20 States Sign MoU for Implementing Ayushman Bharat – National Health Protection Mission (Important) (Download PDF)

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Union government exchanged MoU w/health ministers from 20 states, towards launch of Ayushman Bharat – National Health Protection Mission (AB-NHPM). Initiative will change landscape of healthcare in country.

Image of 20 States Sign MoU for Implementing Ayushman Bharat

Image of 20 States Sign MoU for Implementing Ayushman Bharat

Image of 20 States Sign MoU for Implementing Ayushman Bharat

Key Highlights of Ayushman Bharat – National Health Protection Mission

  • AB-NHPM will protect around 50 cr. people from about 10 cr. families.

  • Scheme will enable cashless & paperless access to services up to Rs. 5 lakhs per family per year.

  • Services will be available for beneficiary families at point of service in both public & private empanelled hospitals across India.

  • Scheme is expected to bring visible relief to target families by mitigating financial risk arising out of catastrophic health episodes.

20 states have signed MoU. Number is likely to go up to 25 by end of June 2018.

Benefits of Ayushman Bharat – National Health Protection Mission

  • AB-NHPM will have major impact on reduction of Out Of Pocket (OOP) expenditure.

  • Give cashless benefits in any public or private hospital across country, ensuring accessible & equitable quality health care to marginalized & vulnerable sections.

  • Improving secondary & tertiary hospitalisation & healthcare facilities.

  • Active participation of states. States need to own scheme while Centre will design policy framework w/all possible flexibility & support.

Details of Ayushman Bharat Agreement with States– National Health Protection Mission

  • During Health Ministers conclave, model tender documents, final operational guidelines for AB-NHPM were released that are focused on beneficiary centric delivery of services while ensuring there is no compromise on quality of healthcare services & preventing frauds.

  • Govt. has initiated universal screening of common NCDs such as diabetes, hypertension & common cancers along w/Tuberculosis & Leprosy.

  • Around 10 States & UTs are expected to implement scheme thru trust model, while 5 may do so thru mixture of trust & insurance.

  • Gujarat, UP, Bihar, Chhattisgarh, MP, Kerala & Jharkhand are some of states.

  • West Bengal, Odisha, Karnataka, Punjab & Delhi are yet to implement this programme.

  • Participants were appreciative of inclusive approach taken by National Health Agency during consultations & workshops.

  • Conclave saw launch of web portal for initiating empanelment of hospitals under mission. Training & demo of empanelment software will be conducted in next 2 weeks & state would be able to operationalise empanelment of hospitals by 1st July.

Ayushman Bharat – National Health Protection Mission

  • Scheme will provide defined benefit coverage of Rs. 5 lakh per family per year for secondary & tertiary care hospitalization to 10 cr. poor & vulnerable families (approx. 50 cr. beneficiaries).

Image of Ayushman Bharat – National Health Protection Mission

Image of Ayushman Bharat – National Health Protection Mission

Image of Ayushman Bharat – National Health Protection Mission

  • AB-NHPM will subsume on-going centrally sponsored schemes – Rashtriya Swasthya Bima Yojana (RSBY) & Senior Citizen Health Insurance Scheme (SCHIS).

  • Beneficiary families covered under scheme will be allowed to take cashless benefits from any public/private empanelled hospitals across country.

  • Beneficiaries will be decided on basis of Socio-Economic & Caste Census 2011 (SECC) database.

  • It will be rolled out across all States/UTs in all districts w/objective to cover all targeted beneficiaries. To control costs, payments for treatment will be done on package rate basis.

  • Scheme proposes setting up of AB-NHPMC at national level to give policy directions & fostering coordination b/w centre & states. Council will be chaired by Union Health & Family Welfare Minister.

  • States would be required to set up dedicated entity called State Health Agency (SHA) to implement scheme.

  • In partnership w/NITI Aayog, robust, modular, scalable & interoperable IT platform will be made operational which will entail paperless, cashless transaction.

  • Expenditure incurred in premium payment will be shared b/w Central & State Govt. in specified ratio as per Ministry of Finance guidelines.

  • Scheme is expected to increase access to quality health & medication. It is expected to lead to timely treatments, improvements in health outcomes, patient satisfaction, improvement in productivity & efficiency, job creation thus leading to improvement in quality of life.

  • Under this scheme, Rs. 1200 cr. is allotted for establishing 1.5 lakh Health & Wellness Centres. 24 new Govt. Medical Colleges & Hospitals will be set up, by up-grading existing dist. hospitals in country.

  • At least 1 Medical College for every 3 Parliamentary Constituencies & at least 1 Govt. Medical College in each State of country.

- Published/Last Modified on: August 15, 2018

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