Photo: Mint
Photo: Mint

111 fraudulent hospitals 'shamed' under Ayushman Bharat

  • Union Health Minister Harsh Vardhan said that there is a zero-tolerance approach in the ambitious scheme
  • NHA is the nodal agency for implementation of PM-JAY

NEW DELHI : Implementing the “name and shame" initiative for preventing fraud in Ayushman Bharat-Pradhan Mantri Jan Arogya Yojna (AB-PMJAY), the government has made public the names of 111 hospitals that were found involved in malpractices.

Union Health Minister Harsh Vardhan while addressing the --Arogya Manthan— a two day national workshop organised by National Health Authority (NHA) to mark the first year anniversary of AB-PMJAY said that there is a zero-tolerance approach in the ambitious scheme. NHA is the nodal agency for implementation of PM-JAY.

“Ayushman Bharat is being governed on a zero-tolerance approach towards any kind of fraud, and the anti-fraud framework rests on three key pillars of prevention, detection and deterrence. We have de-empanelled 111 hospitals on charges of corruption and fraud. We are following the policy of Name and Shame, the de-empanelled hospitals’ names have been put on the NHA website," Harsh Vardhan said.

“We will not tolerate anything that will hamper the integrity of the scheme. NHA is currently building PM-JAY 2.0, the new and upgraded IT ecosystem that will be comparable to the best, anywhere in the world," he said.

The government is also planning to reward hospitals that have done exemplary work through a ‘Name and Fame’ initiative. “Those hospitals that have done good work should also be rewarded. Recently, the NHA has overhauled the existing health benefits packages and rationalized the cost of the packages to remove any aberrations, and to encourage wider private sector participation," said Harsh Vardhan.

Described as the world’s largest government insurance scheme, AB-PMJAY, India’s flagship healthcare scheme provides a cover of Rs. 5 Lakh per family per year to around 50 crore poor and vulnerable individuals.

Within a year of implementation of the scheme, 46.5 lakh hospital treatments were provided, amounting to claims worth 7,490 crores. Of that 53% of the treatments were provided in private hospitals, and 60% were for tertiary care. Prime Minister Narendra Modi launched AB-PMJAY on 23rd September in 2018 at Ranchi.

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