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More takers for private healthcare under PM-JAY
Why is it in news?
- As per the data released by the National Health Agency (NHA), the number of Patients seeking care at private hospitals are larger compared to public hospitals.
Details:
- Private hospitals accounts for over half of the empanelled hospitals and nearly two-thirds of claim volumes.
- Private hospitals also accounts for three-quarters of claim outlays in the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY).
- Medical audits have also revealed that private hospitals are more likely to indulge in fraud and abuse than public hospitals.
- Ensuring the accountability of private hospitals to provide efficient and high-quality care is a pre-eminent challenge for scheme implementation.
Pradhan Mantri Jan Arogya Yojana (PMJAY):
- The programme is being touted as the world’s largest health protection scheme.
- PM-JAY is one of two components of Ayushman Bharat, a flagship scheme of Government of India.
- The first component is Health and Wellness Centers and second being the PM-JAY.
- It aims at providing health insurance cover of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization (floater basis).
- It is to cover over 10 crore vulnerable families (approximately 50 crore beneficiaries).
- PM-JAY was earlier known as National Health Protection Scheme (NHPS).
- PM-JAY comes under the National Health Authority (NHA).
- The beneficiaries will be identified based on SECC (Socio-Economic Caste Census) database.
- No restrictions on family size, age or gender.