The Ayushman Bharat programme provides the structure for translating such investment into concrete outcomes for the people. It includes Ayushman Arogya Mandirs for comprehensive primary health servicesâpromotive, preventive, curative, palliative and rehabilitative careâwithout incurring any financial burden. It also features the Pradhan Mantri Jan Arogya Yojana (PMJAY) which uses the health insurance model to provide access to secondary and tertiary health care to nearly 50% of the population. These are ambitious policies that depend on an improved fiscal context and coordinated governance across the central and state governments. Directed investments towards strengthening institutional governance and capacities for regulation, quality control, enforcement, fraud control, grievance redressal and research have to be prioritised.
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