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How can demand-side financing alternatives for healthcare reduce Out of Pocket Expenditure (OoPE) for the Indian poor? Currently, 63% of total health spending in India consists of OoPE. As a share of private spending, OoPE is almost 90% and consists mainly of spending on medication, private hospitals, and diagnostics. High OoPE can often thrust the poverty-stricken into debt and catastrophic expenditure. This report by PAHAL uses five parameters to examine existing demand-side alternative financing options such as Alternative Lending, Insurance, and Health Savings Account in India. This research can be a key resource for donors and implementing organizations.