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HEALTHCARE FRAUD IN INDIA
The old health insurance model sees hospitalisation as an inconvenience, says Narayana Health's Viren Prasad Shetty; bets on managed care modelIt has been close to two years since Narayana Health’s wholly owned subsidiary, Narayana Health Insurance—which has adopted a ‘managed heal...
India's rise is coming at an important time... because the world needs India, says Jane Fraser, Board Chair and CEO, CitiGlobalisation is changing. It now balances efficiency with resilience and security. This shift benefits India, a nation with strong tech ta...
453 Nepali nationals rescued from alleged networking fraud operation in UPThe Embassy of Nepal in India announced the rescue of 453 Nepali citizens from an alleged networking fraud operation in India's Kushinagar ...
Welcome to Trump’s America, where the visa dream is getting harder to keep alivePresident Trump's second term is tightening legal immigration pathways, including student visas and green card applications. New policies r...
Health insurance works only when everyone contributesA small group of health insurance customers accounts for most hospitalisation costs. The remaining 95% must pay premiums to keep the system...
Indian-origin California doctor faces US Congress probe over ‘birth tourism’ businessA California-based obstetrician of Indian origin is under scrutiny as U.S. lawmakers investigate businesses allegedly involved in "birth to...
Star Health to launch affordable health insurance plans targeting tier 2, 3 marketsAs healthcare expenses soar, Star Health is bracing for premium increases in the next fiscal year. In a proactive move, the insurer is roll...
Why healthcare access still depends on affordability in India, and how universal insurance may change thatIndia's healthcare system faces affordability challenges despite infrastructure advancements, with out-of-pocket spending causing financial...
Two Indian-origin brothers who backed FBI chief Kash Patel face 400-year jail term in US: Here's what they didTwo brothers of Indian origin have been convicted in the US for a massive criminal operation. Their scheme involved visa fraud, exploiting ...
Raksha Summit 2025: A post-event report on the industry’s most defining conversationsRaksha Summit 2025 brought together leaders from insurance, hospitals, digital health and policy to address India’s most pressing health-be...
Fraud is bleeding Rs 10,000 crore from India’s health insurance systemIndia's health insurance sector is losing Rs 8,000-10,000 crore annually due to fraud and waste, as highlighted by a BCG and Medi Assist re...
Tech adoption picks up in Corporate India; so does employment fraudIndian companies are grappling with a surge in employment fraud, including fake credentials and moonlighting, prompting increased reliance ...
Govt has zero tolerance to fraud in Ayushman Bharat scheme: MoS Health in LSThe Ayushman Bharat PM-JAY scheme operates with zero tolerance for fraud and has a three-tier grievance system. An FIR has been lodged agai...
Action taken against 1.6 lakh claims worth Rs 287 crores under AB-PMJAY till August 5, says Union Minister MandaviyaOver 1.6 lakh claims worth INR 287 crore have been acted upon by state health agencies under Ayushman Bharat Pradhan Mantri Jan Arogya Yoja...
Indian healthcare industry sees second highest number of cyber attacks in the world: CloudSEK"India recorded the second highest number of attacks, with a total of 7.7 per cent of the total attacks on the healthcare industry in 2021,...
SAS partners NHA for fraud detection, prevention through data analyticsSAS will provide end-to-end framework to ensure claim processing with specific components for fraud detection, alert management and case ha...
- TPAs must play an active role in curbing costs
TPAs are perhaps the most vital cogs in linking the other three gears - customers, health service providers and insurers - in the machine t...