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Common hospital empanelment crosses 5,000 hospitals as insurers push to standardise healthcare

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Common hospital empanelment crosses 5,000 hospitals as insurers push to standardise healthcare

Common hospital empanelment crosses 5,000 hospitals as insurers push to standardise healthcare

The initiative, managed by the General Insurance Council, allows hospitals to apply to multiple general and standalone health insurers through a single digital platform instead of following separate empanelment procedures with individual insurers.

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The platform enables hospitals to apply to more than 30 general and standalone health insurers through a single, free and voluntary process.

Eighteen standard treatment workflows are set to go live, building on admission criteria already introduced for eight infectious diseases.

Insurers expect standardised treatment pathways to improve consistency in clinical decisions and help manage claims costs amid rising medical inflation.

Concerns over reimbursement rates, tariff-setting and claims disputes remain key challenges to wider adoption of the common empanelment framework.

More than 5,000 hospitals have signed memorandums of understanding under the insurance industry's common hospital empanelment initiative, marking progress in efforts to expand access to cashless healthcare and simplify the process through which hospitals join insurer networks. The initiative, managed by the General Insurance Council , allows hospitals to apply to multiple general and standalone health insurers through a single digital platform instead of following separate empanelment procedures with individual insurers. Niva Bupa management said on November 4 that more than 5,000 hospitals had signed MOUs, with many thousands more in the queue or under process. Advt

The initiative is part of a broader industry effort to standardise hospital interactions, treatment protocols and claims processes.


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