Lok Sabha Question No. 382 (STARRED), answered on 2019-07-19
Subject: Ayushman Bharat Yojana
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Komati Reddy Venkat Reddy

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

## LOK SABHA STARRED QUESTION NO. 382 TO BE ANSWERED ON THE 19 TH JULY , 2019 AYUSHMAN BHARAT YOJA NA

## *382. SHRI KOMATI REDDY VENKAT REDDY:

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

- (a) whether the Government proposes to review the price of over one thous medical packages being offered under the Ayushman Bharat Yojana;
- (b) if so, the details thereof;
- (c) whet her any Committee has been formed to hold deliberations on the exist prices of the medical packages and if so, the details thereof; and
- (d) the further remedial measures being taken by the Government in this regar

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (DR. HARSH VARDHAN)

- (a) to ( d):  A statement is laid on the Table of the House

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 382* FOR 19 TH JULY , 2019

(a)  to  (d)  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).  Facilities  under  AB - HWCs  are universal and free to all.

Under  Ayushman  Bharat -Pradhan  Mantri  Jan  Arogya  Yojana  (AB -PMJAY), 1393 benefit packages along with rates have been put in place for u of  hospitals  empanelled  under  the  scheme  for  providing  the  treatment  to beneficiaries .  The  package  rates  are  indicative  in  nature  and  States  have flexibility to decrease or increase up to 10% depending on their suitability States could retain their existing package rates, even if they are higher prescribed 10 % flexi bility slab. The States also have the flexibility to chang package rates up to 10% for the aspirational districts and in the cases o accredited Hospitals.

The package rates were decided as per the recommendations of a Committe headed  by  Directo r  General  Health  Services,  Government  of  India  and  peer reviewed by NITI Aayog. The recommendations of the committee were based on a series of consultations with various stakeholders including medical profess AIIMS,  hospitals' associations, industry bodies  etc.  For  specific  packages, subgroups spread across different super specialties were formed. The subgr had prominent experts from national institutions like AIIMS.

Since the launch of AB - PMJAY on 23.09.2018, feedback on certain aspects of  bene fit  packages  such  as  terminology,  duplication  and  any  anomalies  l repetition of packages, different rates for same procedures in different sp etc., have been received and National Health Authority is reviewing this fe for possible ration alization, if required.

At  present,  there  is  no  proposal  to  review  the  prices  of  packages offered under the AB - PMJAY.

While deciding the package rates, one of the underlying principles was full capacity of private hospitals was not being utiliz ed and PMJAY is to provide additional  volumes  to  them  without  additional  investments  in  infrastructur manpower etc. Further, constant changes in package rates can lead to volati rates and may have unintended and undesirable consequences for the ntire health sector.

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