Supporting the Government of Bihar in Health Systems Transformation

Through its embedded Health Project Management Unit (PMU) with the Development Commissioner of Bihar, MSC is driving strategic, cross-sectoral reforms across the state’s health, education, and procurement ecosystems. Aligned with Bihar’s development priorities, this partnership shows how technical depth, institutional integration, and policy coherence can unlock scalable and sustainable public value. 

A key focus of MSC’s work has been the design of Public-Private Partnership (PPP) models to expand medical education infrastructure. The team has developed bid documents and operating frameworks for establishing medical colleges and hospitals across 11 greenfield and 13 brownfield sites. This initiative is expected to add nearly 2,300 MBBS seats to the state’s current capacity in government institutions and catalyze investments of approximately USD 430 million from the private sector and USD 95 million from the state government. 

In response to Bihar’s escalating cancer burden, where over 1,40,000 new cases are diagnosed annually and mortality exceeds 70,000 per year, MSC supported the government in taking a systems-level approach to cancer surveillance and care. This included the development of a policy proposal to designate cancer as a notifiable disease, supported by detailed epidemiological analysis, justification notes, and structured reporting formats. These efforts laid the foundation for establishing the Bihar Cancer Care and Research Society, to streamline cancer diagnosis, treatment, and registry functions across the state, creating a coordinated and patient-centric response to one of Bihar’s most pressing health challenges. 

The Gates Foundation commissioned the project. 

 

Provide strategic support to optimize operations for the India Post Payments Bank (IPPB)

The India Post Payments Bank (IPPB) sought to optimize its operations, enhance the adoption of digital financial services (DFS), and improve agent network efficiency. Given its extensive postal banking infrastructure, the IPPB sought to integrate API-driven FinTech solutions, digital lending models, and omnichannel payment products to better serve customers, particularly in rural and underserved areas.

The initiative focused on the expansion of DFS offerings, digitization of bulk payments and merchant transactions, and the integration of FinTech partnerships to enable digital credit solutions. At the time, payments banks in India were not allowed to provide loans directly. Hence, the IPPB needed strategic co-lending models and alternative financing solutions to bridge the credit gap for small businesses and individuals.

MSC played a strategic advisory role in evaluating the IPPB’s agent network performance, product distribution channels, and FinTech partnerships through a nationwide diagnostic study. We identified key areas for improvement within the IPPB’s operations and agent network. Based on these findings, we developed and implemented strategies to optimize agent operations with AI-driven tools to improve digital financial service delivery.

Additionally, MSC designed go-to-market strategies, pricing models, and distribution frameworks for the IPPB’s merchant platform, premium savings products, and gold loan offerings. The MSC team also advised the IPPB on the development of co-lending partnerships and ways to enable collaboration with NBFCs and digital lenders to offer credit-linked financial products to its vast customer base of 110 million account-holders.

MSC’s interventions have helped the IPPB expand its DFS ecosystem. Our efforts increased customer access to seamless digital payments, bundled savings accounts, and alternative lending solutions.

More than 66,000 postal agents have been motivated to offer a revival of dormant account services. More than 900,000 dormant IPPB accounts were revived last FY. This data-driven approach has also led to a behavioral shift for postal agents who now actively offer this service. It offers convenience to postal agents as they do not have to look for new customers and get exact data for the customer for the revival of the account. Since FY 2025, IPPB has removed the increased incentive for the revival of accounts, and still, the last-mile agents continue to revive approximately 2,000 accounts daily.

The Gates Foundation commissioned this project.

Driving financial inclusion through technology-led enterprise financing initiatives

MSC is partnering with the Small Industries Development Bank of India (SIDBI) to drive financial inclusion through innovative, technology-enabled enterprise financing solutions. The initiative is being implemented in close collaboration with National and State Rural Livelihoods Missions (NRLM/SRLMs), government-promoted financial institutions, FinTechs, payment banks, and other ecosystem stakeholders.

The objective of the project is to scale up enterprise financing through innovative products and channels, including digital platforms. This will include access to finance and business development advisory support to downstream women-owned microenterprises. MSC has a Project Management Unit (PMU) set up at the principal Financial Institution (FI) for the promotion, development, and financing of the MSME sector. PMU is responsible for the supervision of the design, development, and implementation plan to rollout innovative enterprise loan products. They develop the pilot test plan of the enterprise loan products, support the development of customized credit scoring models that include the new-to-credit (NTC) segment. They develop application prototype, defining the process flow, customer user journeys, and API integration required between the lender and partner apps. They also finalize customer documentation, monitor and review application testing, manage communication with the key stakeholders, monitor the progress of the pilot, review and fine-tune the product post the pilot launch and product rollout, and scale up. The FPS Sahay initiative was the flagship pilot under this project, designed to extend access to working capital through invoice financing for 60 fair price shops. MSC led the planning and rollout of this pilot, targeting fair price shop and corner shop entrepreneurs. As part of this, MSC also partnered with market aggregators to build a digital invoice financing setup, enabling seamless transaction processing and lender integration. Following the pilot’s success, the initiative is now being scaled to reach 0.5 million such entrepreneurs with working capital financing.

The FPS Sahay initiative is a flagship pilot under the PFICP-2 (Promoting Financial Inclusion through Community Platforms – Phase 2) project, where fair price shops (FPS) are the first cohort to benefit from embedded finance solutions.

The Gates Foundation commissioned this project.

Financial inclusion lab: Supporting FinTech for the underserved in India

With the Digital India initiative leveraging India Stack, fintechs have an unprecedented opportunity to design solutions that drive financial inclusion. However, MSC’s research highlights that fintechs require extensive support to innovate for low- and middle-income (LMI) segments—ensuring they deliver affordable, accessible, and diverse financial services at scale.

To bridge this gap, MSC, in partnership with IIMA Ventures, launched the Financial Inclusion Lab in India. The Lab enables fintechs to tap into the vast market opportunity while addressing systemic financial inclusion challenges through tailored support and collaboration with key ecosystem players.

MSC undertook the following exercises for this program:

  • We defined program objectives, structured the accelerator framework, and established governance through advisory and steering committees.
  • We curated startup cohorts, facilitated mentorship with industry leaders, and provided hands-on support in market research, product planning, and testing for market fit.
  • We enabled strategic partnerships, offered technical assistance in business strategy and UI/UX, and helped startups refine business models to secure growth capital.

We incubated 49 startups, impacting over 45 million low- and middle-income customers. With our support, these startups have raised over USD 250 million in funding. Spanning fintech, skill-tech, and agtech, they collaborate with financial institutions to reshape India’s financial inclusion landscape.

Innovation in digital credit for SMEs in Myanmar

Myanmar’s small and medium industries (SMEs) have various unmet credit needs that stifle their growth. MSC was tasked to assess the market in detail to identify the financing needs of SMEs within Myanmar’s supply chains. We used these insights to collaborate with Proximity Finance and design new financial products, such as invoice discounting, supplier credit lines, and embedded supply chain lending models.

As part of this intervention, we developed an AI-powered risk-based lending framework to enhance credit risk evaluation. The framework integrated alternative credit scoring mechanisms and predictive analytics. The team also drafted a credit manual and an operation manual to ensure seamless implementation, along with training manuals for institutional capability-building. Additionally, we provided technical assistance in regulatory compliance and digital transformation to ensure the new credit models were both scalable and sustainable.

The project expanded access to working capital financing for SMEs, which enabled these small businesses to better manage their supply chain operations and scale efficiently. Proximity Finance introduced several new digital credit solutions to enhance operational sustainability and lending efficiency. This initiative equipped Myanmar’s micro and small enterprises with AI-driven financial tools, improved their access to credit, and reduced their dependency on informal financial sources. It has positioned MSMEs for long-term growth through its efforts.

The International Finance Corporation (IFC) commissioned the project.

The Aadhaar (UIDAI) sandbox for digital identity and finance innovation

The Unique Identification Authority of India (UIDAI) launched a regulatory sandbox in 2023 to plug a critical gap: FinTechs and start-ups had no safe, cost-effective way to integrate core Aadhaar APIs and validate e-KYC or authentication journeys before going live. The sandbox offers that controlled environment, accelerating new use cases in digital identity, financial services, and authentication, and supporting India’s broader digital-financial-inclusion strategy.

Commissioned by the Gates Foundation, MSC designed the sandbox end-to-end—drafting operational guidelines, eligibility and evaluation criteria, and outreach plans—then set up the cohort-management process and provided hands-on technical support so shortlisted FinTechs could refine biometric-authentication flows and KYC models.

In its first year, the sandbox attracted 150+ applications, selected 15 high-potential start-ups across two cohorts, and facilitated more than 1 million test authentications, helping participants cut average product-validation time by ~40 percent (UIDAI monitoring data, May 2025). These pilots have already produced paperless KYC stacks, contactless biometric-auth solutions, and AI-driven credit-scoring models, now moving toward market launch.