Ayushman Bharat – Strategy & Schemes !!!!

Health Insurance – Now a family would get health insurance and would get insured treatment at government hospitals and private hospitals.

• Well, the pricing of govt. and private has a big difference..
• Who and how would the quality of treatment would be assured?
• What would happen in case of follow up requirements?
• What would be reimbursement model for healthcare providers?

Eligibility Criteria for different stakeholders –

1. What would be eligibility criteria to enrol under National Health Protection Mission?

• Would it be the history of person or economical status?
• Would there be any premium amount for protection scheme?
• Would there be any age criteria?

2. How would a private hospital get enrol under the scheme?

• Do they require ISO certification or a discounted price rate chart?
• Do they need to have govt. staff to provide this govt. scheme?
• Do they need to have all health and diagnostic facility or a few would work too?

3. What about third party provider?

• Would there be any role of private clinics or healthcare provider for primary or secondary care?
• What if there is a proposition of reduce the spending on tertiary care, hence low insurance redemption?

Physicians, Nurses, Pharmacist & Pathologist – Role play by them under Ayushman Bharat & would there be any change in remuneration

• How would they get associate in this mission and serve millions
• Could there be more human resource requirement or would the above is sufficient?
• Do they require special training to serve the public better?

We need a good strategy and planning to make this affordable and accessible with the best quality care.