Health dept restructures use of hospital revenues
Under the new system, 25% of the earnings generated through claims under the insurance schemes will be distributed as incentives to doctors and support staff. The remaining 75% will be allocated for hospital operations, purchase of medicines and equipment, infrastructure maintenance and development, the guidelines said.
The new guidelines also allow the govt healthcare institutions, including medical college hospitals, district hospitals, sub-divisional hospitals, referral hospitals, community health centres (CHCs), and primary health centres (PHCs) to directly use the revenue earned from health insurance schemes such as the Mukhyamantri Abua Swasthya Suraksha Yojana and Ayushman Bharat Mukhyamantri Jan Arogya Yojana for their own development or share the revenue as incentives.
As per the guidelines, in cases where hospitals avail services from external specialists or super-specialists, payments will be made from the 75% operational fund as per government-approved rates. Additional chief secretary (health), Ajoy Kumar Singh, "Additionally, hospitals are now empowered to recruit specialist doctors, technicians, nurses, and hospital managers from external sources using these funds, with district-level committees formed to oversee such appointments.
These committees will be headed by the deputy commissioners, with the civil surgeons and deputy superintendents as members."
For broader institutional efficiency, the govt has outlined an alternate allocation structure where 15% of the total earned amount is provided as incentives and the remaining 85% is utilised for operations, maintenance, procurement of medicines, consumables, and payments for specialist services.
A special committee has also been constituted to manage the recruitment and service enhancement of medical colleges. The committee includes the director (medical education), principal of the medical college concerned, hospital superintendent, heads of department, and a joint or deputy secretary from the health department.
The govt has set a clear financial target of an average monthly claim of Rs 50,000 per bed in all medical colleges and sadar hospitals within the next three years. "This ambitious goal is expected to drive improvements in service delivery and facilitate broader collaborations with private healthcare professionals," Ajoy Kumar Singh added.
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