MR Microinsurance_2012_03_29.indd - International Labour ...

324 Insurance and the low-income market
Figure 15.5 Client value PACE analysis, India
Experience
Product
Cost
Access
RSBY ICICI Yeshasvini PWDS SEWA Uplift
Product 3.2 3.8 3.0 2.9 2.4 3.6
Access 2.6 3.0 2.7 3.4 4.4 4.3
Cost 4.9 4.3 2.6 2.3 2.7 2.9
Experience 2.7 3.1 3.3 2.7 3.7 3.6
Interestingly, as with Kenya, the most “balanced” client value is provided by a
community-based scheme. As described in Box 15.5, Uplift scores well on the
PACE framework mostly because of value-added services, quality care management,
systematic client education eff orts and outstanding customer care.
VimoSEWA is very close to Uplift in several dimensions except for product, as
benefi ts are the lowest among the Indian schemes. At the same time, VimoSEWA
has been fi nancially viable for several years now, 6 while Uplift is still dependent
on donors, which suggests that the value-added benefi ts provided by Uplift
might not be realistic for a market-based scheme. Premium increases might be an
option to improve viability as most of the schemes reviewed in India are below
the willingness-to-pay threshold for health insurance.
6 But performance has not been validated with insurers carrying the risk for the scheme.
RSBY
ICICI
Yehasvini
PWDS
SEWA
Uplift