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Private hospitals call for regulatory body for health insurance payments
Free Malaysia Today
Follow
9/18/2023
Former deputy health minister Dr Lee Boon Chye has backed the establishment of a regulatory body to oversee and manage reimbursements provided by health insurance companies.
Read More: https://www.freemalaysiatoday.com/category/nation/2023/09/19/lee-backs-call-for-regulatory-body-to-oversee-health-insurance-payouts/
Laporan Lanjut: https://www.freemalaysiatoday.com/category/bahasa/tempatan/2023/09/19/lee-sokong-badan-kawal-selia-bayaran-pampasan-insurans-kesihatan/
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Transcript
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00:00
These days, private health care and medical insurance are necessities rather than luxuries.
00:06
Those with such coverage take comfort in knowing they won't need to fork a lot of money to
00:11
receive treatment.
00:12
Nevertheless, some issues persist, according to Dr. Kujit Singh, President of the Association
00:18
of Private Hospitals Malaysia.
00:21
He says some private hospitals are having issues in claiming full reimbursement for
00:25
the treatment provided.
00:27
The reason is health care costs have gone up and the insurance companies may be having
00:32
difficulty in increasing the premiums.
00:35
Kujit says while certain procedures are subsidized by private hospitals, they cannot continue
00:40
to do so in the long term.
00:43
We are also having an increased health care cost in procuring equipment, maintaining staff,
00:50
keeping our standards and also returning back profits to our shareholders.
00:56
To protect the interests of patients and private hospitals, Kujit is now advocating for the
01:00
establishment of a regulatory body to oversee insurance payouts.
01:06
He says this will ensure access to private health care for insured patients.
01:10
Former Deputy Health Minister Lee Boon Chye agrees.
01:13
This should be ideally a regulatory authority over the conduct of the MCO so that if there
01:22
is any grievances, then that authority can be an arbitrator to arbitrate the payment.
01:33
And that authority also should have some role in ensuring that the MCO's conduct is ethical
01:44
and it is transparent and it is not sort of arbitrarily.
01:51
Presently, insurance companies are regulated by Bank Negara Malaysia.
01:56
In terms of a regulatory body, Lee says a two-pronged approach is needed, one to regulate
02:02
the financial aspect and the other to regulate health matters.
02:07
It could be a joint authority.
02:08
It means they are regulated by two authorities, one under Bank Negara as to the financial
02:17
dealing, I think Bank Negara has a requirement for them to ensure adequate capitalization
02:25
and policy and what policy they can come up with.
02:32
But on the medical part of it, I think it's better to be under Ministry of Health.
02:39
As a short-term measure, Kujit says closer cooperation with insurers would also help.
02:46
Cooperation will take time because the government will have to enact an act in Parliament in
02:51
order to have the regulation.
02:53
But if we can also work something out without having a regulation and working as partners,
03:00
I think that would be a better way for the time being.
03:04
Danish Rajareza, FMP News.
03:06
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