Insurance Regulatory and Development Authority of India (IRDAI) forms sub-committee to review private health insurance ecosystem

Key facts

• Insurance Regulatory and Development Authority of India (IRDAI) has constituted a sub-committee under its Insurance Advisory Committee to undertake a comprehensive review of India’s private health insurance ecosystem.
• The panel will examine coverage, claims experience, product design, grievance redressal mechanisms, and overall consumer experience.
• It will recommend regulatory, policy, and operational measures to drive innovation, expand coverage, and improve financial protection for policyholders.
• The sub-committee will assess healthcare provider networks, hospital tariffs, fraud control mechanisms, and digital infrastructure.
• It will explore complementarity, portability, and convergence between private health insurance and public health assurance schemes.
• The panel will incorporate recommendations from working groups set up by the Confederation of Indian Industry, including a joint code of conduct for insurers and healthcare providers and scaling up of the National Health Claims Exchange (NHCX).