
PM-JAY portal snags leave patients in a spot in Odisha
CUTTACK: The recent launch of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) in Odisha might have brought with itself the promise of an improved healthcare delivery system, but the complexities in its implementation on the ground has left patients and healthcare personnel in a sticky situation.
In such a scenario, patients with life-threatening diseases, given the time-sensitive nature of their conditions, are more at risk as delay in treatment can pose severe consequences.
In a recent instance, a 52-year-old brain stroke patient, who was in coma and required immediate surgery, was turned away by a city-based private hospital because he could not undergo the iris scanning. Unable to avail the scheme's benefits and the pricey ICU charges left his family with no other option than to leave the hospital. He was, however, lucky as the next hospital he got admitted to, carried out his iris scanning during the CT scanning procedure, and his surgery was conducted smoothly.
In another case, family members of a 42-year-old man suffering from strangulated hernia had to pay cash to conduct his surgery as there appeared a glitch while uploading his ration card on the portal. Though they visited the Jan Seva Kendra for help and also dialled the helpline number 104, nothing could solve their problem. Since there is possibility of gangrene if strangulated hernia is not operated within 48 hours, the family members had no other option than to pay cash for surgery.
The protocol used in the earlier Bjiu Swasthya Kalyan Yojana (BSKY) was very simple. Any member of the family could enrol the patient under the scheme just by using his Aadhaar card. But, in AB PM-JAY, self-identification through iris scanner is necessary which is often difficult in some cases, especially when a patient is in coma stage, said a doctor who runs a private hospital.
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Indian Express
2 days ago
- Indian Express
Why Ayushman Bharat payments are stalled in Jharkhand
The promise of Ayushman Bharat seems to be unravelling in Jharkhand. The Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY), meant to provide affordable and accessible healthcare to low-income families, was launched by Prime Minister Narendra Modi in Ranchi in 2018. More than 23 lakh people in Jharkhand have availed treatment under the scheme since then. But pending payments to the tune of Rs 190 crore and mounting are jeopardising the future of Ayushman Bharat in Jharkhand. Some 212 hospitals have not received payments since last June, and the rest 538 hospitals empanelled under the scheme await reimbursement since February this year. Hospitals in the districts of Hazaribagh, Koderma, Palamu, and Deoghar have already pulled out of the scheme citing the hold up in payments. And this may just be the beginning. An ambitious scheme AB PM-JAY is the largest health insurance scheme in the world. It provides a cover of Rs 5 lakhs per family per year to eligible beneficiaries for hospitalisation expenses in both government and empanelled private hospitals. At the moment, some 750 hospitals in Jharkhand are registered under the scheme, according to the Association of Healthcare Providers of India (AHPI) and the Indian Medical Association (IMA). Current eligibility extends to the bottom 40% households, which is calculated based on deprivation and occupational data from the Socio-Economic Caste Census of 2011. The Prime Minister last year announced that coverage will soon be extended to all citizens aged 70 years and above. The cost of implementation of AB PM-JAY is shared between the Central and State Governments in a 60:40 ratio. According to Jharkhand officials, around 28 lakh families (some 1.5 crore people) are enrolled under AB PM-JAY in Jharkhand, with another 38 lakh families (roughly 2 crore people) covered through the state-run Mukhyamantri Swasthya Bima Yojana, for which the state bears the full cost. The way these schemes work is that beneficiaries are issued insurance cards, using which they can avail healthcare services in empanelled hospitals. These hospitals are then reimbursed on actuals by the government from the funds allocated under the scheme. Officials have confirmed to The Indian Express that there is no shortage of funds under the AB PM-JAY scheme, with Rs 2,284 crore allocated to the hospitals over the last 7 years. The problem is that beginning last year, the disbursement of these funds to hospitals has stalled. This is due to two main reasons. IRREGULARITIES & ED CASES: Last year, the National Anti Fraud Unit (NAFU), using AI, flagged 212 hospitals — 180 private and 32 government — for alleged irregularities in the implementation of Ayushman Bharat. These hospitals were subsequently placed 'on hold', which means that the further disbursement of funds to them was halted until the Enforcement Directorate (ED) completes its investigation. In April 2025, the ED conducted raids at 21 locations across Jharkhand, including prominent hospitals in Ranchi localities like Ashok Nagar, PP Compound, and Lalpur. These raids were linked to a CAG audit, which flagged alleged fraud, including the existence of ghost beneficiaries. The ED investigation is ongoing. Meanwhile, funds to the other 538 hospitals empanelled under the Ayushman Bharat scheme in Jharkhand, have also been stopped since earlier this year. This has been at the heart of the growing frustration in the state with the scheme. 'The ED is investigating 212 hospitals, till then the remaining hospitals also have to suffer,' said Dr Sayeed Ahmad Ansari, president of the AHPI, Jharkhand. Ansari and others have questioned why the hospitals not flagged by NAFU have also had their funding stopped. On Tuesday (June 3), Jharkhand Health Minister Irfan Ansari chaired a meeting with representatives of at least 200 hospitals and other senior officials. After the meeting he announced that the process to release funds to hospitals not under the ED scanner will be started at the earliest. A NEW GLITCHY PORTAL: Dr Anant Sinha, senior surgeon and president of the Jharkhand chapter of the IMA-affiliated Hospital Board blamed the stalling of payments on the introduction of a new web portal earlier this year. 'We were told the things would be streamlined by March… We are still waiting,' he said. Sinha is talking about HEM 2.0 which replaced the older Health Entitlement Management portal, a digital platform used for identifying, verifying, and managing beneficiaries under health schemes like AB PM-JAY. Doctors and officials claim that payments are held up at multiple stages, mostly because of procedural changes and technical shifts in the new web portal. Much of the current logjam is attributed to the launch of HEM 2.0, and the increased insurance cap which accompanied its introduction in February. (The Jharkhand government increased the insurance coverage from Rs 5 lakh to Rs 15 lakh per family under the Mukhyamantri Abua Swasthya Suraksha Yojana, the state's co-branded version of AB PM-JAY, which has also expanded coverage to 38 lakh families in Jharkhand, including all ration card holders in the state). Critics say HEM 2.0 lacks essential filters which has led to backlogs and missing data. As per the officials, another problem is that the payment follows FIFO (First In, First Out) mode where bills are cleared in the order they were approved, not the order in which they are filed. This rigid flow has further slowed claim settlements. A political slugfest Dr Sinha said that non-payment of Ayushman Bharat dues has meant that he has been unable to pay his staff since March. He added that if the payments did not come in, he would stop taking Ayushman Bharat card holders as patients. 'The real loss is to the government and the public,' Sinha warned. AHPI and IMA have claimed that 60 of the 212 NAFU-flagged hospitals have shut down under financial duress. More closures may be on the way if the situation is not sorted out soon. This has made Ayushman Bharat a growing political issue in Jharkhand as well. Babulal Marandi, the state chief of the BJP and the Leader of the Opposition in the state Assembly, accused Hemant Soren's government of failing to implement the Ayushman Bharat scheme in the state. 'Ayushman Bharat, launched by PM Modi from Jharkhand, is now barely functional here,' Marandi said. He claimed that over 500 hospitals have not been paid since February 25, and more than 200 haven't received dues for the past 10 months. 'Hospitals are shutting Ayushman services. Patients are being left in the lurch,' he said. Health Minister Ansari, while countering the former CM's allegations, said that until the ongoing investigation is completed, no hospital will be paid. Ansari claimed that several hospitals linked to BJP leaders are under scrutiny. 'Let me be clear — those misusing the Ayushman scheme for corruption will not be spared,' he said. Shubham Tigga hails from Chhattisgarh and studied journalism at the Asian College of Journalism. He previously reported in Chhattisgarh on Indigenous issues and is deeply interested in covering socio-political, human rights, and environmental issues in mainland and NE India. Presently based in Pune, he reports on civil aviation, other transport sectors, urban mobility, the gig economy, commercial matters, and workers' unions. You can reach out to him on LinkedIn ... Read More


Time of India
2 days ago
- Time of India
It's still the fields as toilets in Nandurbar's tribal communities remain on paper
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Under the Swachh Bharat initiative, govt provides a financial incentive of Rs 12,000 per household for toilet construction, shared between central (Rs 7,200) and state governments (Rs 4,800). But there's a catch—the money is disbursed only after construction is complete. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like The Most Hyped Tecno Pova Curve 5G Starts at 15,999 TECNO Mobile Book Now Undo This reimbursement-based model has created a paradox for the district's poorest residents. They don't have the money to start building toilets before govt funds arrive. "We do not have money to meet our ends. Govt can give us money to construct the toilets," Ranjana said. Bharati, another resident from the village, said, "We do not have enough money to meet ends. How can we spend money on constructing a toilet?" The situation worsens in tribal hamlets in Dhadgaon and Akkulkuwa talukas in the district. Tribal women there have no clue about the scheme. "We are not aware of this govt scheme. We do not have water. How can we construct toilets?" says Shekhu Pawra, her weathered face reflecting years of hardship. Pulsingh Pawra said that their village Sawra Digar has no electricity, roads or even adequate water supply. "During summers, we have to queue up at the nearest lake which too dries up," he explains, highlighting the more fundamental infrastructural issues plaguing the region. Official data shows about 2.90 lakh households in Nandurbar district have benefited from the scheme, but thousands of applications remain "under assessment." A field officer from Nandurbar, who requested anonymity, said over 11,000 households in these areas have approached them saying that they do not have funds to construct toilet blocks. "The target is high and we have not been able to bridge this gap," he added. He explained that many beneficiaries are covered under PMAY (rural) where they have to construct their houses with toilets, and the state govt grants them a subsidy of around Rs 2 lakh for constructing their houses. In the district until last month, a little more than 1 lakh beneficiaries are listed under the scheme. Ranjana says she is not a direct beneficiary under PMAY rural scheme, but her son's name is on the list. However, they have no clue how and when they can start construction of a pucca house. Local administration officials said that Tembhli village with a population of over 3,000 has 275 independent toilets. A survey is going on, and the rest will be constructed, they added. District collector Mitali Sethi said that a survey is underway to determine how many toilets are constructed and how many are still awaiting construction. "Details are being mapped and I will look into it," she added. Villages across Dhadgaon and Akkalkuwa tehsils present a peculiar mix of homes without toilets and others with half-built structures abandoned due to insufficient funds. Even where toilets have been constructed, practical problems prevent their use. "There is no water. We travel long distances to get drinking water. It is unthinkable for us to use it for toilets," a resident of Dhadgaon taluka said, highlighting the interconnected nature of infrastructural challenges. BOX Promised Infrastructure A Long Way Off Throughout Nandurbar district, many completed toilet blocks stand repurposed as storerooms for firewood, fodder, or cooking utensils—a practical adaptation to an impractical solution. In January, under Swachh Bharat Mission Grameen Phase 2, the central government declared 95% of India's villages as ODF Plus (Open Defecation Free Plus), claiming a 460% surge from December 2022 to December 2024. For Maharashtra, official figures show about 60% of villages (24,746 of 40,247) have been verified as ODF Plus models, with another 6,305 categorized as "aspiring villages." Yet the ground reality in Nandurbar's remote hamlets tells a different story—one where the lack of upfront funding, water scarcity, and practical challenges continue to keep Prime Minister Narendra Modi's 2014 sanitation promise out of reach for the most vulnerable communities, leaving women to continue their daily trek to the fields in search of privacy and dignity


The Hindu
3 days ago
- The Hindu
47 ‘minor' girls rescued from four shrimp processing units in Nellore district
As many as 47 girls, suspected to be minors, working in four shrimp processing units, were rescued by special teams during joint inspections across SPSR Nellore district. Cases have been filed against these firms and the labour contractors at the Kodavalur, Dagadarthi and Indukurupeta police stations. As per the orders issued by District Collector O. Anand, the special teams constituted of officials from District Child Protection Unit (DCPU), Anti Human Trafficking Unit (AHTU), Child Welfare Committee (CWC), Factories and Police departments. Speaking to The Hindu, District Child Protection Officer (DCPO) Suresh Kumar said, 'The teams conducted inspections at 12 shrimp processing units as per the action plan. We identified some girls, suspected to be minors, engaging in child labour, in four shrimp processing units.' 'With the support of Medical Officer, the DCPU has rescued these girls, who allegedly have been recorded as majors in their Aadhaar cards. They were shifted to Viswajanani, a child care institution registered under Juvenile Justice Act, at Rajupalem village in Kodavalur mandal,' he informed. Of the 47 girls, 10 have been confirmed as minors based on general, dental and radiological examination conducted by a team of doctors from ACSR Government General Hospital (GGH) in Nellore. Following the examinations, they were handed over to their parents from Odisha.