~ a WORKSHOP & Management Development Program ~
I.H.M.R. presents ....
IHMR (Institute of Health Management Research).. in association with AMEN presents.. a workshop and MDP on one of the most talked about subjects in the Healthcare Indutry today.. Health Insurance.. !!
IHMR is a premier Institute in the area of Health Management, Hospital Management, Research and Training in South India. As a part of their MDP (Management Development Program) initiative.. and keeping in mind the prospects, opportunities and challenges in the current Health Insurance scenario, they present to you, a workshop and MDP on Claims Management and Role of TPAs.. in association with AMEN, a Healthcare Management Consulting organization specialised in Recruitments, Event Management and Training for Healthcare.
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IHMR is a premier Institute in the area of Health Management, Hospital Management, Research and Training in South India. As a part of their MDP (Management Development Program) initiative.. and keeping in mind the prospects, opportunities and challenges in the current Health Insurance scenario, they present to you, a workshop and MDP on Claims Management and Role of TPAs.. in association with AMEN, a Healthcare Management Consulting organization specialised in Recruitments, Event Management and Training for Healthcare.
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TOPICS and DISCUSSION
~ Current Scenario & the Future of Health Insurance in India.
~ Various Health Insurance products available in the market.
~ Understanding the role of TPAs & Claims Management.
~ Understanding expectations of Hospitals from TPAs & Insurers.
~ Simplification of Procedures in settling the claims by TPAs.
~ Necessity for uniform billing by Hospitals.
~ Role of IT in servicing claims.
~ Problems & Challenges faced by Hospitals, Insurers, Policy holders and TPAs.
~ Finding out a Solution which will be a win-win situation to all the stake holders.
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~ Various Health Insurance products available in the market.
~ Understanding the role of TPAs & Claims Management.
~ Understanding expectations of Hospitals from TPAs & Insurers.
~ Simplification of Procedures in settling the claims by TPAs.
~ Necessity for uniform billing by Hospitals.
~ Role of IT in servicing claims.
~ Problems & Challenges faced by Hospitals, Insurers, Policy holders and TPAs.
~ Finding out a Solution which will be a win-win situation to all the stake holders.
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FACULTY
# Dr. Kishore Murthy : Director, IHMR, Bangalore
# Prof. H.S.N. Rao : CEO, ARC Insurance, Bangalore
# Mr. Shiva Belawadi : CEO, TTK Health Care Services, India
# Dr. S.R. Bhat : Vice President, Mediassist India Pvt. Ltd.
# Mr. S. Ramabhadran : DGM, United India Insurance Co Ltd.
# Mr. A.K. Ramakrishna : Regional Manager, National Insurance Co Ltd.
# Dr. Raghu.V. Hudli : CEO, ObjectOrb Technologies Pvt. Ltd., Bangalore
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# Prof. H.S.N. Rao : CEO, ARC Insurance, Bangalore
# Mr. Shiva Belawadi : CEO, TTK Health Care Services, India
# Dr. S.R. Bhat : Vice President, Mediassist India Pvt. Ltd.
# Mr. S. Ramabhadran : DGM, United India Insurance Co Ltd.
# Mr. A.K. Ramakrishna : Regional Manager, National Insurance Co Ltd.
# Dr. Raghu.V. Hudli : CEO, ObjectOrb Technologies Pvt. Ltd., Bangalore
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REGISTRATION
Course Fee (before last Date) :
# Delegates : Rs. 3500/- per delegate
# Students : Rs. 1500/- per student
Course Fee (after last Date) :
# Delegates : Rs. 4000/- per delegate
# Students : Rs. 2000/- per student
[ Last Date for REGISTRATION : 16th June 2009 ]
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PAYMENT OPTIONS
1. DD / CHEQUE drawn in favour of "Institute of Health Management Research,Bangalore" payable at Bangalore, along with duly filled Registration Form to be couriered to AMEN (Corporate Office) - address mentioned below.
2. REGISTER ONLINE - transfer (online money transfer) Registration Fee to 'Indian Institute of Health Management Research',Bangalore- details mentioned below
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ADDRESS (for Courier / DD)
AMEN (Corporate Office)
No. 754, II floor, 8th Main, III Stage, IV Block,
Basaweshwarnagar, Bangalore 560 079
Phone 1 : 080-65836078
Phone 2 : +91 9880612975
REGISTER ONLINE (for Online Money Transfer)
Account Name : Indian Institute of Health Management Research, Bangalore
Bank : ICICI Electronic City branch
Account No. : 036001000577
IFSC No. : ICIC0000360
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NOTE :
^ Seats are Limited...
^ Registration on First Cum First Serve..
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# Delegates : Rs. 3500/- per delegate
# Students : Rs. 1500/- per student
Course Fee (after last Date) :
# Delegates : Rs. 4000/- per delegate
# Students : Rs. 2000/- per student
[ Last Date for REGISTRATION : 16th June 2009 ]
---------------------------------------------
PAYMENT OPTIONS
1. DD / CHEQUE drawn in favour of "Institute of Health Management Research,Bangalore" payable at Bangalore, along with duly filled Registration Form to be couriered to AMEN (Corporate Office) - address mentioned below.
2. REGISTER ONLINE - transfer (online money transfer) Registration Fee to 'Indian Institute of Health Management Research',Bangalore- details mentioned below
---------------------------------------------
ADDRESS (for Courier / DD)
AMEN (Corporate Office)
No. 754, II floor, 8th Main, III Stage, IV Block,
Basaweshwarnagar, Bangalore 560 079
Phone 1 : 080-65836078
Phone 2 : +91 9880612975
REGISTER ONLINE (for Online Money Transfer)
Account Name : Indian Institute of Health Management Research, Bangalore
Bank : ICICI Electronic City branch
Account No. : 036001000577
IFSC No. : ICIC0000360
---------------------------------------------
NOTE :
^ Seats are Limited...
^ Registration on First Cum First Serve..
---------------------------------------------
BACKGROUND
INSURANCE Claim Management is a core issue for the protection of Insurance policy holders and hence a priority concern today. From the Insurance company's viewpoint, claim management is a key element in the competition between Insurance providers and for the improvement of industry’s public image. Health Insurance products are sold in India since early 1990s, the Health portfolio did not see much growth till 2002. After opening of the insurance sector and introduction of TPAs, the Health Insurance sector is seeing substantial growth.
During the financial year 2006-07 the health premium which was Rs 3197 has increased to Rs 4969 crs with a growth rate of 55%. Health Insurance premium is likely to be Rs 13000 crs by 2012 and expected to reach Rs 25000 crs by 2020.
Though the premium is increasing in volume the claims are also mounting and the average claims ratio is about 100%. In fact the claim ratio from the corporates is much higher at 125% forcing the Insurance companies to reduce their dependency on corporates on one hand and devising the cover with restriction. With the increase in premium volume and claims, the services offered by TPAs have gone down considerably. Various stake holders of health policy are unhappy in the end. When the TPAs concept was introduced it was expected that the TPAs will have great contracts with the hospitals and both the insurer and the insured will get the benefit. Unfortunately this has not happened, and on the other hand the dissatisfaction is going up year by year. The scenario is such that Insurance companies, Hospitals and TPAs blame each other and in the end the customer is made to suffer.
Various governments are realizing that they are not in a position to provide the required health care facility and are trying to opt for insurance covers to general public. New developments / policies are likely to increase the gaps in Service Level Agreements among various stake holders. Booming Health Insurance can be a golden opportunity if handled properly other wise this will lead to lot of complaints.
--------------------------------------
INSURANCE Claim Management is a core issue for the protection of Insurance policy holders and hence a priority concern today. From the Insurance company's viewpoint, claim management is a key element in the competition between Insurance providers and for the improvement of industry’s public image. Health Insurance products are sold in India since early 1990s, the Health portfolio did not see much growth till 2002. After opening of the insurance sector and introduction of TPAs, the Health Insurance sector is seeing substantial growth.
During the financial year 2006-07 the health premium which was Rs 3197 has increased to Rs 4969 crs with a growth rate of 55%. Health Insurance premium is likely to be Rs 13000 crs by 2012 and expected to reach Rs 25000 crs by 2020.
Though the premium is increasing in volume the claims are also mounting and the average claims ratio is about 100%. In fact the claim ratio from the corporates is much higher at 125% forcing the Insurance companies to reduce their dependency on corporates on one hand and devising the cover with restriction. With the increase in premium volume and claims, the services offered by TPAs have gone down considerably. Various stake holders of health policy are unhappy in the end. When the TPAs concept was introduced it was expected that the TPAs will have great contracts with the hospitals and both the insurer and the insured will get the benefit. Unfortunately this has not happened, and on the other hand the dissatisfaction is going up year by year. The scenario is such that Insurance companies, Hospitals and TPAs blame each other and in the end the customer is made to suffer.
Various governments are realizing that they are not in a position to provide the required health care facility and are trying to opt for insurance covers to general public. New developments / policies are likely to increase the gaps in Service Level Agreements among various stake holders. Booming Health Insurance can be a golden opportunity if handled properly other wise this will lead to lot of complaints.
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Organizing Partner
AMEN (Corporate Office)
No. 754, II floor, 8th Main, III Stage, IV Block, Basaweshwarnagar, Bangalore 560 079
GSM : +91 9880612975
L'line : 080-65836078
Email 1 : paniel@amenbs.com
Email 2 : amenbs@gmail.com
No. 754, II floor, 8th Main, III Stage, IV Block, Basaweshwarnagar, Bangalore 560 079
GSM : +91 9880612975
L'line : 080-65836078
Email 1 : paniel@amenbs.com
Email 2 : amenbs@gmail.com
