Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB PM-JAY)

Quick Facts

• Purpose: To achieve the vision of Universal Health Coverage (UHC)
• Type: Centrally Sponsored Scheme
• Target: 12 crore families
• Components: Ayushman Arogya Mandir; Pradhan Mantri Jan Arogya Yojana (PM-JAY)

Objectives          

• Holistically address the healthcare system (covering prevention, promotion and ambulatory care) at the primary, secondary and tertiary level.
• To reduce the financial burden on poor and vulnerable groups arising out of catastrophic hospital episodes and ensure their access to quality health services.

Salient features

Background: Recommended by the National Health Policy 2017. Benefits: Refer to the Infographic Ayushman Arogya Mandir (earlier Health and Wellness Centre) 1,50,000 Ayushman Arogya Mandir will be created to deliver Comprehensive Primary Health Care (CPHC), that is universal and free to users. Focus: Wellness and the delivery of an expanded range of services closer to the community Funding: Through National Health Mission (NHM) Pradhan Mantri Jan Arogya Yojana (PM-JAY) Background: The erstwhile National Health Protection Scheme (NHPS) has been rechristened as PM-JAY. It is the largest health assurance scheme in the world. Beneficiaries: Identified through Socio-Economic Caste Census-2011 (SECC-2011). Also, families that were covered under Rastriya Swasthya Bima Yojana (RSBY) but did not form part of the SECC-2011. All senior citizens of the age 70 years and above. 3 modes of implementation Insurance: SHA pays premium to the insurance company per eligible family for the policy period. Assurance/Trust: SHA directly reimburse the healthcare providers. Mix: Mix of above two.  Implementing Agencies: National Health Authority (NHA) an autonomous body chaired by the Union Minister of Health & Family Welfare. State: SHA headed by a CEO appointed by the state government. District: District Implementing Unit (DIU) chaired by DC/DM/Collector of the district. Transparency and accountability: 4 modes of verification of beneficiaries-Aadhar based e-KYC, Finger print, iris scan, and face authentication Whistle Blower Policy issued by the NHA. Anti-Fraud Cell in the state for carrying out surprise inspections, imposing penalties, de-empanelment, etc. Key initiatives Ayushman Bhava campaign: It aims to saturate coverage of health services through its three components Ayushman - Apke Dwar 3.0, Ayushman Melas at Ayushman Arogya Mandir and Community Health Centres (CHCs) and Ayushman Sabhas in every village and panchayat