INTRODUCTION
Ayushman Bharat Yojana or Pradhan Mantri Jan Arogya Yojana (PMJAY) or National Health Protection Scheme is a program which aims to provide a service to create a healthy, capable and content new India. It has two goals, one, creating a network of health and wellness infrastructure across the nation to deliver comprehensive primary healthcare services, and another is to provide insurance cover to at least 40 per cent of India’s population which is majorly deprived of secondary and tertiary care services.
Considering the above facts, Hospaccx team participates in the market trends and dynamic regarding impact of Ayushman Bharat on Hospitals. This is macroficial study on impact of Ayushman Bharat on hospitals, if you want to get into more detail you can contact hospaccx.india@gmail.com
IMPLEMENTATION STRATEGY OF AYUSHMAN BHARAT
- At the national level to manage, an Ayushman Bharat National Health Protection Mission Agency (AB-NHPMA) would be put in place. States/ UTs would be advised to implement the scheme by a dedicated entity called State Health Agency (SHA). They can either use an existing Trust/ Society/ Not for Profit Company/ State Nodal Agency (SNA) or set up a new entity to implement the scheme.
- States/ UTs can decide to implement the scheme through an insurance company or directly through the Trust/ Society or use an integrated model.
IMPACT OF AYUSHMAN BHARAT ON HEALTHCARE
- Ayushman Bharatwill positively impact the current healthcare ecosystem in the country by focusing on low-cost, good-quality drugs and centralised procurement.
- It will help in building capacities for effective claims management, clinical audits and hospital scrutiny.
- It will push for the development of IT infrastructure in healthcare sector which will further reduce the costs.
- It will help the government in identifying additional sources of financing and setting up regulators to ensure fair competition.
CHALLENGES FOR AYUSHMAN BHARAT
The government’s scheme National Health Protection scheme or Ayushman Bharat may face many challenges:
- Participation of States
The government proposed a 40% participation of states in contributing towards premium and implementation of Ayushman Bharat. However, till date, there has been no communication to states. Some of the states might already be having similar schemes implemented. For example, Karnataka government has plans to roll out Universal Health Coverage (UHC) which intend to provide health coverage of approximate Rs. 1.5 Lacs to 1.4 crore households living in BPL category. This cashless facility can be availed in Public and Private Hospitals both.
- Poor infrastructure
Additional coverage provided is expected to increase demand for healthcare service. This, in turn, is going to increase patients in private as well as public hospitals. However, most of the hospitals especially in remote areas do not have infrastructure and resources to respond.
Right Infrastructure strategy required to meet new bed capacity demand from Ayushman Bharat
The above graph shows, there are 13.5 lakhs existing hospital beds (pre NHPM) and post NHPM there is demand for more 1.6 lakhs hospital beds in India.
- Low participation from the private sector
Private hospitals may try to exclude themselves from accepting the health coverage provided by the government in Ayushman Bharat scheme. Private hospitals providing medicare for such benefits are unhappy due to delays in payments or follow-up needed to be done with government machinery.
CONCLUSION
The Ayushman Bharat National Health Protection Mission (AB-NHPM) scheme mandates the adoption of standardised guidelines for treatment which includes improved consistency of care, curbing the tendency to overcharge patients, increase in evidence-based treatment, and uniform billing across centres. The scheme will set several records in scale and quality of care which would help in improving the healthcare of the country.
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It is the superficial and macro level study for more details kindly contact Hospaccx Healthcare business consulting Pvt. ltd on info@hhbc.in or hospaccx.india@gmail.com Or you can visit our website on https://hospaccxconsulting.com/
