RGJAY: National Insurance denies TPA incentive data requested under RTI

The Maharashtra government has launched Rajiv Gandhi Jeevandayee Arogya Yojana (RGJAY) in order to improve medical access facility for both Below Poverty Line (BPL – Yellow card holders) and Above Poverty Line (APL- Orange card holders) families). RGJAY is already being implemented in eight districts including Mumbai and would be implemented throughout the state in phased manner in a period of three years.

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Non-life insurers invest to set up TPA in 6 months

State-run non-life insurers that have started setting up a common third-party administrator (TPA) would initially invest Rs. 1 billion. The four insurers plan to set up the TPA company in the next six months, the media reports said.

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PSU general insurers to set up a common TPA to settle medical claims

State-run general insurance companies are setting up a common third-party administrator to settle medical insurance claims, a  move aimed at trimming their unwieldy claims ratio and boosting profitability.

The claims ratio, or percentage of claims to the premium earned, of these public sector companies in health insurance is over  120% and they blame third-party administrators (TPAs) for their spiraling losses in the segment.

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TPA in India – List

“TPA” means a Third Party Administrator who, is licensed by the IRDA, and is engaged, for a fee or remuneration, by whatever name called as may be specified in the agreement with an insurance company, for the provision of health services in India.

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