Health Secretary Bikash Devkota has said that insurance claims worth around Rs 2 billion are received every month and that it needs to be managed.
We use Google Cloud Translation Services. Google requires we provide the following disclaimer relating to use of this service:
This service may contain translations powered by Google. Google disclaims all warranties related to the translations, expressed or implied, including any warranties of accuracy, reliability, and any implied warranties of merchantability, fitness for a particular purpose, and noninfringement.
The government is going to take strict action to control irregularities and abuses in the health insurance system.
Health Secretary Bikash Devkota has said that insurance claims worth about 2 billion rupees are coming every month and that it needs to be managed.
'Insurance claims worth about 2 billion rupees are coming every month,' he said, 'It is important to understand why so many claims are coming to manage it.' Devkota mentioned that the Insurance Act 2074 has linked health care to the fundamental right. 'Health-related issues are included in insurance under the constitutional fundamental right,' he said. According to him, since budgets are also being spent for basic health care from the provincial and local levels, duplication has been seen in some cases.
'On the other hand, budgets are being spent for basic health care from various sources at the provincial and local levels,' he said, 'This has created duplication in some cases.'
Devkota also said that the misuse of insurance is increasing. 'Some patients have a mentality of doing a 'whole body checkup' or using the insurance amount of up to one lakh rupees in any way,' he said. According to him, the insurance amount should be used only in difficult situations, but now it is being used unnecessarily for tests. 'That money is not to be spent in normal situations, it is kept by the state to help in difficult times,' he said.
Devkota also mentioned that the rate management of hospitals is also problematic. 'It seems that the rate is determined by mixing the rates of private and government hospitals,' he said.
