Fri Jan 12 2024

Out-Of-Pocket Expenditure and Healthcare Revenue

Out-Of-Pocket Expenditure and Healthcare Revenue


This blog post explores the challenges and dynamics of out-of-pocket expenditure in Indian healthcare, where 61.2% of expenses are borne directly by individuals. The government's vision for Universal Health Coverage, replacing the previous "Health for All" goal, emphasizes financial protection alongside accessibility. Contrary to media projections, the private healthcare sector is not solely responsible for high expenditure; government efforts and increasing health expenditure have shown a decreasing trend. The PM-Jay scheme, while beneficial, faces challenges in implementation, necessitating scientific payment methodologies. Regulatory challenges in the private insurance sector and the importance of focusing on outpatient care expenses underscore the need for a balanced approach to reduce financial burdens and achieve sustainable healthcare financing.

Dr Umesh Bilagi's Avatar

Dr Umesh Bilagi

Founder CEO of Nice HMS, reshaping healthcare management. MD DM in cardiology, with 2 private hospital launches and impactful government tenure. Fusing medical expertise and tech for superior care is my mission.

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