Findings from Bennett University in Health Management Reported (Comparative Assessment of External Third Party Administrators and In-house Teams of Insurers in Health Insurance Claims Settlement Process in Bangalore, India): Health and Medicine – Health Management

2024 APR 12 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- New research on health management is the subject of a new report. According to news reporting out of Uttar Pradesh, India, by NewsRx editors, research stated, “Claim servicing in health insurance is an important area for insurers.”

Our news correspondents obtained a quote from the research from Bennett University: “Third party administrators (TPAs) are a critical link in India that process health insurance claims. Several insurers have started in-house claim teams for health insurance claims instead of outsourcing the work to TPAs. The study aims to explore the role played by external TPAs in terms of value addition done by them for insurers, policyholders and healthcare providers. The study aims to find the benefits of roping in an in-house team to settle health claims and the benefits accruing out of this decision to policyholders and hospitals. The role of TPAs in claim processing, issues faced by customers while making a claim, and improvement areas in the process have also been examined.”

According to the news reporters, the research concluded: “The author has tried to explore and research this area so that policyholders can choose a health insurance company without bias whether it has an in-house claim settlement process or engages an external TPA. The study brings out the concerns of customers and hospitals regarding the settlement of health insurance claims and suggests improvement areas required for both TPAs and in-house teams in claim settlements by evaluating the same.”

For more information on this research see: Comparative Assessment of External Third Party Administrators and In-house Teams of Insurers in Health Insurance Claims Settlement Process in Bangalore, India. Journal of Health Management, 2024. The publisher for Journal of Health Management is SAGE Publications.

A free version of this journal article is available at https://doi.org/10.1177/09720634241229555.

Our news editors report that more information may be obtained by contacting Manoj Pareek, Bennett University, Greater Noida, Uttar Pradesh, India.

(Our reports deliver fact-based news of research and discoveries from around the world.)