Abstract

The Indian healthcare sector is experiencing a major shift, largely driven by progress in health insurance, especially in the area of cashless treatment options. This review article delves into the current landscape of health insurance in India, examines the advantages of cashless treatment, and outlines strategic measures to accelerate its adoption. Data from the fiscal year 2024 reveal a notable increase in insurance penetration and highlight the significant role of private sector participation. The article also presents a case study of Pristyn Care's efforts to reduce claim ratios, curb fraud, and extend services to underserved areas. These findings emphasize the ongoing need for enhancements in healthcare accessibility and efficiency through cashless treatment models

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