Private Hospitals Receive 76.63% Of Rs 245.15 Crore For Treatment Under Ayushman Program | News from Indoré

INDORE: Private hospitals grouped under the PM-JAY Ayushman program in the district received a large portion (three-quarters) of requests despite treating only 7,500 more patients than public hospitals.
Health department records suggest that 92 private hospitals in the district have treated 64,293 beneficiaries and have received Rs 188.12 crore for claims so far. In the district, there are 100 hospitals grouped together under the program and they treated 1.21 lakh of beneficiaries at the cost of Rs 245.15 crore.
Ayushman Bharat – a flagship program of the Government of India, was launched in 2018 as recommended by the National Health Policy 2017, to achieve the vision of universal health coverage (UHC).
Ayushman Bharat is an attempt to move from a sectoral and segmented approach to health service delivery to a comprehensive, needs-based health service.
Dr BS Saitya from CMHO told TOI: “In the program, the package of treatments like cardiology, orthopedics and ophthalmology is very high. There are several private hospitals specializing in this type of high-end health services in the district. ”
“These hospitals, despite a slight difference in the number of beneficiaries from public institutions, received a much higher amount under the scheme. Public institutions, even like MY hospitals, do not perform bypass surgery, angioplasties, hip replacement surgeries due to lack of infrastructure, ”said Dr Saitya.
“So these public institutions, although they cater for an almost equal number of beneficiaries, are lagging behind in terms of the amount paid to them,” said Dr Saitya.
Under this program, the Union government pays the public institution the amount that could be used for infrastructure development and service improvement, said Dr Saitya.
Closing this gap, Dr Saitya said: “The super-specialty is about to begin operations and the School of Excellence in Ophthalmology will start in the hospitals of medical schools. The MON hospital bone marrow transplant unit started working after about two years.
These facilities and their operations will help close the gap drastically. Public institutions will catch up with this gap, added Dr Saitya.


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