Market guide

Healthcare consultancy in India for private hospitals and clinics

India's private sector delivers a large share of the country's hospital and outpatient care, and much of its growth is now outside the largest metros. Multispecialty hospitals, day-care centres, diagnostics chains and single-specialty clinics are opening in fast-growing cities such as Indore as well as in Delhi NCR and Mumbai, backed by promoter groups, doctors and investors. As a healthcare consultancy in India, Tulazai Health brings the planning discipline it built in the Gulf to these projects, working from its Dubai headquarters and its India operations office in Indore.

The difficulty in India is that regulation is layered. Doctors register through their state medical council within the National Medical Commission framework, facilities register under state law or under the Clinical Establishments Act where a state has adopted it, and a hospital also needs bio-medical waste authorisation, a fire NOC, AERB licences for imaging, PC-PNDT registration for ultrasound and a drug licence for its pharmacy. Revenue then depends on a mix of cash patients, private insurers and TPAs, and government schemes such as Ayushman Bharat PM-JAY, each with its own empanelment rules and claims habits.

The rules of the ground

Who regulates and pays in India

Insurance and claims

IRDAI regulates health insurers and the third-party administrators that process many of their claims. For a private hospital, cashless access to a patient's policy depends on empanelment with each insurer or TPA network and on agreed package tariffs, and claims are increasingly moving onto the National Health Authority's National Health Claims Exchange (NHCX). Government schemes form a second channel: Ayushman Bharat PM-JAY and the state schemes that run alongside it, plus CGHS and ECHS panels for central government and ex-servicemen beneficiaries. Each payer has different rates, documentation and payment timelines, so the right mix is a commercial decision taken at setup, not after opening.

NMC (National Medical Commission)

Regulates medical education and practice nationally and maintains the national medical register, while state medical councils register the doctors who practise in each state.

NABH (National Accreditation Board for Hospitals and Healthcare Providers)

A board of the Quality Council of India that accredits hospitals, clinics and small healthcare organisations, with entry-level standards that give smaller facilities a realistic first step.

IRDAI (Insurance Regulatory and Development Authority of India)

Regulates health insurers and third-party administrators, including the rules on cashless treatment, claims settlement and the networks through which private hospitals receive insured patients.

NHA (National Health Authority)

Runs Ayushman Bharat PM-JAY with the State Health Agencies, leads the Ayushman Bharat Digital Mission and operates the National Health Claims Exchange used for insurance claims.

Services

How we help providers in India

Clinic & Hospital Setup Consulting

We work as hospital setup consultants for clinics, day-care centres and small hospitals: demand and catchment study, service mix, site selection, space planning to NABH and state norms, equipment list, staffing and an opening sequence that runs registrations, fit-out, recruitment and payer empanelment together rather than one after another.

Facility Licensing & Approvals

We map every registration your facility needs, from state clinical establishment or nursing home registration to bio-medical waste authorisation, fire NOC, AERB, PC-PNDT and the pharmacy drug licence, then prepare and track each file. Where you want accreditation, we act as NABH consultants for entry-level or full standards. Approvals are granted by the authorities; we make sure the files reach them complete.

Insurance Empanelment & Networking

We plan TPA empanelment and direct insurer tie-ups around the employers and policies in your catchment, prepare empanelment documents, negotiate package tariffs and support scheme empanelment for PM-JAY, state schemes, CGHS and ECHS where they fit your services. Insurers, TPAs and scheme authorities decide who joins their networks.

Revenue Cycle Management

We set up the revenue cycle for a mixed payer base: cashless pre-authorisation, discharge documentation, claim submission including NHCX where insurers use it, scheme claims on their own portals, query responses and a deductions and denials log by payer. Owners get a clear monthly view of billed, pending and settled amounts.

Digital Health & Healthtech Advisory

We help providers take part in the Ayushman Bharat Digital Mission properly: Health Facility Registry and Healthcare Professionals Registry enrolment, ABHA linking at registration and software that can exchange records with the ABDM network. We also review consent, access and retention practices against the Digital Personal Data Protection Act, 2023.

Frequently asked questions

What does a healthcare consultancy in India do for a new hospital or clinic?
We plan the service mix and site, map and prepare the registrations the facility needs under state and central rules, support NABH preparation, and set up TPA, insurer and scheme empanelment so the facility can admit insured patients soon after opening. Tulazai Health manages the process and the paperwork; licences and empanelment are decided by the authorities and payers.
Is NABH accreditation mandatory for private hospitals in India?
In general it is voluntary, but it matters commercially. Insurers often look for it when agreeing tariffs, and some government schemes pay higher package rates to accredited hospitals. NABH also offers entry-level and small healthcare organisation standards, which make a first step realistic for smaller facilities. We help decide which level fits and prepare the facility for assessment.
Which law governs clinic and hospital registration in India?
It depends on the state. States that adopted the Clinical Establishments (Registration and Regulation) Act, 2010, such as Haryana, register facilities under it. Others use their own laws, for example Madhya Pradesh's 1973 Act on nursing homes and clinical establishments and Maharashtra's Bombay Nursing Homes Registration Act, 1949. We confirm the applicable route before any file is started.
Where does Tulazai Health work in India?
Our India operations office is in Indore, and we have worked with healthcare providers in Indore, Gurugram and Mumbai. We take on projects elsewhere in India where the scope suits a consultancy engagement, and our Dubai team supports clients planning across India and the GCC.

Complimentary 30-minute call

Talk it through with a senior consultant.

Tell us where your facility is today and where you want it to be. You leave the call with a clear next step.