India’s health insurance and healthcare delivery ecosystem is at a defining moment. The rising burden of cardiovascular disease, including earlier onset and longer disease trajectories, is increasing the need for insurance models that go beyond episodic, hospitalization-based coverage. This special report examines how India can evolve toward patient-centric, financially sustainable care that supports prevention, early intervention and long-term disease management.
Drawing on stakeholder perspectives across insurance, healthcare delivery, regulation, medtech, patient advocacy and health economics, the report identifies practical pathways to align incentives across insurance design, payer-provider partnerships and reimbursement.
Key priorities include expanding continuum-of-care coverage for chronic conditions, reducing payer-provider friction through standardized clinical pathways and digital workflows, and moving from cost-based procurement toward value-based models that reflect clinical outcomes, affordability, equity, feasibility and patient experience.
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