural areas, the elderly and members of the scheduled castes 
and scheduled tribes are now more likely to seek tertiary care because of insurance 
coverage. Official data shows childbirth in government hospitals increased by 22% 
between 2004 and 2014, led by government policies, whereas `at home' deliveries 
declined by 16%.

India has witnessed a huge jump in health insurance coverage over the past decade. 
While just 1% of population had coverage in 2004, the figure went up to more than 
15% in 2014. Though health insurance coverage continues to be driven by the government 
in India, latest data compiled by the Insurance Regulatory and Development Authority of 
India (IRDAI) shows Indians are increasingly buying private policies too.

According to IRDAI data, the premium collected by health insurers during 2015-16 
jumped by 21.7% to Rs 24,448 crore. This has also encouraged providers to expand 
their base. The number of schemes, the basket of services as well as payment options 
have also been expanded over the past decade, providing people better opportunity to 
seek medical care for critical diseases.

A recent Brookings India study , based on NSSO data, shows a decline in the number 
of people not seeking medical services when sick, from 15.1 per 1,000 people in 2004 
to 12.4 in 2014. The increasing insurance penetration has also helped with the accessibility 
and affordability of healthcare services for the poor and those living in remote areas.

Infrastructure and sustained focus are required to link the available health systems, 
both public and private in rural and remote areas, with health insurance, says IRDAI 
chairman T S Vijayan.

According to the national health profile 2015, compiled by Central Bureau of Health
Intelligence, 67% of those with some form of coverage are under public insurance
companies. Centreand statefunded health insurance schemes covered about 37 crore 
people in 2014 as compared to 5.5 lakh in 2004.

Source: The Times of India

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