Over 65 per cent of people covered by health insurance come under the ambit of private companies, whereas public insurance companies account for 35 per cent people, according to the study. While the public sector insurance companies garner maximum share of health insurance premium to the tune of 61.5 per cent in India, private health insurers account for just 38.5 per cent, it said.
Moreover, the study also found that referrals constitute a meagre 0.1 per cent in terms of both the number of policies sold as well as medical insurance premium collected. The study further suggested to the Insurance Regulatory Development Authority (IRDA) to evolve a mechanism to ensure that private insurance companies do not skim the market by focusing on rich and upper class clients, thereby neglecting the masses.
The success and sustainability of health insurance sector in India will depend upon the development of a strong governance framework, efficient management and monitoring systems along with introduction of cost containing and product improvement mechanisms, the study added.
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