IMPROVING PATIENT CARE - Free health insurance scheme being revamped
Financial Express Mumbai|December 17, 2022
Reimbursement to hospitals to depend on disease severity
PRASANTA SAHU
IMPROVING PATIENT CARE - Free health insurance scheme being revamped

TO IMPROVE QUALITY of service delivery and patient satisfaction, the National Health Authority (NHA) is working on a mechanism to link hospital payments to value-based care and the severity of diseases.

NHA chairman RS Sharma told FE that the move would bring efficiency in spending and improve patient care under the government's flagship Pradhan Mantri Jan Arogya Yojana (PMJAY).

PMJAY offers 5,00,000-a-year free health cover to 107 million poor households in the country, roughly covering the bottom 40% population of the country. After the scheme was launched on September 23, 2018, 42.1 million beneficiaries across the country have availed of free hospitalisation benefits worth about 50,000 crore so far.

"We are now going to introduce two new concepts. One is called DRG (diagnosis-related group) or payment to hospitals based on the severity of diseases and value-based care," Sharma said.

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