The Government has taken a major decision to revise treatment packages under its flagship scheme Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY), which provides annual health coverage of Rs 5 lakh to poor and vlnerable people.
As per news reports, National Health Authority (NHA), the nodal agency for implementation of the scheme has increased the rate of 270 packages, addition of 237 new packages, and adoption of 43 stratified packages. There is no change to the rate of 469 packages, as per the decision.
PMJAY, touted as gamechanger and one of the biggest healthcare schemes across the globe, offers 1,393 treatment packages, out of which 1,083 are surgical, 309 medical and one unspecified package.
Responding to the decision on revision of packages, Dr Harsh Vardhan, Union Minister of Health and Family Welfare said, “We are confident that with the revision in the Health Benefits Packages of Ayushman Bharat PMJAY, many new private hospitals will get empanelled with the scheme. This will help improve access to good quality healthcare, and lakhs of vulnerable families will receive free treatment”.
Indu Bhushan, CEO, Ayushman Bharat said the decision has been taken after taking inputs from States and Union Territories. The feedback was examined by the review committee as well, he said.
“States/UTs which are using insurance model or a combination of Trust and insurance model shall have the autonomy to either continue using existing package master till their current contract period ends or shift to the new version after making suitable amendments in their contract,” he added.
As per a report, a total of 46.5 lakh hospital treatments have been provided under the scheme in one year amounting to claims worth Rs 7,490 crore.