India's health insurance losing ₹10,000cr a year to fraud
India's health insurance industry is taking a big hit—losing up to ₹10,000 crore every year thanks to fraud, waste, and abuse.
According to a new report shared at the Raksha Summit 2025, scams like fake hospital admissions and splitting up treatments are driving up costs and making premiums more expensive.
The average claim size has jumped 40% in just five years.
Tech steps in: AI and stricter checks
To fight back, experts suggest using AI for real-time fraud detection and connecting systems like Ayushman Bharat Digital Mission (ABDM) for better oversight.
New IRDAI guidelines also require insurers to set up special committees focused on catching fraud.
Cutting down on these losses isn't just about saving money—it's key for building trust and making health insurance work better for everyone.