Latest news with #RGHS


Time of India
a day ago
- Health
- Time of India
Relief for patients as pvt hosps withhold suspension of cashless treatment under RGHS
Jaipur: The Rajasthan Alliance of Hospital Associations (RAHA)'s advisory committee, formed for ongoing policy dialogue with the state govt on the Rajasthan Government Health Scheme (RGHS), withheld the suspension of cashless treatment to RGHS beneficiaries after a meeting with senior health department officials Monday. Earlier, RAHA called for stopping cashless treatment from July 15 under RGHS, protesting non-payment of bills for seven months along with other demands related to RGHS. "We will continue to provide cashless treatment to the RGHS beneficiaries as we were doing earlier. We have taken this decision after cordial discussions with the health department officials today (Monday)," Major General Dr SC Pareek, convenor of the eight-member advisory committee of RAHA, told TOI. He said, "We had some issues related to pending payments, closure of the transaction management system (TMS) of hospitals, and treatment protocols. We also demanded our participation in the formulation of the future standard operating procedures regarding RGHS implementation. They (govt) have agreed to it. It was a cordial discussion for a sustainable solution benefiting patients and hospitals." A senior health department official said, "The meeting was held on a positive note to ensure patients continue getting cashless treatment under the RGHS scheme." by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like Đây có thể là thời điểm tốt nhất để giao dịch vàng trong 5 năm qua IC Markets Tìm hiểu thêm Undo One of the demands of the RAHA was the unblocking of TMS portals, by immediate reinstatement of TMS access for claims closed on minor technical grounds, allowing hospitals to resubmit or amend such cases. On this demand, the health department assured the RAHA committee to unblock the TMS access, and proceedings will be expedited following due process as mentioned in the scheme guidelines. Regarding the demand for pending bills, the health department said that a major portion of outstanding approved claims was released. RGHS will expedite further payments and try to clear remaining outstanding claims by March 31, 2025, by July 31, 2025. On the demand for timely payment of hospital bills against cashless treatment of patients under RGHS, the health department pointed out that RGHS strives to maintain a 45 to 60-day payment cycle subject to budget constraints, and efforts are being made to align the timeline with the standard settlement process. On the demand for the participation of RAHA in the formulation of SOPs, the health department said that the minimum document protocol (MDP) for various components is in the process of formulation. The various stakeholders, including the advisory committee (RAHA), will be consulted and will try to finalise within three months, adding that RGHS acknowledges the role of consultation and will have regular dialogue with the identified representatives of various stakeholders, including the empanelled private hospitals and pharmacies.

New Indian Express
2 days ago
- Health
- New Indian Express
Cashless treatment under RGHS to halt from July 15 as private hospitals protest over unpaid dues
JAIPUR: Private hospitals across Rajasthan are set to suspend cashless treatment under the Rajasthan Government Health Scheme (RGHS) from Tuesday, affecting lakhs of government employees, pensioners, and their families. The decision comes after months of non-payment from the state government, with dues totalling approximately Rs 980 crore. Hospital administrators claim they can no longer sustain operations without receiving pending reimbursements, despite repeated appeals and warnings to the government. On Sunday, the Indian Medical Association (IMA) convened a meeting in which representatives from private, corporate, and charitable hospitals discussed the financial crisis and challenges they face under RGHS. The Rajasthan Alliance of Hospital Associations submitted a memorandum to the state government proposing urgent reforms to save the scheme. These included immediate payment of dues, a 45-day fixed payment cycle, simpler documentation, reactivation of the TMS portal, formal recognition of an advisory committee, and long-term structural improvements. Dr. Vijay Kapoor, president of the Private Hospitals Association, said nearly 1,000 private hospitals have not been paid under the scheme for over seven months. He stated that while the hospitals never intended to enter into conflict with the government, the lack of dialogue and delay in payments have left them with no choice but to halt cashless services starting Tuesday. The RGHS was originally launched in June 2018 during the Vasundhara Raje government and was revived in 2021 by the Ashok Gehlot-led administration.


Time of India
3 days ago
- Health
- Time of India
Raj govt releases partial payment to private hospitals under RGHS
1 2 Jaipur: Facing a threat from private hospitals to halt cashless treatment under the Rajasthan Government Health Scheme (RGHS), the state govt Saturday released part of the pending payments to defuse the crisis. Private hospitals had warned they would stop cashless services from July 15 if their dues were not cleared. Hospital associations claimed that bills for cashless treatment have been pending for the past seven months. While they acknowledged the govt's release of partial payments, they insisted that all outstanding dues—particularly those up to March 2025—must be settled for services to continue uninterrupted. "This is a welcome step, but not a complete resolution. Our bills are still not fully paid. We haven't withdrawn our call to stop cashless treatment starting July 15. A meeting with the govt is scheduled to discuss the matter," said a senior official from a private hospital. Under RGHS, the state provides medical coverage to MLAs, former MLAs, govt employees, pensioners, and other eligible beneficiaries. The scheme allows these groups to receive treatment without upfront payment at empanelled private hospitals. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like Schweizer haben Anspruch auf kostenlose Hörgeräte Hörgeräte Undo Hospital representatives stressed that without timely payments, it is becoming financially unsustainable to continue offering cashless treatment. They urged the govt to clear all dues to avoid disruptions in patient care. Health minister Gajendra Khimsar said the govt will soon hold a meeting with private hospitals and other stakeholders involved in the implementation of Rajasthan Government Health Scheme (RGHS). He emphasised that the health department, which recently took over RGHS from the finance department, is committed to resolving the issue. "We are open to talks and will engage with all parties concerned. Our priority is to ensure that beneficiaries continue to receive the benefits of RGHS without disruption," said Khimsar.


Time of India
5 days ago
- Health
- Time of India
Pvt hosps to stop cashless RGHS services from July 15 over unpaid dues
Jaipur: Private hospitals across Rajasthan have announced to suspend cashless treatment under the Rajasthan Government Health Scheme (RGHS) from July 15, alleging non-payment of dues amounting to Rs 980 crore pending for over seven months. The move comes after repeated appeals to the state govt failed to yield any resolution. Dr Vijay Kapoor, president of Private Hospitals Association, said, "No payments have been released since last 5-6 months. Many hospitals have been de-empanelled, and defaulter hospitals penalised heavily based on AI-generated data, yet legitimate dues remain unpaid. Bills of 701 private hospitals worth Rs 980 crore are pending for over seven months. Now, the private hospitals have decided to stop the cashless treatment from July 15. The situation has become unsustainable." The association has proposed that RGHS be shifted from the current cashless model to a reimbursement-based system, especially for OPD services and medicines. Under this model, patients would initially bear treatment costs and later claim reimbursement by submitting valid documentation. The hospitals stressed that this system should be open to all registered doctors under the Rajasthan Medical Council (RMC) or equivalent bodies. To prevent hardship for patients, the association has urged the govt to ensure timely, transparent reimbursement within a fixed timeframe. They also demanded that cashless treatment be retained only for select tertiary care procedures with high costs to prevent misuse and focus resources effectively. Further, the association recommended automatic empanelment of all hospitals registered under the Clinical Establishments Act (CEA) for IPD services under RGHS, eliminating non-transparent empanelment practices. They also called for allowing beneficiaries to buy medicines from any licensed pharmacy, promoting accessibility and curbing monopolies.


The Print
08-07-2025
- Politics
- The Print
Gehlot slams Rajasthan govt for ‘failing' to control criminals, corruption; BJP hits back
Citing reports of repeated thefts at Congress MLA Deen Dayal Bairwa's residence, Gehlot said the scale of the problem is now impossible to ignore. Hitting back, BJP state president Madan Rathore said Gehlot was getting disturbed by the public welfare works undertaken by Chief Minister Sharma. Gehlot, while interacting with reporters at the Congress state headquarters here on the birth anniversary of party leader Girija Vyas, said a news item on the front page of a daily has reported the thefts at Bairwa's house. 'The MLA says there have been three thefts at his home. When a newspaper puts it on the front page, you can imagine what the situation must be like for others in the state. No one is listening,' he said and accused the BJP government of failing to control criminal elements and protect citizens. 'There is no one to listen, even in villages and districts. There is hooliganism, the mafia is dominant, and people do not know where to go to file complaints. The entire complaint system has collapsed.' He expressed alarm over the alleged growing power of the sand mafia. 'I have said before that the mafia has taken over the gravel trade. Gravel is extremely expensive now. Police are being attacked. So many incidents are happening, and there is no control.' The former chief minister has also criticised the state government's handling of health insurance for the poor. 'The Rs 25 lakh insurance cover technically still exists, but people have been led to believe that it has been reduced to Rs 5 lakh. That's the government's biggest failure,' he said. He also lamented the 'weakening' of the Rajasthan Government Health Scheme (RGHS) for state employees. 'The RGHS was such an excellent scheme for employees. It has collapsed now, and the employees are unhappy.' Gehlot urged CM Sharma to use the state's intelligence services to verify the issues raised by the opposition. 'If there's no truth to them (issues raised by the opposition), fine. But if there is truth, he should fix them,' the Congress leader said. Gehlot further claimed that governance was being neglected in favour of public relations. 'It's fine to travel and do tours, but you also need to govern. The chief minister has great authority. He needs to use that power.' 'The public should be able to raise complaints with us at any time; otherwise, you will get a bad name and fail at governance,' Gehlot said, adding that his criticism was meant as constructive advice and not hostility. 'The opposition is not your enemy. When we speak, it is to warn you that these things are happening. You should take us seriously. It is in your interest too,' he said. Meanwhile, BJP state president Rathore countered Gehlot's remarks and said that had he followed the advice he was giving now, people would not have suffered under the Congress's 'misrule' and he would not have been ousted from power. He also alleged that the sand mafia is the 'gift' of the Gehlot-led Congress government, while the BJP dispensation has made efforts to curb it. PTI AG NSD This report is auto-generated from PTI news service. ThePrint holds no responsibility for its content.