Research Article
Said AK* and Rakesh KJ
Abstract
Background: Economic impact widely considered on a number of successive health policy by the international as well as national bodies It gives elaborated data, as a remedial method on to solve such problems which affected state’s revenues, it needs to discuss the indirect cost borne in health care cost, factors like misdiagnosis, it not only leads to wastage of money but also periled quality of life. Methods: Primarily noted custom practices followed health insurance policy, as one found mandatory in middle east region (Saudi, UAE, Oman) and tendency found in up growing private health insurers’ targeted specific class of people in south Asia, neglected lion share of people those working unorganized sector, Secondarily it considered expert opinion on needs for public health insurance scheme and implementation programs low and middle-income countries. Results: A total of 463 experts’ opinion validated matters related health insurance scheme, fraudulent activities meted their clinical practices both internally and externally. Which were often noted health insurance scheme run by private sector, Here the health insurers’ to serve the common man efficient manner not reached at all, even paradigm shows not reproduced any desirable results to achieve national goals, (universal health coverage system). It also discussed similar temptation if the health insurance scheme brought under public health scheme, suggested to resolve such type of fraudulent activities by introducing co-payment system. Conclusion: This study enabled us to find extent of utility in health insurance services, if once brings under public health programs, it needs vigilant on exploitation both extreme in consumer as well as health care providers. This study enabled us to find extent of utility in health insurance services, if once brings under public health programs, it needs vigilant on exploitation both extreme in consumer as well as health care providers. The public health care system improved significantly by supplying additional human resources and on by retained infrastructural facilities, for developing countries, it is an alternative option by integrating other national scheme like vehicle insurance for raising funds on this generally utilized services.