Swasth Alliance, a collaboration of 92 health, tech, and healthtech organisations such as iSPIRT, Boston Consulting Group, 1MG, Pharmeasy, etc. has released a set of specifications for its draft health claims data exchange (HCX). Proposed under the Pradhan Mantri Digital Health Mission (PM-DHM), formerly known as the National Digital Health Mission, the HCX looks to facilitate the filing of requests and the disbursement of health insurance. The draft strategy for the PM-DHM, released in 2020, had mentioned the creation of a health claims platform as one of its objectives. In its consultation paper, the Swasth Alliance has not just laid down technical specifications of the proposed HCX but also presented guidelines for governance and grievance redressal processes. The full consultation paper can be viewed here. Stakeholders can submit their comments to the Alliance until October 8 at email@example.com. Summary of the HCX specifications Who can participate in the exchange? Provider: This would be the health service provider such as a hospital. Payor: This would be the insurance service provider. Agency: A third-party administrator acting on behalf of the payor. Regulator: Regulatory bodies like the Insurance Regulatory and Development Authority and the Insurance Information Bureau of India will be a part of the exchange. Research bodies: This would include research groups. E-commerce participants: E-commerce platforms facilitating insurance adoption like PolicyBazaar. Scheme sponsors: Scheme owners of specific programmes, e.g. NHA for Ayushman Bharat Other HCXs: Other health claims exchanges could be involved and interact with each other in the following circumstances: When a provider is onboarded in a gateway…
- Epic Games appeals Apple App Store verdict at US Supreme Court September 28, 2023
- Writers Guild of America succeeds at limiting the use of AI in film and TV writing September 28, 2023
- Special Newsletter: MarketsNama – September Edition September 28, 2023
- Kerala Government Insists On Submission Of Aadhaar For Digital Land Survey September 28, 2023
- Medianama Daily: India’s Finance Ministry Notifies New Angel Tax Rules For Valuing Investments In Startups September 28, 2023
MediaNama’s mission is to help build a digital ecosystem which is open, fair, global and competitive.
Factors like Indus not charging developers any commission for in-app payments and antitrust orders issued by India's competition regulator against Google could contribute to...
Is open-sourcing of AI, and the use cases that come with it, a good starting point to discuss the responsibility and liability of AI?...
RBI Deputy Governor Rabi Shankar called for self-regulation in the fintech sector, but here's why we disagree with his stance.
Straw man fallacy: IT Ministers’ defence of government exemptions in data protection law misses the point
Both the IT Minister and the IT Minister of State have chosen to avoid the actual concerns raised, and have instead defended against lesser...
The Central Board of Film Certification found power outside the Cinematograph Act and came to be known as the Censor Board. Are OTT self-regulating...
Please subscribe to MediaNama. Don't share prints and PDFs.
You May Also Like
Google has released a Google Travel Trends Report which states that branded budget hotel search queries grew 179% year over year (YOY) in India, in...
135 job openings in over 60 companies are listed at our free Digital and Mobile Job Board: If you’re looking for a job, or...
Twitter takes down tweets from MP, MLA, editor criticising handling of pandemic upon government request
By Aroon Deep and Aditya Chunduru You’re reading it here first: Twitter has complied with government requests to censor 52 tweets that mostly criticised...