There should be a unique common hospital registry, empanelment process, grading of hospitals and package cost harmonisation for effective utilisation of healthcare infrastructure under Ayushman Bharat PMJAY (Pradhan Mantri Jan Arogya Yojana), a report by the joint working group of the Insurance Regulatory and Development Authority (IRDAI) and the National Health Authority (NHA) has recommended.
The report said the individual hospital empanelment process followed by health care schemes and private insurance currently leads to replication of various activities and contributes to inefficiency and duplication. “It is recommended to have common empanelment portal which can be utilised by all the schemes/insurance companies with standardised empanelment criteria will be hugely beneficial with special focus on standard safety and quality parameters," the report said.
The report has also proposed preparing a standard grading system for hospitals, based on quality parameters. It said the same grading system can be used by PMJAY and the private insurance market.
“An exercise should be done to agree on these common grading parameters in discussion with National Accreditation Board of Health also," the report said. It also recommended developing a roadmap to get one common list of accredited verified hospitals for the entire industry.
Comparative study of packages, their rates and mapping to uniform codes and defining standards and indicators for safe and quality healthcare to patients were the other suggestions made.