Lok Sabha Question No. 104 (STARRED), answered on 2019-06-28
Subject: Empanelment of Hospitals under Ayushman Bharat
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Manoj Kumar Tiwari, Rajiv Pratap Rudy

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO. 104 TO BE ANSWERED ON THE 28 TH JUNE , 2019 EMPANELMENT OF HOSPI TALS UNDER AYUSHMAN BHARAT

## *104. SHRI MANOJ TIWARI: SHRI RAJIV PRATAP RUDY:

Will  the  Minister  of  HEALTH  AND  FAMILY  WELFARE  be  pleased  to state:

- (a) whether the Government has identified adequate number of hospitals under scheme and completed their empanelment and if so, the details thereof along with the number of hospitals covered currently, State/UT - wise including Delhi/ NCR;
- (b)  whether  the  Government  has  achieved  the  target  set  under  the  Ayushm Bharat Yojana (ABY), if so, the details thereof, State/UT - wise;
- (c) whether some States /UTs have not yet implemented the ABY, if so, the detail thereof and the reasons therefor along with the number of States/UTs which signed MoU to implement PMJAY and the number of States which have already launched the scheme;
- (d) whether ABY provides paperless and cashless access to the beneficiaries d the service taken by them in empanelled hospitals, if so, the details thereof
- (e) the details of the limitations and bottlenecks faced by the Government the im plementation of the ABY?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE ( SHRI ASHWINI KUMAR C HOUBEY )

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 104 * FOR 28 TH JUNE , 2019

( a)  &  (b)  Ayushman  Bharat  Yojana  comprises  two  components  namely  (i) provision  of  Comprehensive  Primary  Healthcare  through  Ayushman Bharat -Health and Wellness Centers (AB - HWC);  and  (ii)  Ayushman  Bharat -Pradhan Mantri Jan Arogya Yojana (AB - PMJAY).

Under AB-PMJAY, all public hospitals (Community Health Centre and above), in the States implementing PMJAY, are deemed empanelled. Hosp itals belonging to Employee State Insurance Corporation (ESIC) may also be empanelled based o the bed occupancy ratio parameter. All National institutes under Ministry of &  Family  Welfare  as  well  as  Institute  of  National  Importance  are  part  o empanelled healthcare provider network for PMJAY. As far as private hospit are concerned, they are empanelled by State Health Agencies of respective S For empanelment, guidelines have been issued to all the States laying down detailed criteria and process. Details of hospitals empanelled under AB - PMJAY State/UT -wise are at Annexure - I.

Facilities under AB - HWCs are available to all. The list of operational HWCs is Annexure -II.

AB - PMJAY  is  an  entitlement  based  scheme  and  it  provides  health coverage to around  10.74  crore  poor  and  vulnerable  families  as  per  Socio  Economic  Ca Census data (approx. 50 crore beneficiaries).

- (c) AB - HWC is being implemented in all States/ UTs except Union Territory o Delhi.

For implementation of AB - PMJAY, Me morandum of Understanding (MoU) has been  signed  with  33  States/UTs  out  of  which  30  States/UTs  have  started implementation. The States  of  Odisha,  Telangana,  and  the  Union  Territory  o Delhi have not signed the MoU f r implementation of AB - PMJAY. The State Government of West Bengal has opted out of this scheme in January, 2019.

(d)    Yes,  PMJAY  provides  paperless  and  cashless  treatment  to  the  entitl beneficiaries in the empanelled hospitals. As on 25.06.2019, the total number of hospital admissions under PMJAY are 29,96,635 and claim amount is 4042.87 crore.

( e) PMJAY has gained positive momentum in a short period of time. Systems supporting  the  scheme  proved  effective.  However,  the  issues  that  have  be observe d while implementing the scheme are: most of the entitled beneficiari are poor & vulnerable and reaching out to them poses challenge; and capaci building  of  all  stakeholders  is  a  continuing  exercise.    Also,  since  PMJA implemented by the State Gover nments, the quality of implementation depends upon  factors  like  involvement  of  State  Governments  and  availability  o infrastructure in the States etc.

The challenges in the implementation of AB - HWC are: ensuring adequate human resources at PHC - HWC; procurement and use of IT system to enable a system of digital records so as to improve appropriate referrals and continu care;  ensuring  uninterrupted  supplies  of  medicines  particularly  for noncommunicable diseases  to  respond  to  increasing  footfalls;  issue s  relating  to governance and capacity, especially in the high focus states; and moving f delivery of services to mostly women and children to addressing adults includ men,  over  thirty  years  of  age  for  non - communicable  disease  screening, prevention, a nd management.

| Annexure-I         | Annexure-I                           | Annexure-I    | Annexure-I          | Annexure-I                 |
|--------------------|--------------------------------------|---------------|---------------------|----------------------------|
| State-wise Sl. No. | number of hospitals empanelled State | under Private | AB-PMJAY (As Public | on 24.06.2019) Grand Total |
| 1                  | Andaman And Nicobar Islands          |               | 3                   | 3                          |
| 2                  | Andhra Pradesh                       | 467           | 225                 | 692                        |
| 3                  | Arunachal Pradesh                    |               | 2                   | 2                          |
| 4                  | Assam                                | 138           | 36                  | 174                        |
| 5                  | Bihar                                | 84            | 564                 | 648                        |
| 6                  | Chandigarh                           | 10            | 5                   | 15                         |
| 7                  | Chhattisgarh                         | 584           | 698                 | 1,282                      |
| 8                  | Dadra And Nagar Haveli               |               | 4                   | 4                          |
| 9                  | Daman and Diu                        |               | 3                   | 3                          |
| 10                 | Goa                                  | 5             | 9                   | 14                         |
| 11                 | Gujarat                              | 1,217         | 1,967               | 3,184                      |
| 12                 | Haryana                              | 276           | 155                 | 431                        |
| 13                 | Himachal Pradesh                     | 51            | 156                 | 207                        |
| 14                 | Jammu And Kashmir                    | 33            | 126                 | 159                        |
| 15                 | Jharkhand                            | 416           | 218                 | 634                        |
| 16                 | Karnataka                            | 371           | 405                 | 776                        |
| 17                 | Kerala                               | 164           | 177                 | 341                        |
| 18                 | Lakshadweep                          |               | 1                   | 1                          |
| 19                 | Madhya Pradesh                       | 86            | 300                 | 386                        |
| 20                 | Maharashtra                          | 402           | 87                  | 489                        |
| 21                 | Manipur                              | 6             | 9                   | 15                         |
| 22                 | Meghalaya                            | 13            | 155                 | 168                        |
| 23                 | Mizoram                              | 3             | 79                  | 82                         |
| 24                 | Nagaland                             | 5             | 55                  | 60                         |
| 25                 | NHCP*                                | 17            | 11                  | 28                         |
| 26                 | PSU                                  |               | 83                  | 83                         |
| 27                 | Puducherry                           | 5             | 1                   | 6                          |
| 28                 | Punjab                               | 3             | 200                 | 203                        |
| 29                 | Sikkim                               | 2             | 5                   | 7                          |
| 30                 | Tamil Nadu                           | 1,086         | 1,169               | 2,255                      |
| 31                 | Tripura                              | 2             | 62                  | 64                         |
| 32                 | Uttar Pradesh                        | 1,376         | 431                 | 1,807                      |
| 33                 | Uttarakhand                          | 81            | 100                 | 181                        |
| 34                 | West Bengal                          | 804           | 436                 | 1,240                      |
| Total              | Total                                | 7,707         | 7,937               | 15,644                     |

*NOTE: 17 private and 7 public hospitals are empanelled in the Delhi region

## Operational AB-HWCs

| Sl. No.                | State / UT                | HWCs Operational   |
|------------------------|---------------------------|--------------------|
| 1                      | Andaman & Nicobar Islands | TOTAL 30           |
| 2                      | Andhra Pradesh            | 2106               |
| 3                      | Arunachal Pradesh         | 54                 |
| 4                      | Assam                     | 935                |
| 5                      | Bihar                     | 600                |
| 6                      | Chandigarh                | 10                 |
| 7                      | Chhattisgarh              | 793                |
| 8                      | Dadra & Nagar Haveli      | 31                 |
| 9                      | Daman & Diu               | 23                 |
| 10                     | Delhi                     | 0                  |
| 11                     | Goa                       | 5                  |
| 12                     | Gujarat                   | 1628               |
| 13                     | Haryana                   | 452                |
| 14                     | Himachal Pradesh          | 17                 |
| 15                     | Jammu & Kashmir           | 231                |
| 16                     | Jharkhand                 | 364                |
| 17                     | Karnataka                 | 706                |
| 18                     | Kerala                    | 673                |
| 19                     | Lakshadweep               | 0                  |
| 20                     | Madhya Pradesh            | 227                |
| 21                     | Maharashtra               | 2479               |
| 22                     | Manipur                   | 65                 |
| 23                     | Meghalaya                 | 7                  |
| 24                     | Mizoram                   | 4                  |
| 25                     | Nagaland                  | 46                 |
| 26                     | Odisha                    | 1001               |
| 27                     | Puducherry                | 17                 |
| 28                     | Punjab                    | 848                |
| 29                     | Rajasthan                 | 535                |
| 30                     | Sikkim                    | 29                 |
| 31                     | Tamil Nadu                | 1572               |
| 32                     | Telangana                 | 1120               |
| 33                     | Tripura                   | 71                 |
| 34                     | Uttar Pradesh             | 2071               |
| 35                     | Uttarakhand               | 133                |
| 36                     | West Bengal               | 399                |
| Total HWCs Operational | Total HWCs Operational    | 19282              |