Approvals for oncology procedures rise under Ayushman Bharat Arogya Karnataka scheme
Bengaluru: Access to cancer care under the Ayushman Bharat Arogya Karnataka (AB-ArK) scheme has expanded, with approvals for oncology procedures rising six-fold over seven years, from 9,328 in 2018-19 to 60,301 in 2024-25, according to health department data.
In 2024-25, the scheme pre-authorised 60,301 oncology procedures at A cost of Rs 271.7 crore. Of these, 56% were for medical oncology (primarily chemotherapy), 25% for radiation oncology, and 19% involved surgical oncology. The scheme benefited approximately 59,000 priority household (PHH) beneficiaries and 1,212 non-PHH individuals.
Data sourced by TOI indicated a heavier reliance on private hospitals, which handled 56% of the total procedures, accounting for 67% of the expenditure, while govt hospitals handled 44% of the caseload.
As per the population-based cancer registry at Kidwai Memorial Institute of Oncology, Karnataka faces a high cancer burden, with an estimated 1 lakh new cases and a prevalence of 2.3 lakh existing cases annually. A senior health department official said, "In Karnataka, the lifetime risk of developing cancer is one in seven among men and one in six for women. However, 77% of breast cancer cases and 91% of cervical cancer cases are detected in the early stages.
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The state currently offers tertiary-level cancer care through the scheme, aiming to improve accessibility through Karnataka. A total of 109 hospitals — 13 govt and 96 private — are empanelled under the Suvarna Arogya Suraksha Trust. The network includes eight govt medical colleges and 22 private medical colleges offering specialised oncology services.
Since 2022-23, Kidwai institute alone has conducted 51,418 oncology procedures — the highest among govt institutions.
It is followed by Mysore Medical College and Research Institute (5,123), VTSM Peripheral Cancer Centre in Kalaburagi (4,690), Karnataka Institute of Medical Sciences in Hubballi (4,189), and Vijayanagar Institute of Medical Sciences in Ballari (836). Among private hospitals, Bharat Hospital and Institute of Oncology in Mysuru leads with 6,204 procedures.
Box 1
Districts sans oncology coverage under scheme
- Bidar
- Yadgir
- Vijayanagara
- Koppal
- Chitradurga
- Chikkaballapur
- Ramanagara
- Kodagu
- Chamarajanagar
- Chikkamangaluru
BOX 2
Utilisation of oncology procedures
Year
Procedure count
Approved amount
2018-19
9,328
Rs 52 lakh
2019-20
31,715
Rs 1.7cr
2020-21
29,862
Rs 1.5cr
2021-22
34,627
Rs 1.8cr
2022-23
43,356
Rs 2.1cr
2023-24
52,547
Rs 2.4cr
2024-25
60,301
Rs 2.7cr
BOX 3
Utilisation by oncology type
Year
Medical
Radiation
Surgical
Total cases
Approved amount
2022-23
21,472
12,881
9,003
43,356
Rs 2.1cr
2023-24
28,565
14,159
9,823
52,547
Rs 2.4cr
2024-25
33,893
15,341
11,067
60,301
Rs 2.7cr
— Source: Health department
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