Name of the project: 
Rajiv Gandhi Jeevandayee Arogya Yojana
Applicant: Collector Office Aurangabad
Implementing agency: Rajiv Gandhi Jeevandayee Arogya Yojana (RGJAY)
About the project: Government of Maharashtra is implementing the RGJAY across the state to assist about two crore of Below Poverty Line (BPL) and Above Poverty Line (APL) families from health expenditure unaffordable for the household.
Objective: The objective of the RGJAY is to improve access of BPL and APL families (excluding White Card Holders)
Target group: BPL and APL families with an annual income less than ` one lakh
Strength areas: The project aims to provide cashless critical care, diagnostic and investigation to the beneficiaries with free health camps once in a week by the network hospitals. It also have PPP implementation model of service delivery with government entering into agreement with insurer.
Achievements:  It brings out the transparency and efficiency in the system with improved secondary and tertiary healthcare to the poor. Better outreach than the paper based Jeevandayee Scheme of Maharashtra. Pre-authorisation and claim payment occurring within the defined turnaround time.
Key challenges:
Awareness about the scheme and the mobilisation of the beneficiaries to the hospitals.
Patient identification & authentication as the data received from FCS was not digitised.
Detecting & controlling fraudulent and unethical practices by the hospitals.

 

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