Biju Soman
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The Economic Impact of Government Sponsored Health Insurance Schemes on a Tertiary Care Multispeciality Hospital in South India Sri Theja Karra; Rajesh Kamath; Charan Tej Koyi; Renu Mirchandani; Kamath Madhusudana; Biju Soman
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 1 (2022): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i1.17427

Abstract

The number of people registered with health insurance schemes has increased from 161.2 million(2011-12) to 335 million(2016-17), which is two-fold in just 5 years.1 As per the forecasts regarding the increase in healthcare insurance market in India, it is evident that the hospitals have to face the management of patient costs through the insurance schemes in large numbers as the number of claims will increase eventually. With the present condition of schemes reimbursing the claims with a huge time lag of about 3-4 months, the hospital have to carry the burden of opportunity costs lost on these claims.2 This indicates the responsibility hospital administration should have to face the ever increasing claims and manage them without incurring loss. This study was intended to do a cost analysis between surgical procedures performed under two categories, Aarogyasri Health Insurance Scheme, A Government Sponsored Health Insurance Scheme in the state of Andhra Pradesh and Cash category, where patients do not hold any insurance policy and pay by cash all the hospital expenses. On the basis of revenue generated the top 15 procedures under Insurance scheme are determined and costing is done using Activity Based Micro Costing method. Costing is done for the determined 15 procedures under both the categories of payment modes. The results are compared to evaluate the economic impact of the health insurance scheme on hospital.
How do the Government and More than 1.3 Billion People Stand Against the COVID-19 Pandemic in the World’s Largest Democratic Country? A Comprehensive Reflection from India, in a Public Health Perspective Biju Soman; Aswathi Raj L; Ranjitha S Shetty; Lena Ashok; Jasna T
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14678

Abstract

Background- Coronavirus disease (COVID-19), which is caused by deadly novel corona virus has devastatedthe world causing a morbidity rate of more than 64 million and mortality rate of 1.5 million. India, being aLower Middle-Income Country (LMIC) with a GNI per capita of nearly $2000, has proactively institutedvarious containment strategies. India has witnessed the effectiveness of primary prevention strategies infighting various health problems in the years gone. The most worrying factor was about community spreadof the pandemic, which would cause the spread of illness uncontrollable. Economic analysts had forecastedif appropriate strategy on containment of coronavirus is not initiated, the country would regress back to 20years, in terms of economy and healthcare. This scoping review throws light into the efficacious preventivestrategies adopted by India to fight COVID-19 pandemic and attempting to reduce mortality and morbidityrate, to flatten the illness curve.Methods- We used a wide range of scientific database and news reports to conduct an extensive review onIndia’s fight against COVID-19. Articles which has been published from January to November 2020 werereviewed and pooled the data to write this review.Conclusion- Containment strategies are the key for prevention of any contagious illness. COVID-19 beinghighly contagious, and infecting millions of populations, is successfully being controlled in India to reducethe cases. The Case Fatality Ratio (CFR) of COVID-19 is very low in India, compared to other countries.