The Government has planned to tightened noose around people who have availed claims through fraudulent practices under Centre’s flagship scheme Pradhan Mantri Jan Arogya Yojana (PMJAY). As a deterrent, name and photograph of such persons would be displayed at all prominent locations across the country.
The move is aimed to name and shame those who are trying to avail false claim under the health insurance scheme, meant for real beneficiaries. The National Health Authority (NHA) is working on guidelines to expose such fraudsters.
According to the AB-PMJAY Annual Report quoted by new daily Moneycontrol, nearly 3,000 suspicious cases have been sent to states for investigation. This is worth around Rs 4.5 crore. In addition, NHA has also recovered almost Rs 2.29 crore worth fraudulent claims from the hospitals after audits.
Quoting sources, the report says that the Government‘s objective is to improve things so that real beneficiaries get benefits in quick and impartial manner. At the same time, the endeavour aims to curb wrong practices to benefit fake beneficiaries.
NHA is monitoring authority for the scheme which provides Rs 5 lakh health insurance to poor and vulnerable people for tertiary care facilities in empanelled hospitals across the country.
The world’s largest fully funded health insurance scheme aims to reduce out-of-pocket expenditure which takes toll on financial budget of such people.
As of November 11, there have been 18,694 empanelled hospitals. The report says that a total of 6.16 million beneficiaries have been availing hospital treatment out of the 65.39 million e-card holders under the scheme.