Page 72 - MEDICAL AND HEALTH INSURANCE
P. 72

MEDICAL AND HEALTH INSURANCE


               Apart  from  panel  hospitals,  the  insurer  can  also  engage  specialists  to  be  in

               their    preferred     panel    as   a    means     of    providing    services    to    their

               policyholders to ensure costs are contained going forward.


               In  such  a  scenario,  the  appointed  Third-Party  Administrator  (TPA)  plays  an

               important  role  in  the  attempt  to  contain  costs,  by  identifying  inflated  bills,
               reviewing  them  and  taking  it  up  with  the  hospitals  without  compromising

               equitable access to healthcare to the policyholder.















































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