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Cash-Strapped Hospitals Nudge Insurers to Reject Claims

Source: the-ken.com

Cash-strapped private hospitals in India nudge insurers to reject patient claims, worsening access to care.
One in three claims get rejected, with hospitals pressuring insurers amid rising costs and low reimbursements.
This practice burdens patients with surprise bills and threatens the viability of health insurance.

Private hospitals facing financial squeezes are colluding with health insurers to deny legitimate patient claims, forcing people to pay out-of-pocket. The article uncovers how hospitals like Max Healthcare and Fortis push for rejections to extract higher payments directly from patients. It matters because this erodes trust in India's growing health insurance market, leaving millions vulnerable to unexpected costs despite premiums paid.