Healthcare Financing | Praxis Global Alliance x NATHEALTH

A conceptual representation of how financial flows are enabling broader healthcare access, blending clinical environments with digital data layers to reflect the evolving health financing ecosystem. India’s healthcare ecosystem, currently ~USD 300B, has the potential to grow into a USD 1T opportunity by 2030 if structural challenges across financing, insurance coverage, and infrastructure are addressed.
The report highlights the need for stronger risk pooling, digital integration, and better alignment between payors, providers, and regulators to build a more patient-centric healthcare system.

Strengthening health financing will be a key lever to improve access, quality, and sustainability of healthcare in India.

Speaking on the launch at NATHEALTH 12th Annual Arogya Bharat Summit 2026, Aryaman Tandon, Managing Partner & Co-Founder at Praxis Global Alliance, said, "India stands at a defining moment in its healthcare journey. We have built a cost-competitive, technology-enabled, and clinically sophisticated delivery ecosystem but its potential is constrained by a financing architecture that remains fragmented, under-penetrated, and insufficiently aligned with outcomes. With ~430 million Indians uncovered / ineligible for public coverage and out-of-pocket expenditure at nearly half of all health spending, the human and economic cost of inaction is immense. This report lays out a sequenced, evidence-based reform agenda that can move India from a system built around sickness to one designed for wellness and from fragmented risk pools to a universal, interoperable financing ecosystem. The opportunity is significant: a US$ 700 billion healthcare market by 2030, generating millions of quality jobs, and positioning India as one of the world's most compelling healthcare destinations."

Echoing similar views, Dr. Sangita Reddy, President Elect - NATHEALTH & Joint Managing Director -Apollo Hospitals added "India has already demonstrated a unique global advantage: the ability to deliver world-class clinical outcomes at nearly 1/5th of global costs. However, to sustain this 'Indian model' of high-value healthcare, we must evolve our financing architecture. The next phase of our growth depends on how effectively we expand insurance penetration and encourage innovative funding models that support preventive care. The NATHEALTH thought leadership report provides a practical roadmap to move from a fragmented system to an interoperable financing ecosystem, ensuring that India remains the world's most compelling destination for affordable, high-quality healthcare."

Adding to this, Ameera Shah, President NATHEALTH and Promoter & Executive Chairperson, Metropolis Healthcare Ltd said  “Despite our progress, nearly 44% of health expenditure in India still comes directly from the patient's pocket, and over 400 million people, the 'Missing Middle'- remain without effective coverage. NATHEALTH's thought leadership report is a wake-up call to create more inclusive financing models. By expanding private insurance penetration and leveraging digital health infrastructure, we can reduce the financial shock of medical emergencies for millions of families. Our goal is to ensure that world-class diagnostics and treatment are not just available, but are also affordable and accessible to every segment of society”