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@article{186605,
        author = {Dr. S. NARENDER REDDY},
        title = {IRDAI Role in Regulating Health Insurance in India : A Policy and Governance Perspective},
        journal = {International Journal of Innovative Research in Technology},
        year = {2025},
        volume = {12},
        number = {6},
        pages = {2176-2182},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=186605},
        abstract = {The health insurance industry in India has undergone considerable changes in the last twenty years, primarily driven by the regulatory and developmental efforts of the Insurance Regulatory and Development Authority of India (IRDAI). This research intends to thoroughly examine the regulatory framework set forth by IRDAI that oversees the operations of the health insurance sector, ensuring adherence to regulations, financial soundness, and protection for consumers. 
Additionally, it investigates the policy measures introduced by IRDAI aimed at increasing health insurance coverage, affordability, and accessibility, as well as initiatives designed to protect the interests of policyholders through standardized products, digital advancements, grievance resolution systems, and clear operational guidelines. Moreover, the study assesses the effectiveness of IRDAI’s governance structures in fostering transparency, accountability, and fair practices among insurers. The focus is on the Authority’s role in promoting ethical market behavior, standardizing policy formats (such as Arogya Sanjeevani), enforcing portability and renewal standards, and enhancing grievance resolution through the Integrated Grievance Management System (IGMS) and the Insurance Ombudsman. 
The research adopts a descriptive methodology, utilizing insights from IRDAI reports, regulatory frameworks, and secondary data sources to evaluate outcomes such as claim settlement ratios, consumer satisfaction, and trends in market growth. The findings indicate that IRDAI’s regulatory and policy frameworks have greatly enhanced the credibility, inclusiveness, and transparency of India’s health insurance landscape. Nevertheless, challenges remain in achieving greater penetration in rural areas, affordability for low-income populations, and efficient claim processing. The study concludes by emphasizing the necessity for adaptive regulatory reforms, improved digital governance, and increased consumer awareness to ensure sustainable development and equity within the Indian health insurance sector.},
        keywords = {IRDAI, Regulating Framework and Health Insurance Sector.},
        month = {November},
        }