Health insurance as the primary form of universal health coverage (UHC) has gained widespread acceptance in India. The digital revolution has paved the way for potential reforms, drawing inspiration from the United States model while adapting it to suit India’s unique healthcare landscape. The recent entry of a notable healthcare chain into comprehensive health insurance, combining insurance and healthcare provision under one umbrella, has sparked discussions on the potential of managed care organizations (MCOs) in India. This article delves into the background, evolution, and feasibility of MCOs within the Indian healthcare system, particularly in the context of extending universal healthcare coverage.