{"id":294459,"date":"2024-05-06T18:20:27","date_gmt":"2024-05-06T12:50:27","guid":{"rendered":"https:\/\/forumias.com\/blog\/?p=294459"},"modified":"2024-05-06T18:20:50","modified_gmt":"2024-05-06T12:50:50","slug":"chhattisgarh-study-on-pmjay","status":"publish","type":"post","link":"https:\/\/forumias.com\/blog\/chhattisgarh-study-on-pmjay\/","title":{"rendered":"Chhattisgarh Study on PMJAY"},"content":{"rendered":"

Source<\/strong>-This post on Chhattisgarh Study on PMJAY<\/strong> is based on the article “PMJAY did not reduce patients\u2019 health expenses: Chhattisgarh study”<\/a>\u00a0published in \u201cThe Hindu<\/strong>\u201d on 6th May 2024.<\/p>\n

Why in the News?<\/h2>\n

Recently, a study was conducted in chattisgarh on PMJAY which revealed that the program has not increased hospital service usage. It has also not reduced out-of-pocket costs (OOPE) for hospitalised patients.<\/p>\n

The report studied enrolments in three PHFI schemes, Rashtriya Swasthya Bima Yojana (RSBY), PMJAY and Mukhya Mantri Swasthya Bima Yojana (MSBY)<\/span> introduced in the state across various years.<\/p>\n

Key Findings from Chhattisgarh Study on PMJAY<\/h2>\n
\"PMJAY
Source: The Hindu<\/figcaption><\/figure>\n

i) Ineffective in Reducing Out-of-Pocket Expenditures:<\/strong> The Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) in Chhattisgarh did not decrease the out-of-pocket expenditure for hospitalised patients.<\/span><\/p>\n

ii) No Increase in Hospital Utilization:<\/strong> Data shows that the scheme did not lead to an increased utilization of hospital care<\/span> among the enrolled individuals compared to those not enrolled. In Chhattisgarh, enrollment in Public Funded Health Insurance schemes increased from 40% in 2014 to 68% in 2019,<\/span> with no such schemes existing in 2004.<\/p>\n

iii) Issue of Double-Billing:<\/strong> The study suggests the occurrence of double-billing<\/span> where hospitals may be claiming payment from the insurance scheme and also charging patients directly for the same services.<\/p>\n

iv) Insurance Coverage and Hospital Access:<\/strong> From 2014 to 2019, hospital access in Chhattisgarh increased similarly for both insured (3.3% to 6%) and uninsured individuals (2.9% to 5.7%), indicating that Public Funded Health Insurance (PFHI) schemes like PMJAY have not significantly improved access.<\/span><\/p>\n

v) Private vs Public Hospitalizations: <\/strong>The study shows that hospitalizations at private hospitals increased for insured patients and decreased for the uninsured. <\/span><\/p>\n

Specifically, among those enrolled in PFHI schemes, the rate of hospitalizations in private hospitals rose from about 33% to 45% between 2014 and 2019<\/span>.<\/span> <\/strong>Among those who were not enrolled, this share reduced from about 54% to 29%.<\/p>\n

Read more: Issues in implementation of PM-JAY<\/a><\/strong><\/p>\n

UPSC Syllabus: Schemes and programmes<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Source-This post on Chhattisgarh Study on PMJAY is based on the article “PMJAY did not reduce patients\u2019 health expenses: Chhattisgarh study”\u00a0published in \u201cThe Hindu\u201d on 6th May 2024. Why in the News? Recently, a study was conducted in chattisgarh on PMJAY which revealed that the program has not increased hospital service usage. It has also… Continue reading Chhattisgarh Study on PMJAY<\/span><\/a><\/p>\n","protected":false},"author":10366,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"categories":[1566,956],"tags":[11872,10498],"class_list":["post-294459","post","type-post","status-publish","format-standard","hentry","category-daily-factly-articles","category-schemes-and-programs","tag-9pm-daily-factly","tag-the-hindu","entry"],"jetpack_featured_media_url":"","views":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts\/294459","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/users\/10366"}],"replies":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/comments?post=294459"}],"version-history":[{"count":0,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts\/294459\/revisions"}],"wp:attachment":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/media?parent=294459"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/categories?post=294459"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/tags?post=294459"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}