A Gender Specific Study Of Age And Days Of Hospitalization On Indian Health Insurance Claims Data

Abstract

There is an increment in medical access by the population in India with health insurance. The relation between the age, days of hospitalization, and claims impacts the insurer's performance. Results have varied across the genders. Claims have positive relationships with age. At the same time, age is found to have a negative association with hospitalization. Cataract and eye-related have formed significant treatments for the aged people and hence had high claim amounts and low hospitalization. Pregnancy and childbirth incurred high treatments for the mid-aged women and therefore had average claims amounts with higher hospitalization days. Young adults were treated for typhoid, communicable diseases, and digestive system issues with higher hospitalization days. Awareness campaigns etc., would help young adults to prevent transferable and digestive system issues. Similarly, the focus of physical exercises and a balanced diet for middle-aged insured would help prevent diseases related to the circulatory system. These proactive steps of insurer might help in lower the claims burden of the insured.