Topics
250 words
Topic

Health Insurance

Health insurance is a financial mechanism that covers the cost of medical and surgical expenses incurred by the insured, functioning through a risk-pooling model where premiums are paid to an insurer to mitigate the financial burden of unpredictable health crises.

Why it matters

  • Reduces out-of-pocket expenditure which is a primary driver of poverty in developing economies.
  • Enhances access to quality healthcare services by providing a safety net for expensive medical treatments.
  • Promotes the financial sustainability of healthcare providers by ensuring a steady stream of payments for services rendered.
  • Supports the transition from a curative-focused healthcare system to one that encourages preventive care and early diagnosis.

How it is asked

Focus on the role of insurance in achieving Universal Health Coverage (UHC), the distinction between public-funded and private insurance models, and the regulatory challenges faced by the Insurance Regulatory and Development Authority of India (IRDAI) in ensuring consumer protection and market penetration.