AI Snips
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Private Sector Dominance in Healthcare
- Indians overwhelmingly use private hospitals, despite lower public sector costs.
- This high private sector utilization exposes households to substantial financial risk.
Pricing Challenges in Insurance Programs
- India's health insurance programs use prospective payment systems with fixed service rates.
- These fixed rates create pricing challenges and potential for hospital manipulation.
Hospital Behavior and Market Competition
- Private hospitals engage in upcoding and charge out-of-pocket expenses, despite free insurance.
- This behavior is more prevalent in less competitive markets where hospitals have more power.