Nagpur: At least 20 major private hospitals have issued an ultimatum to three insurance companies and six TPA (third party administrators) regarding the termination of cashless facilities for beneficiaries if they did not play the tariff on November 18.
About six hospitals have alleged de-embalanel by these companies following disputes over the new packages offered for different treatments at the time of updates, recently.
The Association of Vidarbha Hospitals (VA) has accused that the insurance company and landfill adopt the ‘Block Arm’ policy through the lower ‘Nagpur VAT PPN Embanelment Committee’ body.
A member of the committee, refused to be quoted, passed money on insurance companies.
“We only communicate the company’s decision to the hospital.
We do not have a lot of authority in negotiating or improving rates,” said member, adding the committee not to realize VHA ultimatum.
VHA claims all 160 members will immediately make the same decision.
“If fair demands are not fulfilled, service privileges without cash to this insurance company policy holder and TPA will be stopped,” said the press record released by VHA.
Sources say insurance companies and landfill can make so bold decisions of more than 50% because of support from several hospitals.
“Companies and TPA quote examples of certain hospitals that have agreed to their revised level.
This cannot be standard for the rest of the hospital.
This hospital is startup and does not have a series of doctors and the same skills compared to those who have built a reputation for themselves , “They said.
Sources added that the possibility of this hospital deliberately approved a new package with low rates to divert the burden of the patient below it could not be ruled out.
On Saturday, the VHO member concerned had held a meeting and decided to stand together with a disadvantaged hospital.
They have been looking for technical details that support extensive reductions.
“Instead of cutting a rough level like that, all hospitals are waiting for augmentation to a proportional rate, at least on the national index as a way to thank the private health care providers,” Vha said.
Such ‘cartelization’ will produce poor quality and fewer service choices for beneficiaries and is a violation of competition action, 2002, added VHA.
“The beneficiaries should be in Liberty to choose a hospital to take advantage of quality health care.
These companies are policy holders who are misleading and cheating by forcing them to use services in certain hospitals,” alleged VHA.
‘Insured inciting difficulties because of the’ cartel ‘insurance company’s decision, the insurance receiving body has slammed the company and landfill for private hospitals “twisted arms” in approving a lower level.
“It is found to be a member of the Vidarbha Hospital Association Member of negotiating to stop the service without cash to beneficiaries of health insurance from the main Nagpur TPAS.
If such a decision is taken, this will affect the lakh health insurance policy holder.
People pay health insurance premiums so When needed, cash health care is available.
Someone does not have cash ready during hospitalization and it creates a lot of problems if any self-acceptance or dependent is needed.
We deploy health insurance only to avoid this, “said the insurance receiving organization, Nagpur, in press releases.