Day procedures and higher-end outpatient care were flagged as key drivers, with the study also pointing to panel providers and group plans as potential cost moderators.
Accelerating medical cost inflation, strained combined ratios, and rising protection gap demands urgent joint action from governments, regulators and insurers.
The development highlights ongoing regulatory efforts to address cost pressures and execution challenges in India’s rapidly growing private health insurance market.
The new rules will trim IP rider prices by about 30% on average, but insurers still face mounting pressure to manage claims and risk‑pool shifts in a high‑inflation environment.
The renewed Grievance Mechanism Committee (GMC) will bring together medical, hospital, insurance and takaful associations to identify and improve systemic challenges in medical claims.
(Re)insurers face interconnected risks from climate change, geoeconomic fragmentation, demographic shifts and digital transformation that require new approaches, say experts at SIRC.
