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In India, healthcare facilities function in an environment of a plethora of regulations, but no body to enforce the laws and no interest even on the part of the market constituents to adhere to such laws. The recent privatization of the insurance industry has raised hopes that the hospitals would now be under pressure to satisfy norms or face a loss in the market share. Health Insurance has existed in the form of Mediclaim schemes which laid out certain specifications for hospitals but had inherent loopholes that rendered the norms useless. This report is an attempt to give a formal shape to…mehr

Produktbeschreibung
In India, healthcare facilities function in an environment of a plethora of regulations, but no body to enforce the laws and no interest even on the part of the market constituents to adhere to such laws. The recent privatization of the insurance industry has raised hopes that the hospitals would now be under pressure to satisfy norms or face a loss in the market share. Health Insurance has existed in the form of Mediclaim schemes which laid out certain specifications for hospitals but had inherent loopholes that rendered the norms useless. This report is an attempt to give a formal shape to the process of performance review of hospitals with an aim of helping consumers to make a better choice. Since the future of healthcare in India entails patients being chanelled through insurance firms, so the thesis work focused on developing accreditation guidelines for empanelling hospitals in a preferred provider network. Although, this report does not emphatically claim to provide a fullfledged evaluation of hospitals, it is expected to be a basic framework which can be used by health insurers for screening hospitals.
Autorenporträt
Bishwajit Nayak, born in Asansol on 1st July 1977, is an AVP with Future Generali in Pune with 10 years experience in provider management and health claims. Bishwajit has completed Masters in Hospital & Health Management from IIHMR Jaipur and has interests in Operations Research and Quantitative Techniques. He values his parents most in his life.