Securities and Exchange Commission of Pakistan issues draft Regulations for Third Party Administrators
Karachi, August 05 2013 (PPI-OT): Pakistan is among the developing countries where health insurance penetration is one of the lowest, even if compared with its peer countries. The reasons for this dismal landscape may be due to a variety of factors such as less developed health and hospitals infrastructure, low disposable incomes and a severe lack of awareness.
One of the effective ways to access healthcare facilities by such a large population is through health insurance, which not only endeavours to provide quality care but also attempts to minimize the government’s expenditure on healthcare by transferring the risks to insurance sector.
In its quest to promote health insurance in the country, the Securities and Exchange Commission of Pakistan (SECP), after detailed deliberations with the stakeholders, has proposed the draft regulations for Third Party Administrators (TPA) for supporting the health insurance business.
Conceptually, a TPA is a business unit which processes medical insurance claims on behalf of insurers, often regarded as ‘outsourcing’ where certain tasks and administration activities can be performed in a much efficient and low-cost manner, thus resulting in the overall profitability of the business with improved customer services.
The emergence of TPA in Pakistan, like many other comparable countries, is expected to play an important role in developing the health insurance market and ensuring better services to insurance policyholders.
In order to elicit the public opinion and comments, the SECP has issued the draft TPA Regulations, 2013, which are also available on its website. At the publication of these draft regulations, Mohammed Asif Arif, Commissioner, Insurance, said that the emergence of TPAs in Pakistan is expected to play an important role in the health insurance market by ensuring better services to policyholders as the presence of TPAs is expected to result in addressing the cost and quality issues of the vast number of private healthcare providers in Pakistan by infusing modern management systems and enrichment of knowledgebase of managing healthcare services.
For more information, contact:
Shakil Ahmad Chaudhary
Head, Internal and External Communication
Securities and Exchange Commission of Pakistan (SECP)
NIC Building, 63 Jinnah Avenue, Islamabad
Tel: +9251 921 4005 or 921 4009 (Ext. 378)
Fax: +9251 920 6459
Cell: +92302 855 2254