Union Minister for Health and Family Welfare, J P Nadda on August 27, 2018 announced that 29 States and Union Territories (UTs) signed the Memorandum of Understanding (MoU) for the implementation of on Ayushman Bharat – Pradhan Mantri Jan Arogya Yojna (AB-PMJAY).
These states have already started working on implementation of the scheme. The pilot project has started in 16 States and UTs. Other states/UTs will also start pilots before the pan-India launch of the scheme on September 25, 2018.
The government has given total flexibility to the States to choose their own modes of implementation among Insurance, Trust or Mixed Mode.
Logo of Ayushman Bharat – Pradhan Mantri Jan Arogya Yojna (AB-PMJAY)
On the same occasion, J P Nadda also launched the logo of the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojna.
• It is a National Health Protection Scheme, which will provide a defined benefit coverage of Rs 5 lakh per family per year for secondary and tertiary care hospitalisation to 10 crore poor and vulnerable families (approximately 50 crore beneficiaries).
• The beneficiary families covered under the scheme will be allowed to take cashless benefits from any public/private empanelled hospitals across the country.
• The beneficiaries will be decided on the basis of the Socio-Economic and Caste Census 2011 (SECC) database.
• It will be rolled out across all States/UTs in all districts with an objective to cover all the targeted beneficiaries. To control costs, the payments for treatment will be done on package rate basis.
• The scheme proposes setting up of Ayushman Bharat National Health Protection Mission Council (AB-NHPMC) at the national level to give policy directions and fostering coordination between centre and states. The council will be chaired by Union Health and Family Welfare Minister.
• The states would be required to set up a dedicated entity called State Health Agency (SHA) to implement the scheme.
• In partnership with NITI Aayog, a robust, modular, scalable and interoperable IT platform will be made operational which will entail a paperless, cashless transaction.
• The expenditure incurred in premium payment will be shared between Central and State Governments in a specified ratio as per Ministry of Finance guidelines.
• The services will include more than 1300 procedures covering pre and post hospitalisation, diagnostics, medicines etc.
The architecture and formulation of the scheme has undergone a truly federal process, with stakeholder inputs taken from all States and UTs through the national conclaves, sectoral working groups, intensive field exercises and piloting of key modules.
Information Security and Data Privacy
• The National Health Agency (NHA) Information Security and Data Privacy are being institutionalised to provide adequate guidance and set of controls on the secure handling of Beneficiaries Personal Data and Sensitive Personal Data in compliance with all laws and regulations applicable.
• The information security is based on international best practices and India specific regulations and more than 94 controls are set at various levels for secure handling of sensitive personal data.
• Strong measures have been taken to ensure security and privacy of data obtained, stored and used based on international best practices and India specific regulations.
• Strict actions will be taken against those running the fake websites on Ayushman Bharat. Criminal cases will be charged against fraudulent websites and agents trying to collect money from beneficiaries as there is no payment for obtaining services at empanelled hospitals.
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