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Time of India
5 days ago
- Business
- Time of India
PMJAY dues will be cleared soon: Min
Ranchi: Health minister Irfan Ansari on Tuesday assured private hospitals of the state that they would get their outstanding dues for treating patients under the Centre's under Ayushman yojana. Tired of too many ads? go ad free now He, however, warned that the govt will continue to crackdown against the establishments if they are found resorting to malpractices under this scheme. Speaking at a conclave organised by Association of Healthcare Providers of India (AHPI) at a city hotel to address issues related to pending payments of government dues under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY), he said that govt will soon release legitimate pending payments. The state chapter of AHPI had recently threatened to stop treating the beneficiaries of the scheme citing scores of pending dues from the govt since February this year. Ansari said that the govt is sensitive towards every section of the society and their concerns, including the poor. "Approximately, Rs 192 crore in payments have been pending since February 11 this year, which will be resolved soon. Over the past seven years, a total of Rs 2,284 crore has been paid out. Payments of Rs 485 crore for 7.3 lakh govt hospital patients and over Rs 2,000 crore for 14 lakh private hospital patients have been made till date," the minister said. Ansari said the delays were due to ongoing probe against 212 hospitals identified by the National Anti-Fraud Unit. Technical glitches in the new portal system have also caused delays in payments to another 350 hospitals, Ansari said, adding that it is being resolved.
Time of India
19-05-2025
- Health
- Time of India
Why pvt hosps are hesitant in joining cashless health scheme
New Delhi: More than 50 private and 15 Delhi govt hospitals have enrolled under the State Health Authority (SHA) to provide cashless treatment to patients under Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY). However, many private facilities are reluctant to join the scheme over concerns of low rates being offered by govt. Most private healthcare facilities previously registered with AB-PMJAY through the National Health Authority (NHA) during the previous AAP regime were automatically transferred to city authority oversight. However, several prominent private hospitals raised issues regarding AB-PMJAY reimbursement rates, stating these do not adequately cover treatment expenses and could lead to financial deficits. While smaller healthcare facilities might find the scheme workable, larger hospitals consider it financially unviable due to substantial operational expenses, including infrastructure and advanced medical equipment. Clarifying why corporate and larger hospitals are reluctant to participate, Dr Sunil K Khetarpal, director, Association of Healthcare Providers India (AHPI), cited inadequate package rates for advanced medical procedures. He also highlighted concerns about delayed payments reported in some states implementing this scheme. AHPI, representing about 15,000 private hospitals, including Fortis, Max Healthcare, Manipal, Medanta, Narayana and Apollo, has sought discussions with Delhi govt to address these concerns. Girdhar J Gyani, AHPI's director general, has written to chief minister Rekha Gupta, stressing the necessity of establishing a dedicated grievance redressal system and accelerating reimbursements process under Delhi's recent inclusion in AB-PMJAY. Dr Narin Sehgal, medical director, Sehgal Neo Hospital, and AHPI secretary, Delhi, acknowledged the scheme's significance as the largest health insurance programme. He noted widespread hesitation in enrolment and suggested reconsideration of rates by govt and timely payments, citing issues with similar schemes, like CGHS. Despite AHPI's intervention and NHA's promises to revise the rates, the adjustments remained selective and insufficient, said Dr Sehgal. On April 5, Delhi govt entered an agreement with the Centre to implement AB-PMJAY, with card distribution beginning April 10. Very few private hospitals joined afterwards. CM Gupta said Delhi govt will cover 2,35,000 families in the first phase. Currently, 67 out of over 1,000 Delhi hospitals are participating in the scheme. Govt facilities include Lok Nayak, Deep Chand Bandhu Hospital, Rajiv Gandhi Super Specialty Hospital and Delhi State Cancer Institute while private participants include Dharamshila Narayana Superspeciality Hospital, Metro Hospital & Cancer Institute and Sri Balaji Action Medical Institute. Most of the empanelled private hospitals are in New Delhi district and are dedicated to eye care, general surgery, oncology, obstetrics and gynaecology. The scheme offers free treatment covering 1,961 medical procedures across 27 specialities, including medicines, diagnostics, hospitalisation, ICU care and surgeries.
