Together for Health · Stand with Science
World
Health Day
What data tells us about India’s healthcare system.
The Data
What 11 Lakh Claims Tell Us About India
The volume is growing. But what matters more is what the data inside those claims is telling us about India’s health system.
11.2%
Year-on-year growth in claim volume
3.6 days
Avg. length of stay per admission
~66%
of total claimed amount comes from just 5 cities in India
Coverage is widening across India. But where care is accessed and claimed remains deeply concentrated. The rest of India has significant room to grow.
IHX Internal Claims Data*
Top Conditions
Five Diagnoses. One Larger Story.
Top 5 most frequently claimed hospital conditions in India — and what each one reveals about the system.
1
Coronary Artery Disease
Often begins with missed screening — preventable with earlier intervention.
2
Acute Lower Respiratory Infection
Frequently manageable before admission — signals gaps in outpatient care.
3
Caesarean Delivery
Reflects care pathway coordination gaps across maternal health.
4
Fever / Unspecified Admission
Signals late escalation in primary care — too many cases reaching hospitals unnecessarily.
5
Age-Related Cataract
Reflects an ageing population’s unmet preventive and elective care needs.
IHX Internal Claims Data*
The Honest Picture
Progress is Real. So Are the Gaps.
What Has Improved
OOP Expenditure
Down from 64.2% to 39.4% over the last decade
Health Spending
18% CAGR between 2021 and 2025
Lives Insured
580 million and growing year on year
Insurance Premium
Rs. 1.27 lakh crore in FY25
What Still Needs Work
Insurance Coverage
Only 37% of Indians are covered
Hospital Bed Availability
0.6 per 1,000 people vs recommended 2
OPD Adoption
Growing at 35% YoY but still nascent
Geographic Access
66% of claimed amount from just 5 cities
Source: Publicly Available Data*
The future of healthcare will not be built only by paying claims better.
It will be built by using data, science, and ecosystem collaboration to prevent avoidable hospitalisations in the first place.
Together for Health · Stand with Science