AYUSHMAN BHARAT SCHEME -
AYUSHMAN BHARAT :
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Nearly 22 crore beneficiaries have been verified under the Ayushman Bharat Pradhan Mantri – Jan Arogya
Yojana (AB PM-JAY) Scheme till 4th January 2023 highlights the Economic Survey 2022-23.
About Ayushman Bharat scheme
• It was launched in 2018 as recommended by the National Health Policy (NHP) 2017, to achieve the vision of Universal Health Coverage (UHC).
• It is an attempt to move from a sectoral and segmented approach of health service delivery to a comprehensive need-based health care service.
• Comprises two interrelated components:
Health and Wellness Centres (HWCs) to provide
Comprehensive Primary Health Care.
. Pradhan Mantri Jan Arogya Yojana (PM-JAY)
• Achievements :
1,54,070 AB-HWCs have been operationalized across the country by upgrading the SHCs and PHCs in rural and urban area .
About PM JAY
• World’s largest Health Insurance scheme:
It aims at providing a health cover of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization to the bottom 40% of the Indian population.
• Identification of beneficiary households:
Based on thedeprivation and occupational criteria
of SocioEconomic Caste Census 2011(SECC 2011).
• Cashless and paperless access to services:
For the beneficiary at thepoint of service in any (both publicand private) empanelled hospitalsacross India.
Significance of PM-JAY
• Help India progressively achieve Universal Health Coverage (UHC) and Sustainable Development Goals
(SDG).
• Ensure improved access and affordability of quality secondary and tertiary care services.
• Significantly reduce out of pocket expenditure for hospitalization.
• Strengthen public health care systems through infusion of insurance revenues.
• Enable creation of new health infrastructure in rural, remote and under-served areas.
• Improvement in population-level productivity and efficiency thus leading to improvement in quality of
life.
Way forward
• Exclude public hospitals from PMJAY as services there are already free of cost.
• Penalising unethical practice in hospitals indulging in unethical practices .
• Continuous Quality Improvement efforts to be undertaken in PM-JAY network hospitals.
• Real time data should be available in the available in the public domain for researchers to analyse, and
make recommendations to plug gaps in the scheme.
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