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Democratizing health insurance: The transformative role of technology

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India’s pursuit of universal health care—ensuring every individual has access to affordable, high-quality care—remains a key priority. The Insurance Regulatory and Development Authority of India (IRDAI) has set a clear target to achieve “Insurance for All by 2047”, which aims to provide comprehensive coverage to every citizen, including those in remote and underserved regions. Expanding access to insurance is crucial for strengthening our country’s social safety net, addressing inequality, and building a more resilient society.Technology plays a vital role in making insurance more accessible, affordable, and efficient as India works toward its 2047 goal. Key technology themes include a) automation and artificial intelligence that streamline administrative processes and reduce operational costs, b) data insights that allow for tailor-made products to meet individual needs and c) that enhances the reliability of insurance transactions. (TPAs) have gained prominence in this transformation, optimizing consumption within the insurance ecosystem through technology. It helps interpret vast amounts of data, streamlining the claims process in real time and reducing the time taken for hospital admission or discharge. Real-time, on-demand capabilities enhance the policyholder experience, reduce grievances, and contribute to the trustworthiness and reliability of the industry.For example, technology automates the authorization process for hospital admission and hospital discharge.

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