CII Health, TN & Star Health Initiative on Health Insurance Awareness Campaign at Chennai on Feb 24th 2017

February 22, 2017 by · Leave a Comment
Filed under: Announcements, Health Insurance, Healthcare, Hospital 

CII, Tamil Nadu has formed a Tamil Nadu Healthcare Panel under the convenorship of Dr. S. Prakash, Senior Executive Director, Star Health along with Dr Rohini Sridhar, COO, Apollo Hospitals Limited as co-convener.

Panel has decided to organise forum meetings across Tamil Nadu. The forum shall address issues with the major players in the Healthcare Industry, namely, Hospitals, Customers, TPAs, Pharmaceutical companies and Insurers.

We have used this panel as a platform to address the growing trust deficit in the healthcare system and have successfully conducted 3 programs so far.

The 4th forum meeting is scheduled to happen on the 24th February 2017 on promoting Best Practices in Health Insurance to Hospital front desk personnel.

This session is part of Health Insurance Education Series to Hospital Front Office Desks, Insurance Desk Teams.

Interested Teams from Hospitals can send formal confirmation mail to the contact person’s details mentioned in the poster….There is no participation fee.

CII Star Health Insurance Mailer

CII Healthcare Forum Meeting on 14th October 2016 between 4 to 6 pm – Theme – Trust Deficit in Healthcare…. The Void

October 12, 2016 by · Leave a Comment
Filed under: Events & Updates, Health Insurance, Healthcare 

CII E-mailer Final

Accreditation must for hospitals in State Insurance Scheme

Source: The Hindu

In an attempt to establish standards of care for patients and safety in healthcare institutions in Tamil Nadu, the Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS) is contemplating making accreditation mandatory for hospitals seeking empanelment as part of the scheme.

A couple of protocols, pre-accreditation entry-level standards for hospitals and the other for smaller healthcare organisations have already been readied and issued as a circular, besides being hosted on the CMCHIS website.

“The idea is that even if the patients are not paying for the treatment, the government is. It is not charity that the hospitals are doing, and patients need to get the best,” a Health Department official said.

This is seen as the first move to bring both private and public healthcare institutions within the ambit of quality regulation, something that is achieved merely by self-motivation currently.

The standards have been evolved in consultation with the National Accreditation Board for Hospitals (NABH), and are in fact inspired by their entry-level accreditation standards that make it easier for hospitals to imbibe quality control culture.

“Earlier, hospitals which could not afford the process of quality control would just stay away. But, we are now offering them a foot in the door,” K.K. Kalra, CEO, NABH, had told The Hindu earlier.

The CMCHIS staff will first seek to orient hospitals on these standards before beginning the process of pre-accreditation, according to officials.

It is expected that at a certain point, accreditation for a hospital will become a pre-condition for empanelment in the government insurance scheme.

Existing hospitals that do not have accreditation will also be eased into the process, officials said.

United India Insurance, the insurance partner for the State government in this venture, seems equally enthused by this move.

Asha Nair, director and general manager, United India Insurance, said, “I would be very happy if this can be implemented. It means we are ensuring a minimum quality of service for all healthcare consumers across the board.”

The ideal would be to make it qualifying criteria for new hospitals that apply for empanelment.

Hospitals that have already been empanelled can be given time and a deadline to get accreditation, she said.

Pricing in private hospitals needs to be monitored: NIC chief

Source: The Hindu Business Line

Public sector insurer, National Insurance Company (NIC) on Wednesday made a strong pitch for monitoring pricing in private hospitals and a need for a regulator in this regard.

According to AV Girija Kumar, Chairman and Managing Director, NIC, there was a need to have a regulator who would monitor pricing in private hospitals and stop them from charging exorbitant rates.

“There is a need for monitoring pricing in private hospitals,” he told newspersons on the sidelines of an interactive session organised by the MCC Chamber of Commerce & Industry.

“Healthcare financing and delivery should be integrated and this will help the insured people immensely,” he added.

Tamilnadu mulls accreditation for hospitals offering health insurance

Source: The Hindu Business Line

Tamil Nadu plans to get hospitals offering healthcare services under the State-sponsored health insurance accredited for quality. The move is expected to help healthcare providers adopt standard operating procedures and free patients from needless expenditure necessitated by infection, wrong diagnosis and surgical errors.

The National Accreditation Board For Hospitals and Healthcare Providers will look at 149 objective parameters for entry-level acceptance for small hospitals. For hospitals with bed strength above 50, the board has set over 600 standards. Infection control, pharmacy management, care of patients and patient rights are among key benchmarks. Health centres need pay Rs.10,000 as certification fees, and State health officials are keen to get a good portion of the 834 government and private hospitals offering the insurance scheme.

J Radhakrishnan, Tamil Nadu Health Secretary, said smaller health centres should play a proactive role in getting their facilities accredited so that the scheme could expand further.

C Vijayabaskar, Health Minister, Tamil Nadu, said a meeting to discuss modalities of getting these hospitals accredited and estimate the associated expenditure will take place soon.

He added that the State health scheme has touched over seven lakh lives so far, spending close to Rs.1,509 crore since its inception in January 2012. Over 2.74 lakh patients have received life-saving surgeries at Government hospitals. The scheme has expanded its coverage to 1,016 diseases now, and is looking at including heart transplants.

Improved quality reduces large needless costs for all stakeholders – the insurer, the hospital and the State, said Somil Nagpal, a World Bank health specialist analysing Government health schemes in the country. He co-authored a report “Government-sponsored Health Insurance in India-Are you Covered?” It concluded saying a fourth of India’s population by 2010 was benefited by different ways from Government health schemes.

“Costs of excessive healthcare due to wrong diagnoses and mistakes during surgeries touched $41.5 billion in 2006, a number equal to total healthcare expenditure in India during the year,” he said, adding that the NABH has only 250 hospitals accredited in a country of over one lakh health centres.

  • Value Added Connects

  • Categories

  • Subscribe With Us

    Enter your email address:

  • Recent Posts

  • Connect with Us

  • Follow Us on Twitter

  • Calendar

    October 2017
    M T W T F S S
    « Sep    
     1
    2345678
    9101112131415
    16171819202122
    23242526272829
    3031  
  • No. of Hits

    vBulletin counter