Ayushman Bharat 

Current Affairs Save

Programs and Policies  ->  Government Programmes and Schemes

Topic :  GS Paper 2 - Welfare schemes for vulnerable sections of the population by the Centre and States and the performance of these schemes; mechanisms, laws, institutions and Bodies constituted for the protection and betterment of these vulnerable sections.

Ayushman Bharat, also known as the National Health Protection Scheme, has twin missions
I.    Health and Wellness centers: Creating a network of health and wellness centers to deliver comprehensive primary healthcare close to the community.
II.    National Health Protection Scheme: Providing insurance cover to 40 per cent of India's population, that is most deprived, for secondary and tertiary care, including for instance, hospitalization costs.
Important features of the scheme
•    Ayushman Bharat - National Health Protection Mission will have a defined benefit cover of Rs. 5 lakh per family per year.
•    Benefits of the scheme are portable across the country and a beneficiary covered under the scheme will be allowed to take cashless benefits from any public/private empanelled hospitals across the country.
•    Ayushman Bharat - National Health Protection Mission will be an entitlement based scheme with entitlement decided on the basis of deprivation criteria in the SECC database.
•    The beneficiaries can avail benefits in both public and empanelled private facilities.
•    To control costs, the payments for treatment will be done on package rate (to be defined by the Government in advance) basis.
•    One of the core principles of Ayushman Bharat - National Health Protection Mission is to co-operative federalism and flexibility to states.
•    For giving policy directions and fostering coordination between Centre and States, it is proposed to set up Ayushman Bharat National Health Protection Mission Council (AB-NHPMC) at apex level Chaired by Union Health and Family Welfare Minister.
•    States would need to have State Health Agency (SHA) to implement the scheme.
•    To ensure that the funds reach SHA on time, the transfer of funds from Central Government through Ayushman Bharat - National Health Protection Mission to State Health Agencies may be done through an escrow account directly.
•    In partnership with NITI Aayog, a robust, modular, scalable and interoperable IT platform will be made operational which will entail a paperless, cashless transaction.

Major Benefits of Ayushman Bharat
Ayushman Bharat - National Health Protection Mission will have major impact on reduction of Out of Pocket (OOP) expenditure on ground of:
•    Increased benefit cover to nearly 40% of the population, (the poorest & the vulnerable)
•    Covering almost all secondary and many tertiary hospitalizations. (except a negative list)
•    Coverage of 5 lakh for each family, (no restriction of family size)
This will lead to increased access to quality health and medication. In addition, the unmet needs of the population which remained hidden due to lack of financial resources will be catered to. This will lead to timely treatments, improvements in health outcomes, patient satisfaction, improvement in productivity and efficiency, job creation thus leading to improvement in quality of life.