Study Data from Nachiket Mor and Colleagues Update Understanding of Health and Medicine (Transforming the Indian Private Sector for Universal Health Coverage): Health and Medicine

2025 NOV 24 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- A new study on Health and Medicine is now available. According to news reporting out of Chennai, India, by NewsRx editors, the research stated, “India’s private healthcare sector remains fragmented, with weak primary care, uneven secondary services, and tertiary care accessible to few. Fee-for-service payments and indemnity-style insurance distort prices and fragment accountability.”

Our news journalists obtained a quote from the research, “This paper develops a conceptual, theory-driven framework for integrating financing and delivery so that prices reflect social opportunity costs and competition rewards value rather than volume. A comparative synthesis of international integration models covering Israel, the United States, Spain, Brazil, and the United Kingdom was undertaken. Each exemplar was analysed for ownership form, market maturity, and regulatory capacity, and interpreted using four strategic management theories: Contingency theory, the Resource-based view, Dynamic capabilities, and Institutional theory. These perspectives were combined to construct a contingency-based typology tailored to India’s mixed health system. Two state-contingent integration pathways emerged. Hospital-first vertical integration suits hospital-dense, high-growth states such as Tamil Nadu and Delhi, where capital and regulatory depth permit managed-care scaling. Primary-care-first reverse integration is preferable in resource-constrained contexts such as Bihar and Chhattisgarh, leveraging community trust and lower capital intensity. Achieving universal health coverage in India requires regulatory conditions, such as ownership flexibility, solvency oversight, risk adjustment, and transparent outcomes reporting, to enable accountable payer-provider organisations to form.”

According to the news editors, the research concluded: “The framework extends contingency theory to mixed health systems and offers a transferable blueprint for emerging markets seeking sustainable, integrated managed care.”

For more information on this research see: Transforming the Indian Private Sector for Universal Health Coverage. Healthcare, 2025;13(21):2802. Healthcare can be contacted at: Mdpi, St Alban-Anlage 66, Ch-4052 Basel, Switzerland. (CSIRO Publishing - www.publish.csiro.au; Healthcare - http://www.publish.csiro.au/nid/241.htm)

Our news journalists report that additional information may be obtained by contacting Nachiket Mor, Banyan Academy of Leadership in Mental Health, Chennai 600037, India.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.3390/healthcare13212802. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

Publisher contact information for the journal Healthcare is: Mdpi, St Alban-Anlage 66, Ch-4052 Basel, Switzerland.

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