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National Bytes: Ayushman scheme in Delhi

Ayushman scheme in Delhi

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Ayushman scheme in Delhi
Ayushman scheme in Delhi

In News:

  • The Delhi government, during the budget presentation in the assembly, said it would implement the centrally sponsored Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Delhi from fiscal 2020-21.
  • Till now, Delhi government had not implemented the scheme in the capital.

About: Ayushman Bharat (AB)

  • In 2018, the union government announced two major initiatives in health sector, as part of Ayushman Bharat programme.
  • Curative care – Pradhan Mantri Jan Arogya Yojana (PMJAY): For hospitalization at secondary- and tertiary-level private hospitals.
  • Primary care – Health and Wellness Centres (HWC): To strengthen primary healthcare, Ayushman Bharat scheme seeks to upgrade more than 1.5 lakh health facilities to health and wellness Centres (HWC).

Pradhan Mantri Jan Arogya Yojana (PMJAY)

  • PMJAY will provide a cover of up to Rs. 5 lakhs per family per year to poor and vulnerable people, for secondary and tertiary care hospitalization.
  • It was launched on 23rd September, 2018 at Ranchi, Jharkhand by the Prime Minister.
  • The National Health Authority (NHA) is responsible for the implementation of PMJAY.
  • The schemes intend to cover nearly 50 crore people from 10.74 crore ‘deprived’ families selected on the basis of SECC (socio economic caste census) data.
  • The inclusion of households is based on the deprivation and occupational criteria of the Socio-Economic Caste Census 2011 (SECC 2011) for rural and urban areas, respectively.
  • PMJAY will provide cashless and paperless access to services for the beneficiary at the point of service.
  • Each state will be able to choose the implementation mode that suits its needs.
  • The cashless and paperless treatment will be available only if the patients get admission in empaneled under the scheme.

About: National Health Authority (NHA)

  • National Health Agency, an autonomous entity, was originally constituted for focused approach and effective implementation of PM-JAY.
  • Its status was upgraded to National Health Authority as an attached office of the Ministry of Health and Family Welfare with full functional autonomy.
  • The National Health Authority (NHA) will provide overall vision and stewardship for design, roll-out, implementation and management of PM-JAY in alliance with state governments.
  • It will play a critical role in fostering linkages as well as convergence of PM-JAY with health and related programs of the Central and State Governments.
  • It will lead the development of strategic partnerships and collaborations with Central and State Governments, civil society, financial and insurance agencies, academia, think tanks, national and international organizations and other stakeholders to further the objectives of PM-JAY.

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