Ayushman Bharat https://pmjay.gov.in/rss.xml en Getting Coverage Right for 500 Million Indians https://pmjay.gov.in/node/1247 <span>Getting Coverage Right for 500 Million Indians</span> <span><span lang="" about="/user/1" typeof="schema:Person" property="schema:name" datatype=""></span></span> <span>Wed, 11/13/2019 - 15:26</span> <div class="field field--name-body field--type-text-with-summary field--label-hidden field__item"><div class="col-sm-12"> <div class="auther-blog-text mrg-top"> <p>India is in the midst of a remarkably ambitious health insurance expansion. In September 2018, Prime Minister Narendra Modi announced a plan that will cover an additional 500 million Indians.<sup>1</sup> The motivation? India grossly underspends on health care, and health outcomes in some regions are among the worst in the world.<sup>2</sup> For an emerging economic superpower, India’s health care spending, accounting for less than 4% of its gross domestic product, is woefully low, and it has fallen since 2000. The majority of spending is out of pocket, burdening the middle class and the poor. Given the country’s epidemiologic profile — India sees nearly a third of the world’s tuberculosis cases and faces a growing burden of chronic disease — failures to invest in health have shackled the Indian economy. Government leaders, irrespective of party, now recognize that India’s economic progress depends on the health of its people.</p> <p>India’s health reform, Ayushman Bharat (“long life for India”), has two pillars: health insurance covering up to $7,000 (500,000 Indian rupees) of care per family per year for the poorest 500 million people (regardless of preexisting conditions) and reinvestment in primary care by transforming existing facilities into 150,000 new “Health and Wellness Centers” that provide comprehensive primary care. Historically, primary care has been underfunded and disconnected from secondary and tertiary care; weak primary care has made it difficult to effectively reduce unnecessary, high hospital costs. As part of its reform, the government has created a National Health Authority to administratively link primary care and insurance expansion to foster better coordination across the continuum of care. Ayushman Bharat is seen as an important step toward achieving universal health coverage and the United Nations Sustainable Development Goal 3 (“good health and well-being”).</p> <p>Though these goals are laudable, there are substantial obstacles to achieving them. The reform can succeed only if particular attention is paid to ensuring true financial protection, expanding workforce capacity by leveraging emerging technology, and improving the quality of care. Failure to address these aspects will hinder achievement of the reform’s goals and make other countries less willing to pursue universal health coverage.</p> <p>A major reform goal is to provide financial protection. Catastrophic health expenditures send countless lower- and middle-income Indians into poverty, to say nothing of the devastating impact of such spending on impoverished families who accumulate multigenerational debt obtaining treatment for loved ones. Policymakers have assumed that health insurance eliminates — or at least substantially reduces — catastrophic health care spending. Surprisingly, this assumption may be invalid. A recent analysis revealed little correlation between the proportion of people in a population covered by insurance schemes and the proportion who end up with catastrophic health care spending (there is no single definition of catastrophic spending, though experts use 10% or 25% of annual household income). For example, in China, where 90% of the population has health coverage, 18% still have catastrophic expenditures, while in India, where only 20% of the population has coverage, 17% have such expenditures.<sup>3</sup></p> <p>Why aren’t coverage and protection correlated? Insurance schemes are often shallow, covering limited services or capping coverage. Catastrophic spending that sends people into debt frequently results from severe illness (stroke, major injury, or cancer) that necessitates substantial and sustained spending. Patients quickly spend beyond their insurance caps and must cover additional costs out of pocket; insurance schemes with caps, unless generously funded, offer insufficient protection to the sickest people. Ayushman Bharat’s spending cap of $7,000 per family may not keep sick patients out of debt. Given the costs of increasing the program’s generosity, one way to expand the depth of coverage is by introducing cost sharing at low levels of spending and progressing to full coverage as income-adjusted, out-of-pocket maximums are reached. Though the scheme covers some posthospitalization costs, it will need to be substantially augmented if it is to address India’s high out-of-pocket expenditures, especially for medicines and outpatient care.</p> <p>A second challenge is that India’s health system is unprepared for 500 million additional people to begin using its services. In some regions, the dearth of hospitals may limit the rate at which care can be provided to additional people. With respect to the health workforce, policymakers have long focused on training more doctors and nurses; with increasing demand, the inadequacy of the workforce will come into sharper relief. Clearly, millions of doctors and nurses cannot be properly trained quickly. Although India has invested heavily in community health workers, the full potential ability of these workers to meet the needs of the population remains largely untapped. To harness this ground force, the health care system can leverage technology. Often in the history of Indian health care reform, primary care clinics have been constructed, only to be bypassed by patients in favor of hospitals, whose providers are better trained and supported. More point-of-care testing, as well as remote, supportive supervision involving the use of artificial intelligence, including dynamic clinical algorithms and computerized clinical decision-support systems, could substantially boost the capabilities of frontline workers.4 Such an effort would take more than distributing smartphones. Tailored tools for the local context and multiyear investments in training, capacity building, and evaluation could help address the needs of a vast population.</p> <p>Third, it’s important to ensure the measurement and tracking of health care quality. What do we know about the state of health care quality in India today? There is evidence that a patient visiting a provider in India is more likely to emerge with the wrong diagnosis and inappropriate treatment than with the right diagnosis and treatment.5 For any scheme that aims to improve access, adverse events pose serious threats. Past attempts to increase access (e.g., conditional cash transfers aimed at reducing maternal mortality) failed to improve outcomes, most likely because they increased access to poor-quality care. What can India do to demonstrate its commitment to quality? Investments in collecting data in electronic records that systematically measure quality are part of the solution, but we believe that a national program that defines and tracks quality across the spectrum of care is crucial. Beyond the health benefits of improving quality, such programs build trust, encouraging people to return. Without deliberate attention to and action on quality, it’s unlikely that the reform will lead to better health outcomes.</p> <p>The Indian health insurance scheme will be studied closely. Five Indian states are opting out of the reform; the reach and success of Ayushman Bharat will be determined in part by the ability of these states to effectively demonstrate that their models are expanding access, providing financial protection, and improving health outcomes. Parts of India have health indicators comparable to those of southern Europe, while other areas mirror parts of sub-Saharan Africa. No single strategy will work, but India’s diverse landscape also means that an extraordinary learning opportunity for implementing universal health coverage on a vast scale is unfolding. If the government invests heavily in evaluations, testing new approaches, and listening intently to states, it can ensure that relevant lessons are learned.</p> <p>India’s bold step toward reform reflects an increasingly interconnected world and the desire of all people to have access to the fruits of modern medicine. From Mexico in 2006, to the United States in 2010, to China in 2016, to India now, universal coverage has become reform’s rallying cry. A high-profile failure, however, will set this movement back. India has the formula to succeed, and we believe the emphases outlined here can help India show the world that health care for all is eminently possible, even in the most complex of circumstances.</p> </div> </div> </div> <section> <h2>Add new comment</h2> <drupal-render-placeholder callback="comment.lazy_builders:renderForm" arguments="0=node&amp;1=1247&amp;2=field_comments&amp;3=comment" token="ZVL2SFc9Wkj6-bP8p3WzNfDP1qKaBG7gAO1rleeHdZ8"></drupal-render-placeholder> </section> <div class="field field--name-field-author field--type-string field--label-above"> <div class="field__label">Author</div> <div class="field__item">By Sarthak Das, D.P.H., and Ashish K. Jha, M.D., M.P.H.</div> </div> <div class="field field--name-field-published-date field--type-datetime field--label-above"> <div class="field__label">Published Date</div> <div class="field__item"><time datetime="2019-05-21T21:58:00Z">Wed, 05/22/2019 - 03:28</time> </div> </div> <div class="field field--name-field-published-in field--type-string field--label-above"> <div class="field__label">Published in</div> <div class="field__item">The New England Journal of Medicine</div> </div> <div class="field field--name-field-share field--type-social-media field--label-above"> <div class="field__label">Share</div> <div class="field__item"><div class="block block-social-media block-social-sharing-block no-title"> <div class="content block-content"> <div class="social-media-sharing"> <ul class=""> <li> <a target="_blank" class="facebook-share share" href="http://www.facebook.com/share.php?u=https://pmjay.gov.in/rss.xml&amp;title=" title="Facebook"> <img alt="Facebook" src="https://pmjay.gov.in/modules/social_media/icons/facebook_share.svg"> </a> </li> <li> <a target="_blank" class="linkedin share" href="http://www.linkedin.com/shareArticle?mini=true&amp;url=https://pmjay.gov.in/rss.xml&amp;title=&amp;source=https://pmjay.gov.in/rss.xml" title="Linkedin"> <img alt="Linkedin" src="https://pmjay.gov.in/modules/social_media/icons/linkedin.svg"> </a> </li> <li> <a target="_blank" class="twitter share" href="https://twitter.com/intent/tweet?url=https://pmjay.gov.in/rss.xml&amp;status=+https://pmjay.gov.in/rss.xml" title="Twitter"> <img alt="Twitter" src="https://pmjay.gov.in/modules/social_media/icons/twitter.svg"> </a> </li> </ul> </div> </div> </div> </div> </div> <div class="field field--name-field-link field--type-link field--label-above"> <div class="field__label">link</div> <div class="field__items"> <div class="field__item"><a href="https://www.nejm.org/doi/full/10.1056/NEJMp1901771">here</a></div> </div> </div> Wed, 13 Nov 2019 09:56:44 +0000 admin_nhs 1247 at https://pmjay.gov.in https://pmjay.gov.in/node/1247#comments AB PM-JAY banner https://pmjay.gov.in/node/1237 <span>AB PM-JAY banner</span> <div class="field field--name-field-image field--type-image field--label-hidden field__items"> <div class="field__item"> <img src="/sites/default/files/2019-11/Ayushman-NHA-Banner-Blue.png" width="2550" height="1170" alt="" typeof="foaf:Image" /> </div> </div> <span><span lang="" about="/user/1" typeof="schema:Person" property="schema:name" datatype=""></span></span> <span>Sat, 11/09/2019 - 01:46</span> Fri, 08 Nov 2019 20:16:05 +0000 admin_nhs 1237 at https://pmjay.gov.in In Ayushman Bharat, primary and secondary healthcare complement each other https://pmjay.gov.in/blog/1231 <span>In Ayushman Bharat, primary and secondary healthcare complement each other</span> <span><span lang="" about="/user/1" typeof="schema:Person" property="schema:name" datatype=""></span></span> <span>Fri, 11/01/2019 - 12:54</span> <div class="field field--name-body field--type-text-with-summary field--label-hidden field__item"><div class="col-sm-12 mrg-top"> <div class="auther-blog-text"> <p>Recent media reports, including ones in this newspaper, have raised concerns that Ayushman Bharat promotes secondary and tertiary care at the cost of primary care. These reports attribute these concerns to Amartaya Sen’s recent comments on the scheme, which may have been taken out of context. Sen’s views on the need to strengthen primary care might have been wrongly construed as his disapproval of Ayushman Bharat. Other reports suggest that the scheme, at best, targets a narrow set of healthcare issues and, at worst, benefits only a few rich individuals.</p> <p>Sen’s reported comments and other concerns can be deconstructed as: One, Ayushman Bharat as a solution is not consistent with the problem — in other words, the scheme is a giant leap in the wrong direction. Two, primary healthcare has been historically neglected and the resources spent on Ayushman Bharat can instead be spent on strengthening primary healthcare. Ayushman Bharat will benefit only a few rich individuals, the doubters claim.</p> <p>There seems to be a perception that all health needs in India relate only to primary care and there is no need to expand support for tertiary care. There is also a perception that Ayushman Bharat is taking away resources from primary care and benefiting big private hospitals. A careful analysis shows that both these perceptions are wrong.</p> <p>Even if we do our best to promote good health, there will still be a critical need for tertiary care and secondary care. First, even with the best prevention programmes, we will still have a significant prevalence of non-communicable diseases. The countries with the best preventive systems have strong provisions for secondary and tertiary care. Moreover, with the aging of population due to increase in life-expectancy, diseases related to old age will increase — even among the poor. Third, a strong primary healthcare system requires an equally strong secondary and tertiary healthcare system. Screening for cancers, for example, has limited utility if there is no system to treat the disease. Secondary and tertiary care in the country is largely provided by private sector. These services have largely been, hitherto, inaccessible to the poor. Ayushman Bharat has changed that.</p> <p>Ayushman Bharat has two legs. The Pradhan Mantri Jan Arogya Yojana (PMJAY), covers more than 50 crore people in the country — the poorest — against serious illnesses. It has an equally important and equally ambitious leg to strengthen primary healthcare — the scheme seeks to upgrade more than 1.5 lakh health facilities to health and wellness Centres (HWC). The perception that Ayushman Bharat does not support primary healthcare might be due to greater visibility of PMJAY in the media as compared to the other leg. An ailing person treated successfully under PMJAY is more visible, emotionally more appealing and makes for a better “news”, as compared to the screening of millions of people for cancer, for example. However, actually, the scheme’s two legs complement each other.</p> <p>Could the money spent on Ayushman Bharat be better spent on strengthening primary healthcare? Ayushman Bharat is a very recent initiative. The chronic neglect of primary healthcare in the country cannot be attributed to it. The resources spent on the PMJAY component of Ayushman Bharat are still a very small proportion of the entire health budget. A major portion of the health budget is spent on primary care and secondary care, almost entirely focused on public sector supply of the healthcare services.</p> <p>There is no trade-off between primary care and curative care; the policy challenge is to strengthen both. Ayushman Bharat does exactly that with its two legs. In the medium-term, we need to expand the public resources for the health sector. The 2017 Health Policy clearly commits to increasing the health sector allocation to 2.5 per cent of the GDP — for decades, the health sector’s budget has hovered at around 1 per cent of the GDP. We have recently seen very high level political commitment for the health sector — perhaps for the first time in recent decades. We have also seen an increased allocation for the sector. If this trend continues, we should be able to provide much needed tertiary care for the poor without compromising the support for primary healthcare.</p> </div> </div> </div> <section> <h2>Add new comment</h2> <drupal-render-placeholder callback="comment.lazy_builders:renderForm" arguments="0=node&amp;1=1231&amp;2=field_comments&amp;3=comment" token="fEPlEdzRMIb1Kx2ek0HllGH-etPbNcHIaf7PDjVbjd0"></drupal-render-placeholder> </section> <div class="field field--name-field-author field--type-string field--label-above"> <div class="field__label">Author</div> <div class="field__item">By Dr Indu Bhushan </div> </div> <div class="field field--name-field-published-date field--type-datetime field--label-above"> <div class="field__label">Published Date</div> <div class="field__item"><time datetime="2019-09-23T17:40:45Z">Mon, 09/23/2019 - 23:10</time> </div> </div> <div class="field field--name-field-published-in field--type-string field--label-above"> <div class="field__label">Published in</div> <div class="field__item">The Indian Express</div> </div> <div class="field field--name-field-featured-image field--type-image field--label-above"> <div class="field__label">Featured Image</div> <div class="field__item"> <img src="/sites/default/files/2019-11/pmjay-2-1200.jpg" width="1200" height="667" alt="AB-PMJAY" title="AB-PMJAY" typeof="foaf:Image" /> </div> </div> <div class="field field--name-field-share field--type-social-media field--label-above"> <div class="field__label">Share</div> <div class="field__item"><div class="block block-social-media block-social-sharing-block no-title"> <div class="content block-content"> <div class="social-media-sharing"> <ul class=""> <li> <a target="_blank" class="facebook-share share" href="http://www.facebook.com/share.php?u=https://pmjay.gov.in/rss.xml&amp;title=" title="Facebook"> <img alt="Facebook" src="https://pmjay.gov.in/modules/social_media/icons/facebook_share.svg"> </a> </li> <li> <a target="_blank" class="linkedin share" href="http://www.linkedin.com/shareArticle?mini=true&amp;url=https://pmjay.gov.in/rss.xml&amp;title=&amp;source=https://pmjay.gov.in/rss.xml" title="Linkedin"> <img alt="Linkedin" src="https://pmjay.gov.in/modules/social_media/icons/linkedin.svg"> </a> </li> <li> <a target="_blank" class="twitter share" href="https://twitter.com/intent/tweet?url=https://pmjay.gov.in/rss.xml&amp;status=+https://pmjay.gov.in/rss.xml" title="Twitter"> <img alt="Twitter" src="https://pmjay.gov.in/modules/social_media/icons/twitter.svg"> </a> </li> </ul> </div> </div> </div> </div> </div> <div class="field field--name-field-author-image field--type-image field--label-above"> <div class="field__label">Author image</div> <div class="field__item"> <img src="/sites/default/files/2019-11/nhm-ceo_0.jpg" width="309" height="288" alt="nha-ceo" typeof="foaf:Image" /> </div> </div> <div class="field field--name-field-link field--type-link field--label-above"> <div class="field__label">link</div> <div class="field__items"> <div class="field__item"><a href="https://indianexpress.com/article/opinion/columns/ayushman-bharat-scheme-amartya-sen-healthcare-sector-5636552/lite/?__twitter_impression=true">here</a></div> </div> </div> Fri, 01 Nov 2019 07:24:00 +0000 admin_nhs 1231 at https://pmjay.gov.in Ten concerns on Ayushman Bharat: Universal healthcare is coming, here’s why those worries are mistaken https://pmjay.gov.in/blog/1230 <span>Ten concerns on Ayushman Bharat: Universal healthcare is coming, here’s why those worries are mistaken</span> <span><span lang="" about="/user/1" typeof="schema:Person" property="schema:name" datatype=""></span></span> <span>Fri, 11/01/2019 - 11:10</span> <div class="field field--name-body field--type-text-with-summary field--label-hidden field__item"><div class="col-sm-12"> <div class="auther-blog-text mrg-top"> <p>Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) has been the most talked about health sector scheme in recent times. Given the scale and ambition of the scheme – with its target group larger than the combined population of Canada, the United States and Mexico – it is not surprising. As could be expected, the scheme has a large number of supporters who are highly inspired by its vision and promise. There are also groups of detractors who are concerned that the scheme either seeks to address a wrong problem or provide a wrong solution even if it aims to address the right problem. I address the ten most common concerns raised.</p> <p><em>The most common refrain against AB-PMJAY is that the government should focus more on public health issues and preventive and promotive care.</em> While it is correct that prevention is better than cure, in real life both are needed. The policy challenge is not prevention vs cure but how to provide both prevention and cure. What can poor people be expected to do when faced with catastrophic health expenditure? Usually, they forego treatment and hope for the best, or borrow heavily, or sell whatever assets they have, pushing them deeper into poverty. A welfare state ought to focus on curative aspects of in-patient care.</p> <p><em>Some people argue that the government should not use its limited resources for support services through the private sector.</em> The private sector plays a critical role in health sector. We will need to leverage the capacity, financing, skills and energy of the private sector to provide services to millions of people who have hitherto not had any access to these quality services. Strategically tapping private sector services might be a more efficient, effective and affordable solution.</p> <div class="auther-img"><img class="img-responsive" src="https://timesofindia.indiatimes.com/blogs/wp-content/uploads/2019/07/345a-1.jpg" /></div> <p id="caption-attachment-124401">Illustration: Ajit Ninan</p> <p><em>There is a concern that the private sector is poorly regulated and therefore the government should first focus on strengthening regulations and ensuring they are enforced.</em> Purchaser of health services can strengthen the regulations due to their strong financial leverage over the private sector. Since AB-PMJAY purchases health services for more than 50 crore population, it can (a) set up prices effectively; (b) influence quality of health services; (c) incentivise hospitals to improve quality with differential rates; and (d) enforce electronic data sharing by private hospitals.</p> <p><em>Some point out that government services are free, what then is the value addition by AB-PMJAY?</em> While most states seek to provide free healthcare through government hospitals, in reality, patients still have to spend a lot from their pocket. In many cases, they have to get the diagnostic services, drugs and implants from outside as they are often not available in the hospitals. All public tertiary care hospitals charge for major services such as heart operations, cancer treatment, and knee replacements.</p> <p><em>Concerns are raised that the scheme will only enrich the insurance companies.</em> These concerns are totally unfounded. First, most states have actually decided to go with trust mode. Two, even in states using insurance companies, they have put a claw-back clause in their contracts such that insurance companies can keep only 15% of total premium. Three, it has been observed that due to competition, insurance companies are quoting competitive premium.</p> <p><em>Another question often raised is about the lack of supply to match the demand generated by AB-PMJAY.</em> Demand creates its own supply and supply cannot be created without demand. The new demand will be met through excess existing capacity in the private sector and more efficient use of the current capacity in the short run.</p> <p><em>Some academics have argued that the scheme may not be able to reduce the impoverishing catastrophic health expenditures.</em> The following features of the scheme seek to ensure an effective coverage for catastrophic health expenditure. The health benefit cover in the scheme has been kept at Rs 5,00,000 which is sufficient to take care of almost all hospitalisation conditions. Second, the benefit package covers almost all health conditions that require hospitalisation/ day care surgeries. Third, the provider payment system has been designed to cover all costs related to hospitalisation and ensure that the patient does not need to pay anything.</p> <p><em>Some predict the scheme is going to increase the cost of care.</em> On the contrary, AB-PMJAY will significantly control the prices of health services by moving towards a high volume-low margin model.</p> <p><em>AB-PMJAY is not affordable in long run, some detractors have pointed out.</em> Affordability is a relative concept. If we do not provide any services, there is no government budget needed. However, providing much needed services to most needy section will need resources, which are fully within our means. The government is committed to increasing the budgetary allocations to 2.5% of GDP by 2025. AB-PMJAY currently costs less than 0.1% of GDP and will not cost more than 0.2% of GDP even when it matures in next few years.</p> <p><em>Several states have their ongoing schemes and they do not gain much by joining AB-PMJAY, some people argue.</em> AB-PMJAY offers some unique propositions to all states – access to financial resources, state-of-the-art, customisable technological platforms, implementation systems and world-class analytics and fraud monitoring systems at no additional cost. Due to the portability of services, beneficiaries of the states also gain from the nationwide network of hospitals.</p> <p>Ayushman Bharat has put India on an irreversible path towards universal healthcare. The scheme will keep evolving, taking into account the experience of evidence generated from its implementation. Given the highest level of political support for these reforms, failure is not an option.</p> <p>DISCLAIMER : Views expressed above are the author's own.</p> </div> </div> </div> <section> <h2>Add new comment</h2> <drupal-render-placeholder callback="comment.lazy_builders:renderForm" arguments="0=node&amp;1=1230&amp;2=field_comments&amp;3=comment" token="IJGjjMp5DZNKDd6LaB8bILZ-t6DbqUEflNB9yziDbKg"></drupal-render-placeholder> </section> <div class="field field--name-field-author field--type-string field--label-above"> <div class="field__label">Author</div> <div class="field__item">By Dr Indu Bhushan </div> </div> <div class="field field--name-field-published-date field--type-datetime field--label-above"> <div class="field__label">Published Date</div> <div class="field__item"><time datetime="2019-07-26T04:39:23Z">Fri, 07/26/2019 - 10:09</time> </div> </div> <div class="field field--name-field-published-in field--type-string field--label-above"> <div class="field__label">Published in</div> <div class="field__item">The Times of India</div> </div> <div class="field field--name-field-featured-image field--type-image field--label-above"> <div class="field__label">Featured Image</div> <div class="field__item"> <img src="/sites/default/files/2019-11/345a-1-768x576.jpg" width="768" height="576" alt="AB-PMJAY" title="AB-PMJAY" typeof="foaf:Image" /> </div> </div> <div class="field field--name-field-share field--type-social-media field--label-above"> <div class="field__label">Share</div> <div class="field__item"><div class="block block-social-media block-social-sharing-block no-title"> <div class="content block-content"> <div class="social-media-sharing"> <ul class=""> <li> <a target="_blank" class="facebook-share share" href="http://www.facebook.com/share.php?u=https://pmjay.gov.in/rss.xml&amp;title=" title="Facebook"> <img alt="Facebook" src="https://pmjay.gov.in/modules/social_media/icons/facebook_share.svg"> </a> </li> <li> <a target="_blank" class="linkedin share" href="http://www.linkedin.com/shareArticle?mini=true&amp;url=https://pmjay.gov.in/rss.xml&amp;title=&amp;source=https://pmjay.gov.in/rss.xml" title="Linkedin"> <img alt="Linkedin" src="https://pmjay.gov.in/modules/social_media/icons/linkedin.svg"> </a> </li> <li> <a target="_blank" class="twitter share" href="https://twitter.com/intent/tweet?url=https://pmjay.gov.in/rss.xml&amp;status=+https://pmjay.gov.in/rss.xml" title="Twitter"> <img alt="Twitter" src="https://pmjay.gov.in/modules/social_media/icons/twitter.svg"> </a> </li> </ul> </div> </div> </div> </div> </div> <div class="field field--name-field-author-image field--type-image field--label-above"> <div class="field__label">Author image</div> <div class="field__item"> <img src="/sites/default/files/2019-11/nhm-ceo_1.jpg" width="309" height="288" alt="nha-ceo" typeof="foaf:Image" /> </div> </div> <div class="field field--name-field-link field--type-link field--label-above"> <div class="field__label">link</div> <div class="field__items"> <div class="field__item"><a href="https://timesofindia.indiatimes.com/blogs/toi-edit-page/ten-concerns-on-ayushman-bharat-universal-healthcare-is-coming-heres-why-those-worries-are-mistaken/">here</a></div> </div> </div> Fri, 01 Nov 2019 05:40:04 +0000 admin_nhs 1230 at https://pmjay.gov.in Ayushman Bharat – Accelerating India on the path to Universal Healthcare https://pmjay.gov.in/blog/1229 <span>Ayushman Bharat – Accelerating India on the path to Universal Healthcare</span> <span><span lang="" about="/user/1" typeof="schema:Person" property="schema:name" datatype=""></span></span> <span>Fri, 11/01/2019 - 10:31</span> <div class="field field--name-body field--type-text-with-summary field--label-hidden field__item"><div class="col-sm-12"> <div class="auther-blog-text mrg-top"> <p>Our people are our greatest strength. India cannot realise its demographic dividend without its citizens being healthy. This government resolutely believes in realising the full potential of our people and has therefore made health a national priority.</p> <p>Despite its economic strength and growing global stature, India continues to face the multiple challenges in health. An estimated 6 crore Indians get pushed below poverty line each year because of catastrophic expenditure on healthcare. The triple burden of disease is an enormous challenge – the high maternal mortality rate, infant mortality rate and prevalence of communicable diseases; second the high and rising incidence of non-communicable diseases such as cancer, diabetes and hypertension; third, the burden of infectious diseases such as dengue, malaria, Tuberculosis, Nipah ,Hepatitis, AES etc.</p> <div class="auther-img"><img class="img-responsive" src="https://pibindia.files.wordpress.com/2019/09/yaushmaan-81_5.jpg?w=736" /></div> <p>The Prime Minister’s vision is that the best of healthcare should be accessible to the poorest of the poor as a matter of right. The healthcare landscape in India is undergoing a dramatic transformation. Exactly one year ago, Government of India launched Ayushman Bharat and rolled out this game-changer initiative for 55 crore poor and vulnerable citizens. Ayushman Bharat health protection mission, is a path-breaking approach for attaining the ultimate goal of universal healthcare.</p> <p>Through its two components: Health and Wellness Centres (HWCs), to ensure comprehensive primary health care through operationalising 1.5 lakh HWCs and PM-JAY, the health assurance scheme to deliver secondary and tertiary care for serious illnesses through a health cover of Rs. 5 lakh per family per year, Ayushman Bharat is a clarion call towards fulfilling Pandit Deendayal Upadhyay’s vision of reaching the last man in the queue.</p> <p><strong>Ayushman Bharat</strong>  is a transformative initiative that seeks to meet the National Health Policy 2017 goal of “attainment of the highest possible level of health and well-being for all and at all ages, through a preventive and promotive health care orientation in all developmental policies, and universal access to good quality health care services without anyone having to face financial hardship as a consequence.” Ayushman Bharat, especially PM-JAY, aims to ensure improved access to, affordability of, and lower the cost of healthcare delivery through a combination of government hospitals and empanelled private providers. It recognizes the critical importance of universal health coverage which is central to achieving Sustainable Development Goal (SDGs) of ensuring good health and well-being for all.</p> <p><iframe allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="" frameborder="0" height="363" src="https://www.youtube.com/embed/s-AbL63bfRw" width="645"></iframe></p> <p>PM-JAY has had a tremendous start. The scheme is now being implemented across 32 States and Union Territories, which is a demonstration of our commitment to the highest ideals of cooperative federalism, a proof of the historic mandate given to this Government and the faith reposed in us by the people of our great nation on 23rd May this year when Shri Narendra Modi ji embarked upon his second innings as Prime Minister. In the last one year since its launch, about 50 lakh free treatments worth over Rs 7,500 crores have been given at empanelled facilities across the country and, 55% of the total utilised amount has been for tertiary procedures related to orthopaedics, cardiology, and radiation oncology. It is indeed heartening that of the 18,000 plus empanelled hospitals, 53% are private hospitals and they are willingly putting their best foot forward to be a part of Ayushman Bharat.</p> <p>As PM-JAY gradually increases the empanelment of tertiary facilities, the utilization of tertiary procedures — in terms of volumes as well as amount — will further increase. One outstanding feature of this scheme is portability, which means that an eligible patient from any state implementing PM-JAY can avail free treatment anywhere in India, in any empanelled hospital. Around 40,000 beneficiaries have received such treatment outside their States/UTs.</p> <p> As it moves steadily on way to becoming the world’s largest health insurance/assurance scheme, Ayushman Bharat has caught the attention of the globe, and has received wide support and acclaim from the international community.</p> <p><iframe allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="" frameborder="0" height="363" src="https://www.youtube.com/embed/ASac5pfSiXU" width="645"></iframe></p> <p>In the past year, since its launch, PM-JAY has come to stand for access to quality, affordable in-patient healthcare for the poorest of the poor people in a hospital of their choice without suffering the fear and anxiety of catastrophic hospital bills. The endeavour of the scheme is to constantly improve so that it can better meet the needs and expectations of the 55 crore Indians. Recently the Governing Board of the National Health Authority decided to overhaul the existing health benefits packages and rationalize the cost of the packages to remove any aberrations. This will ensure wider private sector participation by empanelling more hospitals to improve access to hospitalization related care. We also approved an upgrade to our IT system to make it even more user-friendly, interoperable, secure and state-of-the-art. Initiatives for improving the quality of services were also endorsed.</p> <p><iframe allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="" frameborder="0" height="363" src="https://www.youtube.com/embed/jyI9ekkMNJ4" width="645"></iframe></p> <p> To ensure more effective implementation and uptake of PM-JAY and strengthen patient safety through quality care, we have instituted a robust fraud control structure, flowing from the Centre to the states and districts, and analytics and audit-based mechanisms to prevent, detect, and deter medical malpractices and wrong doing by any of the stakeholders. Due to our policy of zero tolerance towards corruption, 97 errant hospitals have been de-empanelled and penalties worth more than Rs.1.5 crore have been levied.</p> <div class="auther-img"><img class="img-responsive" src="https://pibindia.files.wordpress.com/2019/09/eff9fusucaatvzc.jpg?w=736" /></div> <p>To improve health sector in our country, we need to transform the medical profession and expand it to get more people to take up careers as doctors, paramedics and frontline health workers. The National Medical Commission Bill, is a milestone in the medical education sector which will reduce the burden on students, ensure probity, accountability, transparency and quality in medical education. 75 new medical colleges are being set up in the govt. sector and 82 more are in various phases of development that will help increase the number of medical seats and strengthen the medical education infrastructure in the country. It will also bring down the cost of medical education, ensure quality education and provide wider access to people for quality healthcare. </p> <div class="auther-img"><img class="img-responsive" src="https://pibindia.files.wordpress.com/2019/09/eff74npu8aadz6k.jpg?w=736" /></div> <p>Our Government understands that Health in India is a complex space with several challenges and opportunities. There is no single magical pill that can ameliorate our health burden. This is why we are putting in place an entire ecosystem of programmes and legislations (some of them described above) targeting all key areas requiring reform such as progressively achieving universal health coverage, nutrition, aligning the growth of private health care sector with public health goals, health systems performance and strengthening, among others.</p> <p> I congratulate our beloved Prime Minister Shri Narendra Modi for his undaunted efforts in each sector to live up to the promise of “Sabka Saath, Sabka Vikas”. Emulating his extraordinary vision, I too am working to fast-track all initiatives in the health sector. Being a doctor by profession, my task becomes easier as I have first-hand knowledge of healthcare. On the first anniversary of AB-PMJAY, as I urge my fellow professionals and Indians to join and support this healthcare movement, I re-dedicate myself to the service of the nation. To be able to achieve a disease-free India, and to be able to attain global standards of healthcare for every Indian, is now the goal of my life.</p> <p><iframe allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="" frameborder="0" height="363" src="https://www.youtube.com/embed/4IvQzEiYo3M" width="645"></iframe></p> <p><em>*The author is the Union Cabinet Minister for Health and Family Welfare, and Science &amp; Technology &amp; Earth Sciences. Views are personal.</em></p> <p>Dr Harsh Vardhan, Union Minister of Health and Family Welfare addresses a press conference on completion of one year of Ayushman Bharat scheme on September 16, 2019 at National Media Centre (NMC), Raisina Road, New Delhi.</p> <p><iframe allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="" frameborder="0" height="363" src="https://www.youtube.com/embed/648gbjd94q4" width="645"></iframe></p> </div> </div> </div> <section> <h2>Add new comment</h2> <drupal-render-placeholder callback="comment.lazy_builders:renderForm" arguments="0=node&amp;1=1229&amp;2=field_comments&amp;3=comment" token="KFkFlukU33SzVmq38IVQ0evWKYhRKf4L4uKvx0xG0Hw"></drupal-render-placeholder> </section> <div class="field field--name-field-author field--type-string field--label-above"> <div class="field__label">Author</div> <div class="field__item">By Dr. Harsh Vardhan</div> </div> <div class="field field--name-field-published-date field--type-datetime field--label-above"> <div class="field__label">Published Date</div> <div class="field__item"><time datetime="2019-09-23T04:09:24Z">Mon, 09/23/2019 - 09:39</time> </div> </div> <div class="field field--name-field-published-in field--type-string field--label-above"> <div class="field__label">Published in</div> <div class="field__item">Press Information Bureau, Government of India</div> </div> <div class="field field--name-field-featured-image field--type-image field--label-above"> <div class="field__label">Featured Image</div> <div class="field__item"> <img src="/sites/default/files/2019-11/ayushman-bharat.jpg" width="1280" height="720" alt="ayushman-bharat" title="ayushman-bharat" typeof="foaf:Image" /> </div> </div> <div class="field field--name-field-share field--type-social-media field--label-above"> <div class="field__label">Share</div> <div class="field__item"><div class="block block-social-media block-social-sharing-block no-title"> <div class="content block-content"> <div class="social-media-sharing"> <ul class=""> <li> <a target="_blank" class="facebook-share share" href="http://www.facebook.com/share.php?u=https://pmjay.gov.in/rss.xml&amp;title=" title="Facebook"> <img alt="Facebook" src="https://pmjay.gov.in/modules/social_media/icons/facebook_share.svg"> </a> </li> <li> <a target="_blank" class="linkedin share" href="http://www.linkedin.com/shareArticle?mini=true&amp;url=https://pmjay.gov.in/rss.xml&amp;title=&amp;source=https://pmjay.gov.in/rss.xml" title="Linkedin"> <img alt="Linkedin" src="https://pmjay.gov.in/modules/social_media/icons/linkedin.svg"> </a> </li> <li> <a target="_blank" class="twitter share" href="https://twitter.com/intent/tweet?url=https://pmjay.gov.in/rss.xml&amp;status=+https://pmjay.gov.in/rss.xml" title="Twitter"> <img alt="Twitter" src="https://pmjay.gov.in/modules/social_media/icons/twitter.svg"> </a> </li> </ul> </div> </div> </div> </div> </div> <div class="field field--name-field-author-image field--type-image field--label-above"> <div class="field__label">Author image</div> <div class="field__item"> <img src="/sites/default/files/2019-11/dr.-harsh-vardhan_0_0.jpg" width="190" height="190" alt="dr-harsh-vardhan" typeof="foaf:Image" /> </div> </div> <div class="field field--name-field-link field--type-link field--label-above"> <div class="field__label">link</div> <div class="field__items"> <div class="field__item"><a href="https://pibindia.wordpress.com/2019/09/23/ayushman-bharat-accelerating-india-on-the-path-to-universal-healthcare/">here</a></div> </div> </div> Fri, 01 Nov 2019 05:01:58 +0000 admin_nhs 1229 at https://pmjay.gov.in The battle for a disease-free India https://pmjay.gov.in/blog/1228 <span>The battle for a disease-free India</span> <span><span lang="" about="/user/1" typeof="schema:Person" property="schema:name" datatype=""></span></span> <span>Fri, 11/01/2019 - 10:26</span> <div class="field field--name-body field--type-text-with-summary field--label-hidden field__item"><div class="col-sm-12"> <div class="auther-img mrg-top"><img class="img-responsive" src="/sites/default/files/inline-images/aiims_eebe8bd2-dbb9-11e9-89b8-e15e15df329c.jpg" /></div> </div> <div class="col-sm-12"> <div class="auther-blog-text"> <p>Our people are our greatest strength. India cannot realise its demographic dividend without its citizens being healthy. This government believes in realising the full potential of our people, and, so, has made health a national priority.</p> <p>Despite its economic strength and growing global stature, India continues to face multiple challenges in health. An estimated six crore Indians get pushed below the poverty line each year because of catastrophic expenditure on health care. The triple burden of disease is an enormous challenge. The first is high maternal mortality rate, infant mortality rate, and prevalence of communicable diseases; the second is the high and rising incidence of non-communicable diseases such as cancers, diabetes and hypertension; and third is the burden of infectious diseases such as dengue, malaria, tuberculosis, nipah, hepatitis, and acute encephalitis syndrome.</p> <p>Prime Minister Narendra Modi’s vision is that the best health care should be accessible to the poorest of the poor as a matter of a right. The health care landscape in India is undergoing a dramatic transformation. Exactly one year ago, the Government of India launched the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY), and rolled out this game-changer initiative for 55 crore poor and vulnerable citizens. The Ayushman Bharat health protection mission is a path-breaking approach for attaining the ultimate goal of universal health care. It has two core components — 1.5 lakh health and wellness centres (HWCs), to ensure comprehensive primary health care, and, PM-JAY, which is the health assurance scheme to deliver secondary and tertiary care for serious illnesses through a health cover of ~5 lakh per family per year. The initiative is a clarion call towards fulfilling Pandit Deendayal Upadhyay’s vision of reaching the last man in the queue.</p> <p>Ayushman Bharat is a transformative initiative that seeks to meet the National Health Policy 2017 goal of “attainment of the highest possible level of health and well-being for all and at all ages, through a preventive and promotive health care orientation in all developmental policies, and universal access to good quality health care services without anyone having to face financial hardship as a consequence”. Ayushman Bharat, especially PM-JAY, aims to ensure improved access, affordability, and lower the cost of health care delivery through a combination of government hospitals and empanelled private providers. It recognises the critical importance of universal health coverage that is central to achieving Sustainable Development Goal (SDGs) of ensuring good health and well-being for all.</p> <p>The PM-JAY has had a tremendous start. The scheme is now being implemented across 32 states and Union Territories, which is a demonstration of our commitment to the highest ideals of cooperative federalism, a proof of the historic mandate given to this government and the faith reposed in us by the people on May 23 when Narendra Modi embarked upon his second innings as prime minister.</p> <p>In the past year, since its launch, about 50 lakh free treatments, worth over ~7,500 crore, have been given at empanelled facilities across the country. 55% of the total utilised amount has been for tertiary procedures related to orthopaedics, cardiology, and radiation oncology.</p> <p>It is indeed heartening that of the over 18,000 empanelled hospitals, 53% are private hospitals, and they are willingly putting their best foot forward to be a part of Ayushman Bharat.</p> <p>One outstanding feature of this scheme is portability, which means that an eligible patient from any state implementing PM-JAY can avail free treatment anywhere in India, in any empanelled hospital. Around 40,000 beneficiaries have received such treatment outside their states/UTs.</p> <p>To ensure more effective implementation and uptake of PM-JAY, and strengthen patient safety through quality care, we have instituted a robust fraud control structure, flowing from the Centre to the states and districts, and analytics and audit-based mechanisms to prevent, detect, and deter medical malpractices and wrong- doing by any of the stakeholders.</p> <p>To improve the health sector, we need to transform the medical profession and expand it to get more people to take up careers as doctors, paramedics and frontline health workers. The National Medical Commission Bill is a milestone in the medical education sector. It will reduce the burden on students, ensure probity, accountability, transparency and quality in medical education.</p> <p>Seventy five new medical colleges are being set up and 82 more are in various phases of development, which will help increase the number of medical seats and strengthen the country’s medical education infrastructure. It will also bring down the cost of medical education, ensure quality education and provide wider access to people for quality health care.</p> <p>I am working to fast-track all initiatives in the health sector. Being a doctor by profession has given me first-hand knowledge of health care, which makes my task easier. On the first anniversary of Ayushman Bharat-PMJAY, I urge every Indian to support this health care movement. To be able to achieve a disease-free India, and to be able to attain global standards of health care for every Indian, is now the goal of my life.</p> </div> </div> </div> <section> <h2>Add new comment</h2> <drupal-render-placeholder callback="comment.lazy_builders:renderForm" arguments="0=node&amp;1=1228&amp;2=field_comments&amp;3=comment" token="BCxfXtDwd9KqPwZ7EixAJvpVqDEhjZmuhR5IfARyFd4"></drupal-render-placeholder> </section> <div class="field field--name-field-author field--type-string field--label-above"> <div class="field__label">Author</div> <div class="field__item">By Dr. Harsh Vardhan</div> </div> <div class="field field--name-field-published-date field--type-datetime field--label-above"> <div class="field__label">Published Date</div> <div class="field__item"><time datetime="2019-09-23T04:40:43Z">Mon, 09/23/2019 - 10:10</time> </div> </div> <div class="field field--name-field-published-in field--type-string field--label-above"> <div class="field__label">Published in</div> <div class="field__item">Hindustan Times</div> </div> <div class="field field--name-field-featured-image field--type-image field--label-above"> <div class="field__label">Featured Image</div> <div class="field__item"> <img src="/sites/default/files/2019-11/aiims_eebe8bd2-dbb9-11e9-89b8-e15e15df329c.jpg" width="960" height="540" alt="The battle for a disease-free India" title="The battle for a disease-free India" typeof="foaf:Image" /> </div> </div> <div class="field field--name-field-share field--type-social-media field--label-above"> <div class="field__label">Share</div> <div class="field__item"><div class="block block-social-media block-social-sharing-block no-title"> <div class="content block-content"> <div class="social-media-sharing"> <ul class=""> <li> <a target="_blank" class="facebook-share share" href="http://www.facebook.com/share.php?u=https://pmjay.gov.in/rss.xml&amp;title=" title="Facebook"> <img alt="Facebook" src="https://pmjay.gov.in/modules/social_media/icons/facebook_share.svg"> </a> </li> <li> <a target="_blank" class="linkedin share" href="http://www.linkedin.com/shareArticle?mini=true&amp;url=https://pmjay.gov.in/rss.xml&amp;title=&amp;source=https://pmjay.gov.in/rss.xml" title="Linkedin"> <img alt="Linkedin" src="https://pmjay.gov.in/modules/social_media/icons/linkedin.svg"> </a> </li> <li> <a target="_blank" class="twitter share" href="https://twitter.com/intent/tweet?url=https://pmjay.gov.in/rss.xml&amp;status=+https://pmjay.gov.in/rss.xml" title="Twitter"> <img alt="Twitter" src="https://pmjay.gov.in/modules/social_media/icons/twitter.svg"> </a> </li> </ul> </div> </div> </div> </div> </div> <div class="field field--name-field-author-image field--type-image field--label-above"> <div class="field__label">Author image</div> <div class="field__item"> <img src="/sites/default/files/2019-11/dr.-harsh-vardhan_0.jpg" width="190" height="190" alt="dr-harsh-vardhan" typeof="foaf:Image" /> </div> </div> <div class="field field--name-field-link field--type-link field--label-above"> <div class="field__label">link</div> <div class="field__items"> <div class="field__item"><a href="https://www.hindustantimes.com/analysis/the-battle-for-a-disease-free-india/story-eIIknG1O3CwXTiRRzxSwNL.html">here</a></div> </div> </div> Fri, 01 Nov 2019 04:56:27 +0000 admin_nhs 1228 at https://pmjay.gov.in Ayushman Bharat, a change whose time has come https://pmjay.gov.in/blog/1226 <span>Ayushman Bharat, a change whose time has come</span> <span><span lang="" about="/user/1" typeof="schema:Person" property="schema:name" datatype=""></span></span> <span>Fri, 11/01/2019 - 09:55</span> <div class="field field--name-body field--type-text-with-summary field--label-hidden field__item"><div class="col-sm-12 marg-top"> <div class="auther-blog-text"> <p>Sixteen years ago, when there was drought in Karnataka, farmers lost the capacity to buy healthcare. I was able to convince the state government to launch a micro health insurance scheme through cooperative societies with a premium of Rs 5 per month per person. The government was kind enough to agree to be the reinsurer. Four hundred hospitals across the state agreed to treat these patients. This is how the Yeshasvini micro health insurance scheme was born.</p> <p>In the following two years, similar schemes were launched by the governments of Andhra Pradesh, Maharashtra and Gujarat.</p> <p>We tried desperately to convince north Indian states, but without much luck.</p> <p>Even after 15 years of successful operation of Yeshasvini, micro health insurance remained predominantly a southern and western Indian phenomenon. Eventually, West Bengal and Rajasthan also launched their own state-sponsored health schemes.</p> <p>The nation saw a tectonic shift in healthcare when the Hon’ble Prime Minister launched Ayushman Bharat on September 23, 2018. About 107.4 million poorest and most vulnerable families are today covered by health insurance which sponsors almost all the complex surgeries and 1,394 procedures, covering 23 specialties in both public and private hospitals.</p> <h4>A GAME CHANGER</h4> <p>Historically, surgery has remained the unwanted stepchild of public health system. Governments across developing countries are obsessed with malaria, TB and HIV. Unfortunately, malaria, TB and HIV collectively kill less than four million people a year across the world while lack of access to safe surgery kills 17 million people annually. Most of these procedures are simple operations called ‘bellwether procedures’ – surgery for burst appendix, caesarean section for obstructed delivery and surgery for compound fractures.</p> <p>Sponsoring these operations can save millions of lives in India. With 65 million surgeries required to be performed every year, India is currently lagging as it performs only 25 million surgeries.</p> <p>With Ayushman Bharat sponsoring almost all secondary care and most of tertiary care hospitalisations, things are nevergoing to be the same. Because of the large number of surgeries done in public and hospitals, better infrastructure will come up which can easily take care of malaria, TB and HIV, apart from all other<br /> medical treatments.</p> <p>With the launch of the National Medical Commission by the government, the much debated shortage of medical specialists can be addressed in just three years.</p> <p>Ayushman Bharat can transform healthcare by encouraging digital medical records.</p> <p>The Joint Commission of the USA, which accredits American hospitals, showed that 65% of the sentinel events happening in hospitals which generally lead to death are due to communication failure. An inexpensive software, built locally, running on a mobile platform can turn India into the technologically most advanced healthcare system in the world.</p> <p>Today very few surgical procedures are done in public hospitals. With the large inflow of patients who are covered by Ayushman Bharat, public hospitals must wake up to the reality of coping with a large workload. Financial incentive through Ayushman Bharat for medical professionals will certainly make a difference.</p> <h4>PRIVATE HEALTHCARE PROVIDERS APPREHENSIVE</h4> <p>Private healthcare was becoming unviable well before Ayushman Bharat, mainly because of the Central Government Health Scheme. The scheme, which sets the benchmark for procedural pricing for all government schemes, did not make major changes in its pricing of procedures, which is not scientifically arrived at, in the last 10 years. Compounding the problem was delayed payments by governmentsponsored health schemes, at times after more than a year.</p> <p>Fortunately, Ayushman Bharat pays on time. The only grievance is the pending request for upward revision of some of the rates which I assume will happen soon.</p> <p>I am convinced that within the next seven to 10 years India will become the first country in the world to dissociate healthcare from affluence. India needed two change agents – a financial intermediary to pay for medical treatments and a regulatory body to transform medical education to train adequate manpower to address the healthcare needs of 1.3 billion people. In the last three years, the government started laying the foundation for a paradigm shift by launching first Ayushman Bharat and then the National Medical Commission.</p> <p>For the first time in our country, Ayushman Bharat agreed to pay interest in case of delayed payments. For the first time, I see political intention for a change and no one can come in the way of the change whose time has come.</p> </div> </div> </div> <section> <h2>Add new comment</h2> <drupal-render-placeholder callback="comment.lazy_builders:renderForm" arguments="0=node&amp;1=1226&amp;2=field_comments&amp;3=comment" token="IE50QpyUMUq8ItUmciOcDpusU6410Zyxm6GeqpdHTLA"></drupal-render-placeholder> </section> <div class="field field--name-field-author field--type-string field--label-above"> <div class="field__label">Author</div> <div class="field__item">By Dr Devi Shetty</div> </div> <div class="field field--name-field-published-date field--type-datetime field--label-above"> <div class="field__label">Published Date</div> <div class="field__item"><time datetime="2019-09-26T04:38:34Z">Thu, 09/26/2019 - 10:08</time> </div> </div> <div class="field field--name-field-published-in field--type-string field--label-above"> <div class="field__label">Published in</div> <div class="field__item">The Economic Times</div> </div> <div class="field field--name-field-featured-image field--type-image field--label-above"> <div class="field__label">Featured Image</div> <div class="field__item"> <img src="/sites/default/files/2019-11/screenshot-img.etimg_.com-2019.11.01-10_18_37.png" width="303" height="229" alt="Ayushman Bharat, a change whose time has come" title="Ayushman Bharat, a change whose time has come" typeof="foaf:Image" /> </div> </div> <div class="field field--name-field-share field--type-social-media field--label-above"> <div class="field__label">Share</div> <div class="field__item"><div class="block block-social-media block-social-sharing-block no-title"> <div class="content block-content"> <div class="social-media-sharing"> <ul class=""> <li> <a target="_blank" class="facebook-share share" href="http://www.facebook.com/share.php?u=https://pmjay.gov.in/rss.xml&amp;title=" title="Facebook"> <img alt="Facebook" src="https://pmjay.gov.in/modules/social_media/icons/facebook_share.svg"> </a> </li> <li> <a target="_blank" class="linkedin share" href="http://www.linkedin.com/shareArticle?mini=true&amp;url=https://pmjay.gov.in/rss.xml&amp;title=&amp;source=https://pmjay.gov.in/rss.xml" title="Linkedin"> <img alt="Linkedin" src="https://pmjay.gov.in/modules/social_media/icons/linkedin.svg"> </a> </li> <li> <a target="_blank" class="twitter share" href="https://twitter.com/intent/tweet?url=https://pmjay.gov.in/rss.xml&amp;status=+https://pmjay.gov.in/rss.xml" title="Twitter"> <img alt="Twitter" src="https://pmjay.gov.in/modules/social_media/icons/twitter.svg"> </a> </li> </ul> </div> </div> </div> </div> </div> <div class="field field--name-field-author-image field--type-image field--label-above"> <div class="field__label">Author image</div> <div class="field__item"> <img src="/sites/default/files/2019-11/dr-devi-prasad-shetty_0.jpg" width="257" height="308" alt="dr-devi-prasad-shetty" typeof="foaf:Image" /> </div> </div> <div class="field field--name-field-link field--type-link field--label-above"> <div class="field__label">link</div> <div class="field__items"> <div class="field__item"><a href="https://economictimes.indiatimes.com/news/politics-and-nation/view-ayushman-bharat-a-change-whose-time-has-come/articleshow/71303953.cms?from=mdr">here</a></div> </div> </div> Fri, 01 Nov 2019 04:25:39 +0000 admin_nhs 1226 at https://pmjay.gov.in One year of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana: 50 lakh hospital treatments with an eye towards universal health coverage https://pmjay.gov.in/One%20year%20of%20Ayushman%20Bharat <span>One year of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana: 50 lakh hospital treatments with an eye towards universal health coverage</span> <span><span lang="" about="/user/1" typeof="schema:Person" property="schema:name" datatype=""></span></span> <span>Thu, 10/31/2019 - 13:27</span> <div class="field field--name-body field--type-text-with-summary field--label-hidden field__item"><div class="col-sm-12"> <div class="auther-img mrg-top"><img class="img-responsive" src="https://www.pmjay.gov.in/sites/default/files/2019-10/PMJAY_Blog-banner-2.png" /><p>Free secondary and tertiary treatment worth nearly Rs. 7,996 crores availed. Gujarat, Tamil Nadu, Chhattisgarh, Kerala and Andhra Pradesh emerge as the top performing States</p> </div> </div> <div class="col-sm-12"> <div class="auther-blog-text"> <p>More than half a crore treatments have been availed by poor and vulnerable Indians through Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY), the flagship scheme of the Government of India in its first one year of operation.</p> <p>PM-JAY is the world’s largest fully Government funded health insurance, which was launched by Hon’ble Prime Minister Shri Narendra Modi on September 23, 2018. It provides a cover of up to Rs. 5 lakhs per family per year, for secondary and tertiary care hospitalization to over 10.74 crore vulnerable entitled families (more than 50 crore beneficiaries). PM-JAY provides cashless and paperless access to services for the beneficiary at the point of service.</p> <p>The aim of PM-JAY is to provide financial risk protection to more than 50 crore poor and vulnerable Indians across the country by assuring them inpatient care for a range of serious illnesses, treatment for which typically pushes an estimated 6 crore families into poverty  each year because of catastrophic expenditure on healthcare.</p> <p>Ayushman Bharat PM-JAY, at the national level, is managed and implemented by the National Health Authority. Headed by a full-time CEO, NHA is governed by a Governing Board chaired by the Hon. Union Minister of Health &amp; Family Welfare and has 11 members. Inter-alia, its functions include, formulation of policies of PM-JAY development of operational guidelines, implementation mechanisms, coordination with state governments, monitoring and oversight, among others.</p> <p>Since its inception, PM-JAY has shown strong acceptability across the country. So far, the scheme is being implemented in 32 States and Union Territories wherein more than 50 lakh free treatments have been provided. At the same time, PM-JAY, in the truest essence, is a partnership of public and private sector health systems. To date, more than 18,500 hospitals have been empanelled across India. In the first year, 53% of the empanelled hospitals are private, especially multi-specialty hospitals. Through the network of these empanelled hospitals, 9 treatments are done in every minute under PM-JAY. Further, around 51,000 portability cases have been recorded wherein migrant and travelling Indians have got their treatment outside their states.</p> <p>These treatments worth around Rs. 8,000 crores have been carried out in just over one year, resulting in savings of nearly Rs. 16,000 crore to the beneficiary families. More than 60% of the amount spent has been on tertiary care. Cardiology, Orthopaedics, Radiation Oncology, Cardio-thoracic and Vascular Surgery, and Urology have emerged as the top tertiary specialities.</p> <p>PM-JAY has made a good start and there is a long journey ahead. There are several areas of focus to improve the access, quality and affordability of care offered through PM-JAY. A few key areas of focus comprise extensive building of scheme awareness, establishing convergence of existing State schemes with PM-JAY, strengthening the existing IT and anti-fraud infrastructure and increasing empanelment of tertiary hospitals. Further, developing continuum of care framework for linkages of PM-JAY with primary care, and ensuring adoption of quality framework by the empanelled hospitals is also critical to the long-term success of PM-JAY.</p> <p>This is just the beginning for this path-breaking scheme. We are grateful to the Hon’ble Prime Minister for his visionary leadership and constant guidance and support. The successful implementation of this scheme will help us take forward Pandit Deen Dayal Upadhyay’s vision of “Antyodaya” – the upliftment of the last man standing in the queue, such that the deprived man gets all benefits of development happening in the country.</p> <p>Finally, as the scheme grows, we will continue to strive for reducing catastrophic out-of-pocket health expenditure, improving access to quality health care and meeting the unmet need of the population for hospitalization to move towards the vision of an ‘Ayushman Bharat’ and lead the way for achieving Universal Health Coverage.</p> </div> <div class="arrow-icon"> <h4>PROGRESS OF PM-JAY (as on 17/10/2019)</h4> <ul><li>E-Cards Issued = more than 10.9 crore</li> <li>Beneficiaries Admitted in Hospital = More than 50 lakh</li> <li>Amount Authorized for Admissions = More than 8000 Cr</li> <li>Hospitals Empanelled = 18,552</li> </ul><div class="auther-img"><img class="img-responsive" src="https://www.pmjay.gov.in/sites/default/files/2019-10/AyushmanBharat.png" /></div> </div> </div> <div class="col-sm-12 col-xs-12"> <div class="col-sm-6 col-xs-12"> <div class="article-video"><iframe allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="" frameborder="0" src="https://www.youtube.com/embed/8RLOYHTlgbw"></iframe></div> </div> <div class="col-sm-6 col-xs-12"> <div class="article-video"><iframe allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="" frameborder="0" src="https://www.youtube.com/embed/NxufHWUl8qc"></iframe></div> </div> <div class="col-sm-6 col-xs-12"> <div class="article-video"><iframe allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="" frameborder="0" src="https://www.youtube.com/embed/WwEFrDfSE2A"></iframe></div> </div> </div> </div> <section> <h2>Add new comment</h2> <drupal-render-placeholder callback="comment.lazy_builders:renderForm" arguments="0=node&amp;1=1225&amp;2=field_comments&amp;3=comment" token="r-7P9JE9Tuk7u3uyeI9FE1W0cjiD79feuLRK0tLEkV0"></drupal-render-placeholder> </section> <div class="field field--name-field-author field--type-string field--label-above"> <div class="field__label">Author</div> <div class="field__item">By Dr Indu Bhushan </div> </div> <div class="field field--name-field-published-date field--type-datetime field--label-above"> <div class="field__label">Published Date</div> <div class="field__item"><time datetime="2019-10-21T04:42:11Z">Mon, 10/21/2019 - 10:12</time> </div> </div> <div class="field field--name-field-published-in field--type-string field--label-above"> <div class="field__label">Published in</div> <div class="field__item">My Gov</div> </div> <div class="field field--name-field-featured-image field--type-image field--label-above"> <div class="field__label">Featured Image</div> <div class="field__item"> <img src="/sites/default/files/2019-10/pmjay2_0.png" width="774" height="732" alt="One year of Ayushman Bharat " title="One year of Ayushman Bharat " typeof="foaf:Image" /> </div> </div> <div class="field field--name-field-share field--type-social-media field--label-above"> <div class="field__label">Share</div> <div class="field__item"><div class="block block-social-media block-social-sharing-block no-title"> <div class="content block-content"> <div class="social-media-sharing"> <ul class=""> <li> <a target="_blank" class="facebook-share share" href="http://www.facebook.com/share.php?u=https://pmjay.gov.in/rss.xml&amp;title=" title="Facebook"> <img alt="Facebook" src="https://pmjay.gov.in/modules/social_media/icons/facebook_share.svg"> </a> </li> <li> <a target="_blank" class="linkedin share" href="http://www.linkedin.com/shareArticle?mini=true&amp;url=https://pmjay.gov.in/rss.xml&amp;title=&amp;source=https://pmjay.gov.in/rss.xml" title="Linkedin"> <img alt="Linkedin" src="https://pmjay.gov.in/modules/social_media/icons/linkedin.svg"> </a> </li> <li> <a target="_blank" class="twitter share" href="https://twitter.com/intent/tweet?url=https://pmjay.gov.in/rss.xml&amp;status=+https://pmjay.gov.in/rss.xml" title="Twitter"> <img alt="Twitter" src="https://pmjay.gov.in/modules/social_media/icons/twitter.svg"> </a> </li> </ul> </div> </div> </div> </div> </div> <div class="field field--name-field-author-image field--type-image field--label-above"> <div class="field__label">Author image</div> <div class="field__item"> <img src="/sites/default/files/2019-11/nhm-ceo.jpg" width="309" height="288" alt="nha-ceo" typeof="foaf:Image" /> </div> </div> <div class="field field--name-field-link field--type-link field--label-above"> <div class="field__label">link</div> <div class="field__items"> <div class="field__item"><a href="https://blog.mygov.in/one-year-of-ayushman-bharat-pradhan-mantri-jan-arogya-yojana-50-lakh-hospital-treatments-with-an-eye-towards-universal-health-coverage/">here</a></div> </div> </div> Thu, 31 Oct 2019 07:57:27 +0000 admin_nhs 1225 at https://pmjay.gov.in ecard https://pmjay.gov.in/node/1207 <span>ecard</span> <div class="field field--name-field-image field--type-image field--label-hidden field__items"> <div class="field__item"> <img src="/sites/default/files/2019-10/e-card.jpg" width="900" height="450" alt="" typeof="foaf:Image" /> </div> </div> <span><span lang="" about="/user/1" typeof="schema:Person" property="schema:name" datatype=""></span></span> <span>Thu, 10/24/2019 - 12:15</span> Thu, 24 Oct 2019 06:45:06 +0000 admin_nhs 1207 at https://pmjay.gov.in toll number https://pmjay.gov.in/node/1206 <span>toll number</span> <div class="field field--name-field-image field--type-image field--label-hidden field__items"> <div class="field__item"> <img src="/sites/default/files/2019-10/toll-number.jpg" width="900" height="450" alt="" typeof="foaf:Image" /> </div> </div> <span><span lang="" about="/user/1" typeof="schema:Person" property="schema:name" datatype=""></span></span> <span>Thu, 10/24/2019 - 12:13</span> Thu, 24 Oct 2019 06:43:42 +0000 admin_nhs 1206 at https://pmjay.gov.in