Expert group to look into ‘affordable treatment’ under Ayushman Bharat

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Ayushman BharatIn order to air grievances of private hospitals regarding treatment cost of key ailments mentioned under Ayushman Bharat programme, Niti Aayog will soon set-up a sub group of experts.

The sub-group will undertake a systematic study of costing of treatment and the suggestions will be taken into account.

The Government has come out with a draft model tender document in which it had made proposal about fixing prices of key ailments i.e Rs 9,000 each for knee and hip replacements, Rs 40,000 for stenting, coronary artery bypass grafting (CABG) at Rs 1.10 lakh, caesarian delivery at Rs 9,000, vertebral angioplasty with single stent at Rs 50,000 and hysterectomy for cancer at 50,000. The draft was shared with the States last month.

The Indian Medical Association (IMA) has made some reservations about the draft tender document stating that the package rates were too low. The medical association said that hospitals would have to compromise on the quality posing huge risks to patients.

In a bid to end the stalemate between the Government and IMA, the Niti Aayog has decided to set up a experts’ group which will look into these issues.

“We need a comprehensive cost based data for healthcare procedures for which Niti Aayog is parterning with Department of Heath and Family Welfare and Indian Council of Medical Research (ICMR). We will form a sub-group which will undertake comprehensive study with public and private sector representatives,” Niti Aayog member V K Paul said.

As of now, the Government will go ahead with the prices for treatment of ailments under the Ayushman Bharat Scheme on the basis of the draft model tender document, he added.

Under Ayushman Bharat insurance programme, dubbed as ‘Modicare’ , Rs 5 lakh annual insurance cover has been promised to more than 10 crore poor families. It has been decided that the Central Government will fund 60 per cent for the programme while States will bear rest 40 per cent cost.

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