Topic
health insurance
Finance NHA de-empanels 2,003 hospitals, suspends 839 in AB PM-JAY fraud crackdown during 2025-26
The National Health Authority de-empanelled 2,003 hospitals and suspended 839 during 2025-26 as part of a fraud crackdown under the Ayushman Bharat PM-JAY scheme, according to its Annual Report. The National Anti-Fraud Unit imposed penalties worth ₹114.06 crore and safeguarded ₹678.47 crore by identifying suspected fraudulent claims.
Finance Health Insurance Claims Satisfaction Drops as Unexplained Rejections Rise, Report Finds
According to Policybazaar's 'Is India Happy with Health Insurance Claims? 2.0' report, satisfaction with health insurance claims is moderate at 82.8 out of 100, but a sharp rise in unexplained claim rejections and reliance on reimbursement are eroding consumer trust. 73% of dissatisfied claimants say they were not given a clear reason for rejection, up from 53% in 2023. The report calls on insurers to shift underwriting to onboarding and eliminate vague denial terms.