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The Brain Diet Talks #8 | Ayushman Bharat- National Health Protection Mission- PM Jan Arogya Yojna

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#AyushmanBharat #ModiCare #NamoCare #PMJanArogyaYojna
1) PradhanMantri Jan Arogya Yojna Ayushman Bharat or National Health Protection Scheme is a program which aims to provide a service to create a healthy, capable and new India.
Ayushman Bharat consists of two major elements.1. National Health Protection Scheme. 2. Wellness centres. National Health Protection Scheme will provide cashless treatment to patients. And wellness centres will provide primary care to the patients.
Ayushman Bharat a health insurance cover of Rs. 5 lakhs per family per year. Total 10 crore 74 lakhs poor and vulnerable families will be covered under this scheme which is roughly 50 crore people, the data of these people were acquired in 2011 Socio-Economic caste census (SECC) . There is no cap on family size or age , means there can be 2 or 20 members in your family and you can be aged of 8 or 80 , doesn’t matter , you will get the benefits of Ayushman Bharat.
State Government had been given flexibility to decide on which mode they want to implement it whether it’s a Trust mode, Insurance mode or mixed mode. In case of the trust model, the state government sets up a trust to perform the role of an insurance company and the government fixes the price, hence there is no price discovery. In the insurance model, the state floats a tender and the insurance company is selected on the basis of approximate bidding process. In the mixed model the state Government’s own health insurance scheme and Ayushman Bharat scheme will run parallel.
Benefits will be portable across the country, means if you are a patient from Delhi and going to Mumbai for your treatment, your treatment cost will be taken care of Delhi Governmentand Central Government as well. The ratio of expense between centre and state is 60:40 for this scheme.
Among those 50 crore people 85% people living in rural area and 60% people living in urban area have already been identified. The Nationwide launch will formally happen on 25th September the birth anniversary of Pandit Deendayal Upadhyay ji.

2) This is the time table of Ayushman Bharat till now. February 1st the union budget day our Honourable Finance Minister shri arun jaitley ji announced this scheme, on February 15 and 16 state level consultations were done between all 36 States and Union Territorials about how to implement the scheme with their valuable inputs. March 21st the cabinet approval was given by the PM. April 30 announced as Ayushman Bharat diwas. May 11 the National Health Agency who will govern this scheme nation wide, was incorporated. May 14 when first Memorandum of Understanding were signed between 5 states and UTs and NHA. June 4th hospital empanelment was started, under this scheme every Government hospitals are mandatorily empaneled but from 4th June empanelment process for private hospitals was started. On 15th of August Honourable PM announced that the testing of the IT system will start, because it’s a 100% IT based system.
3) Till now 29 states and UTs have signed MoU , 5 are in process and 2 states Telengana and Odissa haven’t yet decided that what should they do.
4) Among those 29 states and UTs 7 have selected Insurance mode, 18 as Trust mode, 9 as mixed mode.
5) No one has to enrol themselves and pay a single rupee to obtain the benefits. Already there are many websites claiming that they will enrol you by giving them money. But every data of those 50 crore people is already there with the Government.
6) There are total 5 ways to inform the beneficiaries. 1) A letter having a QR code, written by PM himself will be sent to every family by ASHA workers to all 10.74 crores families.2) There will be a helpline number 14555 and dedicated website and app which will start from 5th September. 3) more than 10,000 private hospitals who have already empaneled themselves will inform the beneficiary if they go there for treatment 4) the vast network of 3 lakhs common service centre and 5) by media channels, every 10.74 crore families will be informed.
7) How will the beneficiary obtain the facility in hospitals? They will visit hospitals with that letter along with any ID card and the hospital will check if he/she is the preauthorised beneficiary or not. If yes he will be given an e-card where health data will be stored of that patient. After discharge the hospital will send a claim request and NHA/SHA will settle the claim.

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18 сентября 2018 г. 19:35:12
00:06:50
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