Health care

India: July start for Maharashtra health scheme, up 60% – India News

MUMBAI: The annual disbursement for the state’s health reform scheme, Mahatma Jyotirao Phule Jan Arogya Abhiyan (MJPJAY), has increased by 60% to Rs 3,000 crore, as Maharashtra joins several states providing health coverage for all citizens. . After more than a year of announcements, the updated MJPJAY will launch on July 1. This is the biggest update of MJPJAY since its launch in 2012, reports Sumitra DebRoy.

MJPJAY 2.0 offers major improvements as the coverage will be extended to every citizen of the country, provided they can produce a valid ration card and residence certificate. Importantly, the amount allotted to each family has increased from Rs 1.5 lakh to Rs 5 lakh. The country has recently completed the tender process, selecting United India Assurance as the reinsurance provider. For an estimated 12.3 crore families, the government will pay an allowance of Rs 1,300 per family.

While the government provides universal health care, in addition to increasing the amount of coverage for each family, the new model increases the number of medical procedures covered from 996 to 1,356 and affiliated hospitals from 1,000 to 1,900. Ramesh Chavan, CEO of the State Health Assurance Society (SHAS), which operates MJPJAY, said the project has a growing demand. The number of surgeries performed under the scheme has increased by 70% in five years, rising from 6.03 lakh in 2019-20 to 10.25 lakh in 2023-24. “We are encouraging the best hospitals to join the scheme as the operating rates have increased by 15-20%,” said Chavan.

Since its inception, more than 65 lakh surgeries have been performed under MJPJAY. Some of the most sought-after specialties include all forms of cancer treatment, cardiopulmonary and cardiac surgery, kidney surgery, pediatrics and polytrauma.

To expand the project’s reach, SHAS is evaluating approximately 1,600 applications for an additional 900 open spaces. “Of the 900 new hospitals, 50% will be public,” the official said. In Mumbai, where 57 hospitals are currently part of the scheme, more than a dozen people have applied for help, including SevenHills Hospital. But the city’s five-star charitable hospitals have shown no inclination to join.

A senior public health expert said that although the expansion of the project is encouraging news, there are areas where the government needs to strengthen surveillance. “The country needs to ensure the elimination of additional income requirements for beneficiaries, which are prevalent in several hospitals. There is also a need for a higher distribution in the districts that need less opportunities,” said the activist. Karnataka, Tripura, Meghalaya are some of the few states that have started global broadcasting in the last few years.

Chavan said that their plan to partner with a third-party agency to closely monitor service usage, identify specific items with high demand, and detect misuse of the plan is institutions, using AI and data analytics. In Maharashtra, along with MJPJAY, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) is also working in an integrated manner, providing coverage to 83 lakh families identified in the Socio-Economic Caste Census 2011 (SECC 2011 ).

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