Although problems are being solved for the time being, various controversial issues between hospitals and the health insurance industry are hanging Fire | Photocredit: Getty images
The insurance insurance of cash now brews between the Association of Healthcare providers -India (AHPI) and STAR disease insurance, about complaints about treatment rates and alleged suspension of insurance without cash.
Large hospital chains have been omitted from the Insurance Service of Star Health on rate-related issues, leaving policy holders in a difficult situation, said Girdhar Gyani, AHPI, director-general, who encouraged them to repair services and dialogue with the hospitals. If differences between the two are not resolved, AHPI said, the member of the members of the Star Health’s Cashless Services of the Star Health would advise from 22 SeptemberND.
However, Star Health and Allied Insurance Company LTD said: “We have not received any case from Cashless suspension from our network partners with whom we have bilateral similarities.” Instead, it said: “AHPI has chosen to issue threats to suspend moneyless services in a way that is random, without clarity or usable details.” Furthermore, it added: “AHPI’s Abrupt Press Statement has only biased the interests of policyholders throughout the country and has created unnecessary confusion.”
The statement of the Star Health Insurance Company assured its customers that their access to health care will not be influenced. “Even if this happened, we will ensure that customers receive their claim payments before they pay the hospital,” it added.
Similar impasse
The AHPI represents more than 15,000 hospitals and health care institutions throughout the country, and had similar problems with Bajaj Allianz and Care Insurance, less than a month ago. The problems have been resolved for the time being, but they are hanging on various controversial issues between hospitals and the health insurance industry.
Told Gyani lineA meeting between the AHPI and the General Insurance Council, on open issues, might take place later this month.
About formal communication with the star suction insurance, mention of persistent problems that are confronted with member hospitals, AHPI claimed, it contained a “constant refusal to revise rates for several years in line with the prevailing inflation of healthcare costs, pressure to reduce outdated rates, arbitrations and arbitrations. Claim statements after the final approval. “
Other care areas claimed by AHPI included “compelling requirements to further reduce the rates at the expense of patient care, raising frivolous questions that undermine the clinical judgment of the doctor, inexplicable deductions on approved claims and abrupt withdrawal of present services of members of members.”
The AHPI statement quoted the annual report of the Ombudsman 2023-24 insurance report, where, according to the Star Health Insurance “was at the top of the list of more than 13,300 complaints in FY24, of which more than 10,000 with regard to partial or complete claim assessments-a number that exceeds the combined complaints against the following.”
Gyani said: “The systemic failure of Star -Health Insurance to tackle legitimate complaints, combined with their unfair practices, let us not take any choice but to take appropriate measures … No insurer can endanger patient care or undermine the financial viability of hospitals for commercial profit.”
AHPI also clarified that treatment would continue in his hospitals, even if cashless services were suspended, which could then be reimbursed by the insurer.
Published on September 12, 2025
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