AHPI noted that rates had not been revised by Bajaj Allianz for many years, which led to unnecessary financial stress in hospitals | Photocredit: Triloks
The impasse between the Association of Healthcare providers of India (AHPI) and Bajaj Allianz General Insurance Company on Cashless Health Insurance has been resolved for the time being, with AHPI to suspend these services that would start on 1 September.
The decision follows at a meeting between representatives on both sides, to the great postponement of different policyholders. “Bajaj Allianz agreed to submit formal actions to AHPI by September 29, 2025,” said Ahpi, referring to the controversial issues mentioned for discussion between the two.
In response to the latest development, Bajaj Allianz General Insurance Managing Director and CEO Tapan Singhel said: “We are happy that the case has been resolved in the interest of policyholders and citizens who should never be confronted in their access to Cashless Healthcare. Cashless Access is never in the backbone of the Backbone and Must and Must.
Singhel, also chairman of the General Insurance Council, said that insurers have always worked directly with hospitals to tackle operational realities. “And we will continue to do this in a spirit of partnership,” he added. According to him, the episodes of this nature only strengthen the urgent need for a “strong health ruler” that have been presenting general insurance companies and independent health insurance policies (Sahi’s) for a while to protect the interests of citizens and to guarantee “transparency and fairness” in the care ecosystem.
“Every stakeholder, including hospitals insurers and policy makers, must work together, not just to maintain uninterrupted services, but to build continuing trust. Our leading principle has always been simple and clear, citizens must come first and their right to quality health care must always be protected,” Singhel be.
Controversial problems
One of the issues about the eight -pointed agenda of AHPI was “new empire ment”. AHPI claimed that insurers Empaneling delayed new hospitals with “endless discussions and commercial negotiations … Recently the GIC (General Insurance Council) has been switched on by the common empanel process,” said it.
Another repeated chorus from the care providers is that “insurers have not revised rates for years, which leads to unnecessary financial stress on the hospitals.” AHPI members “are threatened that, unless they lower the rates, moneyless services are stopped. The insurers are coming together – clearly together with each other and use collective negotiations to put pressure on the hospitals,” the association claimed.
The association further claimed that “member hospitals are confronted with offenses at the time of payments and settlements.” During cashless authorization, for example, “certain items such as implants are left open. When the bill is presented, even for implants with renowned manufacturers, the costs are disputed and subtractions for the differential costs.”
The association also pointed to advanced interventions and said that “insurers dispute payments with regard to new medical technologies such as robotics and new age cancer.” ‘
The association touches on clinical decisions of doctors, said: “Insurers are increasingly questioning the clinical decisions of the treatments doctors, so that the use of cheaper medicines/ implants insists, which may not be in the interest of the patient.”
Insurers are often problems “pre-auths, who determine that hospitals cannot charge patients with consumables, etc., for which they do not want to pay themselves,” said the AHPI.
An important statement was that AHPI members hospitals’ were threatened with cash -free services on frivolous grounds, “it said. Girdhar Gyani, director-general of AHPI, called on insurers to revise “outdated rates”, set up transparent complaints mechanisms and respect clinical autonomy.
Published on August 29, 2025
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