Charitable hospitals must comply with govt health scheme GR: Minister
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Caption: Health minister Prakash Abitkar with Ayushman Bharat Mission Maharashtra president Om Prakash Shete and MLA Kailash Patil
Pune: State health minister Prakash Abitkar on Wednesday said trust-run charitable hospitals must comply with the govt resolution on their mandatory empanelment under the Mahatma Jyotirao Phule Jan Arogya Yojana (MJPJAY).
He said the govt had taken multiple steps recently to ensure that the issues raised by the hospitals were addressed, but the opposition from facilities continued. "When benefits provided by the govt under various schemes applicable to trust-run charitable hospitals are happily accepted, it is their duty to provide treatment to poor patients under various govt-run schemes," he said in the meeting with representatives from the trust-run hospitals at Yashada.
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Visibly upset over hospitals sending clerical staffers as representatives, Abitkar said, "I expected decision-makers from the respective hospitals to attend this meeting; but they sent clerical staff. This is not done. The message cannot be delivered effectively by the lower-rung staff to the administration."
The health minister said, "We are revising the treatment package rates, and hospitals will benefit from this as well.
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There was no revision in rates since 2013. So, there were some objections. We have now addressed these. The intention of the govt behind such a GR is simply to provide affordable treatment to patients. Charitable hospitals gain benefits, be it land at nominal rates or benefits under taxes, because they come under the trusts act.
Otherwise, they should have started private hospitals."
Close to 50 trust-run hospitals come under the Maharashtra Public Trusts Act, 1950.
According to it, these hospitals are expected to set aside 2% of their profits from income for the Indigent Patients Fund (IPF) and 10% of the beds for the poor. In exchange, the hospitals gain tax benefits under 80G and seek donations as a charity institute.
A total of 11 hospitals from Pune, under the Association of Hospitals (AOH), filed a writ petition in Bombay high court earlier this month. Advocate Manjusha Kulkarni, secretary and legal advisor of AOH, said, "AOH has 11 trust-run hospitals as its members.
We filed the writ petition because the govt cannot mandate the hospitals to be empanelled under the MJPJAY or the PMJAY. These are voluntary schemes. The schedule of charges under these schemes is pathetically low.
With such charges, we would not be able to cope with the technology and provide the kind of services we do."
When asked if the govt would take any strict action against the hospitals refusing to get empanelled under the MPJAY, Abitkar said, "As a govt authority, we have put forth our stand on the issue.
We will hear what the hospitals have to say now. The current GR and the law are in line with previous court orders. If they still have any objections, we will address those. Our stand is very clear, and so we are not worried about the writ petition.
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Aannasaheb Chavan, chief executive officer, MJPJAY, said, "The MJPJAY ensures Rs5 lakh insurance per family annually, and an additional Rs5 lakh coverage is provided to citizens above 70 years. We have decentralised the registration process by empowering district collectors to empanel hospitals. We have about 2,180 hospitals empanelled with us right now. We aim to increase this to 4,200 hospitals in the next two months.
The packages have been revised to include 1,356 treatments, which will double in a few months. The govt is positive about revising the cap on various treatment packages as well. The disbursal of payments will also be smoothened.
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