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healthcare





                       hen the      IndIa gets World’s largest                        and Union Territories (UTs)
                       Ayush-                                                         can implement the scheme
                       man Bharat         healthcare scheme                           through an insurance com-
                       scheme was                                                     pany, directly through a Trust/
           W announced in                                                             Society or use an integrated
           Budget 2018, there were scep-  Ayushman Bharat aims to cover over 10 crore   mode.  To ensure that the
           tics who observed that the   families with a comprehensive health coverage of   funds reach the SHAs on time,
           scheme would only remain a                                                 the transfer of funds from the
           dream. However, it soon cul-  up to  5 lakh per family per year.  The scheme is set   Central Government through
           minated into reality when PM    to be the world’s  largest healthcare      Ayushman Bharat may be
           Narendra Modi launched the           programme, writes Sarrah              done through an escrow ac-
           first phase of the Ayushman                                                count directly.
           Bharat Health Programme
           from Bijapur in Chhattisgarh                                               Expenditure by Centre/
           in the presence of Chief Min-                                              States
           ister Raman Singh and Union                                                The expenditure incurred in
           Health Minister JP Nadda.                                                  premium payment will be
             Under the Ayushman                                                       shared between States and
           Bharat Scheme, the govern-                                                 the Centre. The total expendi-
           ment aims to open 1.5 lakh                                                 ture will depend on the actual
           health and wellness centres                                                market-determined premium
           in the country by 2022, which                                              paid in the States and it will be
           would be equipped to treat                                                 implemented through insur-
           a host of diseases, includ-                                                ance companies. In States
           ing blood pressure, diabetes,                                              where the scheme will be
           cancer and old-age illnesses.                                              implemented in Trust/ Society
           Also under the scheme, the                                                 mode, the Centre’s share of
           government has prepared                                                    funds will be provided based
           the broad roadmap of the                                                   on actual expenditure or
           National Health Protec-   Advantages of           • Under cover The scheme will have   premium ceiling in the pre-
           tion Scheme and work is on                        a cover of  5 lakh per family per year  determined ratio.
           to finalise parameters for   the scheme are
           identifying beneficiaries and   portable and a    crore rural families with   States/districts covered
           hospital entitlement.                             benefits decided on the basis   Ayushman Bharat will be
             Also known as the National  beneficiary may     of deprivation criteria in the   rolled out in all districts
           Health Protection Scheme,   take cashless         Socio-Economic Caste Census  across all states and UTs
           Ayushman Bharat has twin                          (SECC) database. To control   totalling 1.5 lakh Health and
           missions - first, creating a net-  benefits from   the costs, payments for   Wellness Centres. Besides
           work of health and wellness   any public or       treatment will be done on a   comprehensive health care,
           centres to deliver compre-                        package rate (to be defined by   these centres will also provide
           hensive primary health care   listed private      the Government in advance)   essential drugs and diagnos-
           close to the community, and   hospital            basis.                   tic services for free. To begin
           second, providing insurance                         For giving the policy   with,  1200 crore has been
           cover to 40 per cent of India’s                   directions and fostering   earmarked in the 2018 finan-
           population, that is most                          coordination between Centre   cial year for this programme.
           deprived, for secondary and   cover of  5 lakh per family per  and states, it is proposed to   The second programme
           tertiary care, including, hospi-  year.  Benefits of the scheme   set up the Ayushman Bharat   under Ayushman Bharat is
           talisation costs. In the second   are portable across the coun-  National Health Protection   National Health Protection
           phase of the scheme, a health   try and a beneficiary covered   Mission Council (AB-NHPMC),  Scheme, which is expected to
           insurance cover of  500,000   under the scheme will be   chaired by the Union Health   cover over 10 crore families.
           would also be provided to   allowed to take cashless   and Family Welfare Minister,   If implemented as planned,
           500 million people across the   benefits from any public or   will manage the scheme at   this will be the world’s largest
           country.                 listed private hospital across   the apex level. States would   government-funded health
             Ayushman Bharat-Nation-  the country.           need to have State Health   care programme.
           al Health Protection Mission   The entitlement-based   Agency (SHA) to implement
           will have a defined benefit   scheme set to touch 10.74   the scheme. Both States    letters@tehelka.com



                                            Tehelka / 31 may 2018  47  www.Tehelka.com



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