Ayushman Bharat Scheme Current Affairs - 2020

Ayushman Bharat: 50 Crore poor eligible for testing and treatment

On April 5, 2020, Union Health Minister Harsha Vardhan announced that over 50 crore vulnerable and poor citizens are eligible under Pradhan Mantri Jan Arogya Yojana (Ayushman Bharat).

Highlights

Under Ayushman Bharat, the testing for the poor and vulnerable, (that is the citizens eligible to claim benefits under the scheme) has been made free. The testing of COVID-19 in public facilities are already free. The hospitals empaneled under the scheme shall tie up with an authorized testing facility to test for COVID-19.

The tests are to be carried out according to the norms of ICMR (Indian Council of Medical Research).

About Ayushman Bharat

The Scheme is currently being implemented by National Health Authority. Under the scheme, the beneficiaries are provided with Rs 5 lakhs (per family). The beneficiaries are identified from the SECC (Socio-Economic Caste Census). After, identification the beneficiaries are considered as insured. The insurance amount when in need are shared between the centre and the state in the ratio 60:40.

171 Hospitals de-empanelled under Ayushman Bharat Scheme

On January 3, 2020, around 171 hospitals were de-empanelled by Ministry of Health and Family Welfare for committing fraud. The Ministry had also imposed a fine of Rs 4.5 crores. The FIRs were lodged on 6 hospitals in Uttarakhand and Jharkhand states.

Highlights

The Anti-Fraud units detected fake e-cards and lodged FIRs in the corresponding states. It is the responsibility of the sate health agency to create an e-card and add additional family member under the scheme if any. The Anti-Fraud Unit detected that the private hospitals were fraudulently performing these government reserved procedures.

Earlier similar cases were detected by the unit in Chhattisgarh, Madhya Pradesh and Punjab and penalties were imposed.

Anti-Fraud Units

The Anti-Fraud Units operate under the guidelines provided by National Health Agency operating under Ministry of Health and Family Welfare.

National Health Agency

The National Health Agencies were set up in order to implement India’s flagship scheme “Ayushman Bharat”. The National Health Authority is the successor of National Health Agency.

Ayushman Bharat

The scheme aims at covering 10 crore poor families providing health coverage of 5 lakh rupees per family. The scheme is recently being criticized widely for the increased fraudulent activities by private hospitals. At least 697 fake cases have been registered in Uttarakhand alone. However, the scheme unlike its previous scheme Rashtriya Swasthya Bhima Yojana uses robust IT infrastructure to locate suspicious surges.