Government-Sponsored Health Insurance in India : Are You Covered?
Since independence, India has struggled to provide its people with universal health coverage. Whether defined in terms of financial protection or access to and effective use of health care, the majority of Indians remain irregularly and incompletel...
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| Online Access: | http://documents.worldbank.org/curated/en/2012/08/16653451/government-sponsored-health-insurance-india-covered http://hdl.handle.net/10986/11957 |
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okr-10986-119572021-04-23T14:02:58Z Government-Sponsored Health Insurance in India : Are You Covered? La Forgia, Gerard Nagpal, Somil Financial protection Health financing Health insurance Health provision Health coverage Social insurance Targeting of the poor Universal health coverage Public-private partnerships Since independence, India has struggled to provide its people with universal health coverage. Whether defined in terms of financial protection or access to and effective use of health care, the majority of Indians remain irregularly and incompletely covered. Finally, and most recently, a new generation of Government-Sponsored Health Insurance Schemes (GSHISs) has emerged to provide the poor with financial coverage. Briefly, the main objective of these new GSHISs was to offer financial protection against catastrophic health shocks, defined in terms of an inpatient stay. Between 2007 and 2010, six major schemes have emerged, including one sponsored by the Government of India (GOI) and five state-sponsored schemes. This new wave of schemes provides fully subsidized coverage for a limited package of secondary or tertiary inpatient care, targeting below poverty populations. Similar to the private voluntary insurance products in the country, ambulatory services including drugs are not covered except as part of an episode of illness requiring an inpatient stay. The schemes have organized hospital networks consisting of public and private facilities, and most care funded by these schemes is provided in private hospitals. Ostensibly, the objective of any health insurance scheme is to increase access, utilization, and financial protection, and ultimately improve health status. Due to lack of evaluations and analyses of household data, the authors of this book do not examine the impact of health insurance in terms of these objectives. This book is not meant to highlight problems of the GSHISs, but rather to raise potential challenges and emerging issues that should be addressed to ensure the long-term viability of these schemes and secure their place within the health finance and delivery system. 2012-12-11T19:25:49Z 2012-12-11T19:25:49Z 2012-08-26 http://documents.worldbank.org/curated/en/2012/08/16653451/government-sponsored-health-insurance-india-covered 978-0-8213-9618-6 http://hdl.handle.net/10986/11957 English en_US Directions in development : human development; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank Publications & Research :: Publication Publications & Research :: Publication South Asia India |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
Financial protection Health financing Health insurance Health provision Health coverage Social insurance Targeting of the poor Universal health coverage Public-private partnerships |
| spellingShingle |
Financial protection Health financing Health insurance Health provision Health coverage Social insurance Targeting of the poor Universal health coverage Public-private partnerships La Forgia, Gerard Nagpal, Somil Government-Sponsored Health Insurance in India : Are You Covered? |
| geographic_facet |
South Asia India |
| relation |
Directions in development : human development; |
| description |
Since independence, India has struggled
to provide its people with universal health coverage.
Whether defined in terms of financial protection or access
to and effective use of health care, the majority of Indians
remain irregularly and incompletely covered. Finally, and
most recently, a new generation of Government-Sponsored
Health Insurance Schemes (GSHISs) has emerged to provide the
poor with financial coverage. Briefly, the main objective of
these new GSHISs was to offer financial protection against
catastrophic health shocks, defined in terms of an inpatient
stay. Between 2007 and 2010, six major schemes have emerged,
including one sponsored by the Government of India (GOI) and
five state-sponsored schemes. This new wave of schemes
provides fully subsidized coverage for a limited package of
secondary or tertiary inpatient care, targeting below
poverty populations. Similar to the private voluntary
insurance products in the country, ambulatory services
including drugs are not covered except as part of an episode
of illness requiring an inpatient stay. The schemes have
organized hospital networks consisting of public and private
facilities, and most care funded by these schemes is
provided in private hospitals. Ostensibly, the objective of
any health insurance scheme is to increase access,
utilization, and financial protection, and ultimately
improve health status. Due to lack of evaluations and
analyses of household data, the authors of this book do not
examine the impact of health insurance in terms of these
objectives. This book is not meant to highlight problems of
the GSHISs, but rather to raise potential challenges and
emerging issues that should be addressed to ensure the
long-term viability of these schemes and secure their place
within the health finance and delivery system. |
| format |
Publications & Research :: Publication |
| author |
La Forgia, Gerard Nagpal, Somil |
| author_facet |
La Forgia, Gerard Nagpal, Somil |
| author_sort |
La Forgia, Gerard |
| title |
Government-Sponsored Health Insurance in India : Are You Covered? |
| title_short |
Government-Sponsored Health Insurance in India : Are You Covered? |
| title_full |
Government-Sponsored Health Insurance in India : Are You Covered? |
| title_fullStr |
Government-Sponsored Health Insurance in India : Are You Covered? |
| title_full_unstemmed |
Government-Sponsored Health Insurance in India : Are You Covered? |
| title_sort |
government-sponsored health insurance in india : are you covered? |
| publishDate |
2012 |
| url |
http://documents.worldbank.org/curated/en/2012/08/16653451/government-sponsored-health-insurance-india-covered http://hdl.handle.net/10986/11957 |
| _version_ |
1764418342713556992 |