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Informist, Tuesday, Apr. 7, 2026

MUMBAI – The Insurance Regulatory and Development Authority of India has set up a sub-committee to assess the current landscape of private health insurance in India focusing on coverage, penetration, claims experience, product design, grievance redressal, and consumer experience, the regulator said in a release Tuesday.

Moreover, the sub-committee will suggest regulatory and operational measures to boost innovation, coverage, risk pooling, and improve financial protection in health insurance, with an enhancement in trust and consumer experience. 

In addition, the committee will also examine the role of health care provider networks, hospital tariffs, fraud control, and digital systems to improve policyholder's value and reduce inefficiencies, according to the release.

The sub-committee will also review and include the recommendations of the working groups set up by the Confederation of Indian Industry on issues related to the health insurance ecosystem. This will also include insurers and providers, methodology for commercial engagements and provider classification, adoption and scale-up of the National Health Claims Exchange, analytical studies on claim trends and medical inflation, and a basic product framework.  End

Reported by Janwee Prajapati

Edited by Akul Nishant Akhoury

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