The state government of Haryana has announced that it will be launching the Ayushman Bharat-Haryana Health Protection Mission on August 15, 2018.
The scheme aims to provide cashless healthcare facilities to beneficiaries at empanelled hospitals. The scheme would be initially implemented on a pilot basis in one government hospital in each of the 22 districts, one ESI hospital and one medical college.
The decision was taken during a meeting held under the chairmanship of the state’s Chief Minister Manohar Lal Khattar in Chandigarh on August 9, 2018.
• Under the scheme, families identified by the Socio-Economic and Caste Census (SECC) would be provided with coverage of Rs 5 lakh.
• Every family figuring in the defined SECC 2011 database would be entitled to claim benefits under the scheme.
• Each beneficiary would be issued a card with a unique QR code, which they would have to produce at the hospital.
• Besides, all hospitals in Haryana have been directed to stock up on medicines so that patients don’t have to purchase them from outside.
• A total of 15.50 lakh families, including 9, 25,014 in rural and 6, 26,761 in urban areas, which figure in the SECC-2011 database, would be entitled to claim the benefits.
• Around 58 government and 32 private hospitals in the state would be empanelled for successful implementation of the scheme by August 15 for the pilot project.
• The state is planning to empanel more hospitals under the scheme. The Department of Medical Education and Research has been asked to empanel the medical colleges or hospitals in the Ayushman Bharat Scheme.
• Similarly, the Labour department has been asked to empanel the ESI Medical College and hospitals under the scheme.
• Out of 1,350 treatment packages provided by the government of India, about 266 packages would be reserved by the state government for public healthcare system in government hospitals of the state.
• Besides, Ayush Mitras would be appointed in all empanelled government hospitals to assist patients in availing the facilities under the scheme.
• The state’s Chief Minister Manohar Lal Khattar had previously launched the website of the Ayushman Bharat-Haryana Health Protection Mission.
• The scheme will provide a defined benefit coverage of Rs 5 lakh per family per year for secondary and tertiary care hospitalization 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 scheme is expected to increase access to quality health and medication. It is also expected to lead to timely treatments, improvements in health outcomes, patient satisfaction, improvement in productivity and efficiency, job creation thus leading to improvement in the quality of life.