A Year On, Ayushman Bharat Faces Multiple Challenges
The Hindu Business Line|September 25, 2019
The free cashless health insurance scheme for the poor — Pradhan Mantri Jan Arogya Yojana (PM-JAY) or Ayushman Bharat — completed a year on September 23.
Maitri Porecha
A Year On, Ayushman Bharat Faces Multiple Challenges

The National Health Authority (NHA), which implements the scheme, said 46.4 lakh people had received treatment through hospitalisation under the scheme. However, the past year has thrown up multiple challenges for the plan.

Cost of treatment

One such challenge is to strengthen its fraud control mechanisms. NHA said in its press release that patients availed of free treatment worth nearly ₹7,500 crore. This means that the average cost of treatment per patient in the scheme comes up to ₹16,164. The average promised annual cover of ₹5 lakh per family is way higher than the average cost of treatment of a patient, considering that it is highly unlikely that all family members will avail of the benefit in the same year.

Open to fraud

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