insurance industry Archives

3 March 2026

Malaysia

LIAM Alleges Average Medical Insurance Claim Only RM12,000

In defending the RM100k annual limit under the Base MHIT plan, LIAM claims that the average medical claim is only RM12,000, even though many ITOs in the insurance industry regularly tout policies with RM1m or higher annual limits for medical emergencies.

21 January 2026

Letter

Resetting The Health Insurance And Private Hospital Business In Malaysia — Dr Mohamed Rafick Khan

Dr Rafick Khan proposes forming a National Health Financing Administration to roll out a National Contribution Fund and an assurance benefit scheme. Public hospitals must be corporatised and serve as service providers alongside private hospitals.

9 January 2026

Letter

Rising Medical Insurance Premiums: Context, Claims, And The Test Of Justification — Kok Mun Sum

Until insurers can show that cost drivers are unforeseeable, permanent, and assessed holistically, and that risk is allocated in a balanced manner, premium hikes remain an assertion, not a conclusion.

6 January 2026

Letter

When Silence Speaks: Regulatory Oversight, Market Conduct, And Insurance Contracts In Malaysia — Kok Mun Sum

If regulatory silence continues, the principle of certainty that underpins Malaysia’s insurance market will continue to erode, leaving consumers unprotected and trust in the system severely compromised.

5 December 2025

Malaysia

MPs Demand Regulation Of Health Insurance For Fairer Claims Process

Two PN MPs want strict rules imposed on health insurance, such as claims processing deadlines and limits on document requests, to prevent delays. ITOs mustn't be allowed to deny coverage if pre-existing conditions aren't related to an admission diagnosis.

6 November 2025

Malaysia

MOF: Insurers And TPAs ‘Have No Power’ To Decide Patient Care

Deputy Finance Minister Lim Hui Ying says insurers and TPAs have “no power” to decide patient care and only assess claims. She said treatment decisions are the “exclusive responsibility” of doctors despite complaints of insurer interference in clinical decisions.

28 October 2025

Malaysia

MMA Wants MMC Ethical Advisory On Insurers Blacklisting Doctors, Interference In Medicine

MMA urges the Malaysian Medical Council (MMC) to issue a new ethical advisory to address ITO/TPA blacklisting of doctors and interference in clinical care. Ethical exclusion from practice must remain under MMC's jurisdiction, not outsourced to companies.

28 October 2025

Letter

Insurance Approvals And Neurosurgical Patients — Dr Vicknes Waran

Neurosurgeon Dr Vicknes Waran criticises insurance exclusions of "congenital" conditions, saying neurological issues are silent at birth and only manifest decades later. "The mere mention of the word 'cyst' or 'hydrocephalus' almost guarantees a denial."

27 October 2025

Malaysia

TMC Admits ‘Hard’ Balancing Act Between Health Care Providers, Payers

TMC Life Sciences says premium caps and cost pressures have pushed insurers to tighten controls, affecting hospital-insurer negotiations. The group says the industry is trying to find balance as doctors report increased payer interference in treatment decisions.

24 October 2025

Malaysia

Bank Negara, MOH To Meet Medical Fraternity On MHIT Product

Amid widespread perception of ITO/TPA interference in medical practice, Bank Negara and MOH have invited MMA to an engagement session next Tuesday to update the medical fraternity on Reset, including the base MHIT product and other health care reforms.

Tag: insurance industry

LIAM Alleges Average Medical Insurance Claim Only RM12,000

Resetting The Health Insurance And Private Hospital Business In Malaysia — Dr Mohamed Rafick Khan

Rising Medical Insurance Premiums: Context, Claims, And The Test Of Justification — Kok Mun Sum

When Silence Speaks: Regulatory Oversight, Market Conduct, And Insurance Contracts In Malaysia — Kok Mun Sum

MPs Demand Regulation Of Health Insurance For Fairer Claims Process

MOF: Insurers And TPAs ‘Have No Power’ To Decide Patient Care

MMA Wants MMC Ethical Advisory On Insurers Blacklisting Doctors, Interference In Medicine

Insurance Approvals And Neurosurgical Patients — Dr Vicknes Waran

TMC Admits ‘Hard’ Balancing Act Between Health Care Providers, Payers

Bank Negara, MOH To Meet Medical Fraternity On MHIT Product

Report: Treasury Wants RM3b Cut To Health Ministry’s 2026 Budget

Newcastle University Admits Malaysia Medical Graduates Deprioritised For UK Training

Health Workers Brace For Death By A Thousand Cuts

Dzulkefly Expects 10% Cut To Health Ministry’s Budget

Unfair Treatment At HTJS — Houseman