CAN AYUSHMANN BHARAT ALTER INDIA'S HEALTHCARE LANDSCAPE?

Author(s)

Pramod Kumar TM1, Chalasani SH2
1JSS College of Pharmacy, Mysuru, KA, India, 2JSS College of Pharmacy, Mysuru, India

Presentation Documents

India houses 1.3 billion population and yet the Government spends only 1.25% of its overall GDP on public health, rendering the health care sector a largely under-penetrated and an under-performing body. With a 300 percent rise in in-patient hospitalisations in the last 10 years and about 80% of the healthcare expenditure met out of pocket, around 6 million families have been sinking into poverty due to catastrophic health expenditure. With the launch of Ayushman Bharat - National Health Protection Mission (AB-NHPM), a policy similar to Universal Health Coverage Policies aimed at underprivileged population that will help them in access to medicines and medical facilities alike to a tune of USD 7000 without any premiums. In less than 3 months of its roll out, nearly 0.65 million population utilized the services under this policy and currently settling at least 5000 claims per day. However, this new policy is being plagued by the ghost beneficiaries, deliberate blocking of higher medical packages to the policy users by corporate hospitals, and impersonation in connivance of the policy card holders and hospitals. Having access to the big data of these beneficiaries and streamlining the complete services that available in all hospitals may reduce these hindrances. Extended medical inclusion will not only allow the country to have affordable medicine but also will generate huge data that may be vital in designing newer policies for better health.

Conference/Value in Health Info

2019-05, ISPOR 2019, New Orleans, LA, USA

Value in Health, Volume 22, Issue S1 (2019 May)

Code

PNS30

Topic

Epidemiology & Public Health, Real World Data & Information Systems

Topic Subcategory

Data Protection, Integrity, & Quality Assurance, Health & Insurance Records Systems, Public Health

Disease

No Specific Disease

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