Frauds drain ₹10K cr from health insurers annually: BCG

INDIA'S HEALTH INSURANCE system is losing around ₹8,000-10,000 crore annually on claim-payout leakages arising from fraud, waste and abuse (FWA), according to a report by Boston Consulting Group (BCG) and Medi Assist Healthcare, the country’s largest health insurance third-party administrator.

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The report notes that fraudulent practices and fake claims inflate premiums, erode insurer margins, and strain public resources. “Fraudulent behaviours, process inefficiencies, and policy violations have become embedded across the value chain. Rather than isolated incidents, these practices are now systemic and rising,” the report said.