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ICICI Securities Report
Insights for the health insurance industry and in particular third party administrator segment from our analysis of Medi Assist Health Services red herring prospectus are-
1. TPAs are a play on aggregate health insurance growth including segments like pubic insurers, group health and public health schemes;
2. the choice for the last mile (claim servicing) to the insured between TPA and insurers will depend upon respective strength of hospital networks, ability to negotiate tariffs and digital capabilities;
3. the relationship between insurers, TPA and hospitals will only deepen going ahead leading to innovation in products, wider coverage and lower frauds.
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