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NHA launches process to empanel hospitals to achieve universal health coverage

Jul 5, 2018 10:36 IST
NHA launches process to empanel hospitals to achieve universal health coverage

The National Health Agency (NHA), the apex body for the implementation of Centre's ambitious Ayushman Bharat-National Health Protection Mission (AB-NHPM), on July 4, 2018 launched a formal process to empanel public and private hospitals to implement AB-NHPM, in order to achieve universal health coverage.

Objective

The main objective is to improve medical access for the most vulnerable sections of the population and holistically address healthcare by covering prevention, promotion and ambulatory care at primary, secondary and tertiary levels.

Through the initiative, NHA aims to provide financial protection to 10.74 crore deprived rural families and identified occupational categories of urban workers’ families as per the latest Socio-Economic Caste Census (SECC) data.

Speaking on the development, Dr. Indu Bhushan, CEO of NHA and Ayushman Bharat, urged all hospitals and healthcare service providers to maintain the motto of service to mankind and join Ayushman Bharat in spirit and deed.

Bhushan also requested all the states and union territories to assist in garnering the support of hospitals and healthcare providers for the mission.

Following the announcement, State Health Agencies (SHAs), through State Empanelment Committees, will start empanelling private and public healthcare service providers and facilities in states and UTs as per the guidelines.

About Ayushman Bharat

Ayushman Bharat is a National Health Protection Scheme, which will cover over 10 crore poor and vulnerable families (approximately 50 crore beneficiaries) providing coverage up to Rs 5 lakh per family per year for secondary and tertiary care hospitalisation.

There would be no cap on family size and age under the scheme.

The benefits of the scheme are portable across the country and a beneficiary covered under the scheme will be allowed to take cashless benefits from any public/private empanelled hospitals across the country.

The scheme will provide increased benefit cover to nearly 40 per cent of the population, the poorest and the most vulnerable.

It will cover almost all secondary and many tertiary hospitalisations. The benefits cover will also include pre and post-hospitalisation expenses. All pre-existing conditions will be covered from day one of the policy.

A defined transport allowance per hospitalisation will also be paid to the beneficiary.

The scheme is expected to lead to increased access to quality health and medication.

 

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