In Delhi, private hospitals may offer Modicare – The Economic Times – 10th November 2018

In a move to ensure advanced super specialty care for beneficiaries of Ayushman Bharat, the Centre plans
to directly empanel Delhi-based private hospitals which have so far been out of the purview of the
scheme as Delhi government has not signed onto the initiative.
The National Health Agency (NHA) – responsible for implementation of the Pradhan Mantri Jan
ArogyaYojana – is in the process of empanelling private hospitals, including big corporate chains offering
super-specialty care. But the deal will benefit patients from neighboring states seeking advanced medical
care but not Delhi residents.
“We are in talks with these hospitals, including Apollo and Max. They are willing to participate in the
scheme but since the Delhi government is not on board, these hospitals are losing out on business which
they can get through the scheme. We also need these hospitals to have a strong pool for patients. So, we
are working out a mechanism to have them on board,” a senior official told TOI.
However, only beneficiaries from other states will be able to seek hospitalisation in Delhi’s hospitals
under PMJAY with their respective states footing the bills, Delhiites themselves will be deprived of the
benefits under the scheme.
This is significant because many patients from Uttar Pradesh, Rajasthan, Haryana, Bihar and Madhya
Pradesh come to Delhi seeking hospitalisation for speciality care with major public as well as private
hospitals having advanced tertiary care facilities here.
According to the Association of Healthcare Providers (India), private sector alone has over 1,000
hospitals in Delhi, of which nearly 140 are over 100-bedded facilities including corporate hospitals. The
total capacity under the private sector in Delhi is estimated to be around 30,000 beds. Out of this 30% are
under-utilized or remain vacant.
Apart from this, central government hospitals like All India Institute of Medical Sciences, Safdurjung
Hospital, Ram Manohar Lohia Hospital and Lady Hardinge Hospital have over 9,000 beds. Delhi
government itself has 39 hospitals accounting for 11,000 beds.
“The government needs more and more super speciality care hospitals to make Ayushman Bharat a
success and only hospitals with more than 100 beds can provide such advanced treatment and care.
Therefore, Delhi plays a very important role because patients from across the country come here to seek
tertiary care,” says AHPI director general Girdhar Gyani.
PMJAY, dubbed as Modicare, aims to cover nearly 50 crore beneficiaries from 10.74 crore deprived
families with an annual cashless health cover of Rs 5 lakh per family. PMJAY is the secondary and tertiary
care arm of the government’s flagship Ayushman Bharat scheme, which also includes plans to open
health and wellness centres across the country to cater to people’s primary healthcare needs.
Discussions between the Centre and Delhi government are stuck over differences on the scheme’s name.
Delhi government wants the scheme to be called ‘Mukhya Mantri Aam Aadmi Swasthya Bima Yojana
Ayushman Bharat’ for implementation in Delhi.

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