Table of Contents
Why in News?
- The National Health Authority (NHA) is planning to remove procedures covered under existing national programmes from the list of packages approved for reimbursement under PMJAY (Ayushman Bharat).
Reason
- Avoiding Duplication
- For many diseases like malaria, where surgeries are not established protocol for treatment, PMJAY approves a daily hospitalization cost of Rs 2,000.
- I. Cataract
- II. Normal Delivery
- III. Dialysis
Bringing Implants under AB-NHPM
- The NHA is also in talks with the National Pharmaceutical Pricing Authority (NPPA) to negotiate special rates for implants or other devices that are used under PMJAY to further bring down costs.
Planning made by NHA
- The NHA is planning to leave out normal deliveries from the ambit of PMJAY because there are a host of national programmes for mother and child health, high-risk deliveries will continue to be covered.
- The Pradhan Mantri National Dialysis Programme was rolled out in 2016 under which dialysis is already provided free of cost.
- Diseases for which there are existing national programmes and for which treatment is reimbursed under PMJAY for specified rates include tuberculosis, chronic kidney disease (dialysis), leprosy, malaria, HIV-AIDS and mental health disorders.
- For many diseases like malaria, where surgeries are not established protocol for treatment, PMJAY approves a daily hospitalisation cost of Rs 2,000.
- The NHA is also in talks with the National Pharmaceutical Pricing Authority (NPPA) to negotiate special rates for implants or other devices that are used under PMJAY to further bring down costs.
- While the board of the newly constituted health authority is yet to have its first meeting, the NHA with more than 1.5 crore cards already issued is looking at ways to ensure quality of services in hospitals that are empanelled under the programme.
Ayushman Bharat Programme
- What are the provisions?
- The programme is aimed at making interventions to address health holistically, in primary, secondary and tertiary care systems.
- The initiatives under the programme are:
- Health and Wellness Centre
- National Health Protection Scheme
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