Healthcare for all? Need data, AI and funding

Published On : 2024-11-25T07:22:28+0530 [ IST ] | Author : Mayur_Tembhare
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Can all Indians have seamless access to healthcare regardless of location or socio-economic status by 2047? A report by consulting firm BCG and TPA Medi Assist says it is possible with a tiered approach that taps health data

According to the report the population needs to be categorised into emerging middle and affluent groups with support from govt, employers and private insurers respectively. This will require unified online health data, AI-driven automated claim settlements and fraud detection systems

The 'borderless health' plan segments the population into groups with tailored healthcare approaches while affluent India focuses on personalised plans the middle needs expanded employer-sponsored insurance and emerging needs strengthened govt-funded schemes.

The report highlights India's low healthcare spending and insufficient insurance coverage and emphasizes the need for increased investment and comprehensive reforms. To enable and deliver this vision it proposes leveraging the troika of medical JAM- joined health data, automated claim settlements for 100% cashless transactions and mobile-enabled on-demand healthcare

India's healthcare spending at 3.3% of GDP severely lags global counterparts - including both developed and emerging nations - according to the report. This underinvestment coupled with insufficient insurance coverage places substantial financial burden on citizens, particularly those in rural areas with limited access to quality healthcare

The report also pointed out that the healthcare system is skewed towards curative care with a disproportionate 38% of spending allocated to in-patient services and treatments. In contrast preventive care receives only 14% of the funds highlighting a reactive rather than proactive approach to healthcare.

Healthcare costs continue to rise with claim sizes increasing by 11.4% and medical inflation reaching 14% in 2023. This further highlights the urgent need for comprehensive insurance reform to alleviate the financial burden on

With out-of-pocket payments accounting for approximately 45% of total healthcare expenditures India faces a critical challenge in ensuring access to affordable and quality healthcare for its citizens the report said.

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