Role of private hospitals in ayushman bharat yojna

Question 1

National Health Agency (NHA) has released its data on “The role of private hospitals”. Key findings?

Answer 1

Private hospitals account for over half of the empanelled(to select a group of people for a jury) hospitals, nearly two-thirds of claim volumes, and three-quarters of claim outlays in the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY).

Over 72% of private empanelled hospitals are located in just seven States: Uttar Pradesh, Rajasthan, Tamil Nadu, Gujarat, Maharashtra, Punjab and Karnataka.

Question 2

Challenges in this regard?

Answer 2

1. Medical audits have also revealed that private hospitals are more likely to indulge in fraud and abuse than public hospitals and more likely to discharge patients early post-surgery to cut costs.
2. huge State-wise variation in the share of empanelled private hospitals from less than 25% in most of the northeastern and hill States to 80% in Maharashtra.