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India Moves to Shift Health Claims Exchange Oversight to Finance Ministry

The policy will curb hospital overcharging by placing the portal under IRDAI supervision to empower insurers to negotiate treatment rates.

A relative of a patient stands next to a stretcher inside a hospital in Ballia District in the northern state of Uttar Pradesh, India, June 22, 2023. REUTERS/Adnan Abidi/File Photo
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Overview

  • The government has formally proposed transferring the National Health Claims Exchange from the health ministry’s National Health Authority to the finance ministry under IRDAI regulation.
  • A joint analysis by the government and IRDAI found that hospitals are inflating treatment costs and overcharging patients with higher insurance coverage.
  • Professional services firm Aon forecasts that healthcare costs in India will rise 13% in 2025, outpacing the global average and driving premium increases.
  • Annual health insurance premium growth slowed to 9% in 2024–25 from over 20% the previous year as rising costs eroded policy affordability and renewal rates.
  • The proposal, which needs inter-ministerial approval, seeks to standardize billing practices and strengthen insurers’ collective bargaining power on treatment rates.