Unpacking grievance redressal as if empowering patients matters: The Agrievoice realist evaluation of government-funded health insurance schemes in India

Duration of project

Jan 2022 to july 2023

The last decade has seen an exponential increase in the number of government-funded health insurance schemes in India as well as the number of individuals who have been protected under these schemes. The only channel that the beneficiaries have for expressing their concerns and suggestions is through a grievance redressal mechanism.

It is expected that this study will help in understanding the effectiveness of grievance redressal in assisting the beneficiaries in articulating their grievances and thereby helping the scheme managers in strengthening the scheme.

To study the role of grievance redressal mechanisms in providing a voice to the beneficiaries in government funded health insurance schemes in India.

We propose to describe the workings of grievance redressal mechanisms in two different configurations of GFHI schemes in differing policy contexts, document how they function and to what extent they are useful in providing a voice to the patients. Using a realist evaluation approach, we shall conduct in-depth studies of two Indian GFHI schemes one a hybrid model and another a Trust Model.