10th August 2023 (6 Topics)
1
Aug
2
Aug
3
Aug
4
Aug
5
Aug
7
Aug
8
Aug
9
Aug
10
Aug
11
Aug
12
Aug
14
Aug
15
Aug
16
Aug
17
Aug
18
Aug
19
Aug
21
Aug
22
Aug
23
Aug
24
Aug
25
Aug
26
Aug
28
Aug
29
Aug
30
Aug
31
Aug
Five Years Of Caring
Context:
The flagship health protection scheme, Ayushman Bharat Pradhan Mantri Jan ArogyaYojana (AB-PMJAY) completes its fifth year. It is time to reflect on its strengths and achievements including its reducing out-of-pocket expenditure (OOPE), and efficient utilisation of the government budget.
Achievements:
- Fulfilment of SGD Goal- The scheme has taken the country closer to Sustainable Development Goal 3.8, which envisions universal health coverage.
- Bridge the Gap- The scheme has tried to bridge the shortfall between healthcare providers and service-takers.
- Reducing out-of-pocket expenditure- The scheme has catered to more than 5.39 crore admission events worth Rs.66, 284 crore in the last five years. The same care outside AB-PMJAY’s ambit would have cost nearly two times higher.
Reasons for the Success:
- Contribution of service providers- The success of the scheme can also be attributed to different stakeholders, especially service providers who collaborated for the implementation of PMJAY.
- Pradhan MantriArogyaMitras -Every hospital has Pradhan MantriArogyaMitras (PMAMs) who guide the beneficiaries who belong to underprivileged sections of society and face difficulty in accessing the healthcare services.
- Interstate portability- An important feature of AB-PMJAY is interstate portability. This means a patient registered in one state is entitled to receive care in any other state that has an AB-PMJAY programme.
Way Ahead:
- Ayushman Card- In order to realise the scheme’s full potential, the National Health Authority (NHA) along with its counterparts in the states should aim to provide every possible beneficiary with an Ayushman Card.
- Settlements of claim- Efforts should be made to settle the claims within a defined standard of 15 days.
- Service delivery should be the priority - It should be ensured that a person on the beneficiary list is not denied service if she does not have a card.
You must be logged in to get greater insights. click here to login
Courses
Study
Notes
Home
Resources
More
