Lok Sabha Question No. 3860 (UNSTARRED), answered on 2022-03-25
Subject: Health Infrastructure under AB-PMJAY
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Abdul Majeed Ariff

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

## LOK SABHA UNSTARRED QUESTION NO. 3860 TO BE ANSWERED ON 25 TH  MARCH, 2022

## HEALTH INFRASTRUCTURE UNDER AB-PMJAY

## 3860.  ADV. A.M. ARIFF:

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

- (a)  whether  the  Government  has  reviewed  the  progress  of  implementation  of  AB-PMJAY  in  the country and if so, the details thereof;
- (b) whether the Government has taken note of lack of adequate health infrastructure in public sector hospitals in the country and if so, the details thereof;
- (c) whether the Government proposes to take necessary steps to increase the health infrastructure in the country as part of AB-PMJAY and if so, the details thereof; and
- (d) the details of amount spent under AB-PMJAY separately, in public and private hospitals in the country during each of the last three years and the current year; year-wise and State/UT-wise?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

(a)  to  (d):Performance of Ayushman Bharat -Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) is assessed and monitored by Ministry.A dashboard with various Key Performance Indicators (KPIs) is designed to monitor the scheme. The performance of the scheme is objectively evaluated in terms of cards  issued,  number  of  hospital  admissions,  quality  of  treatment  provided,  timely  settlement  of claims etc. Additionally, National and regional review meetings are conducted with the concerned stakeholders  including  State  Health  Agencies.  Necessary  interventions  based  on  the  feedback received are put in place.

The  scheme  is  implemented  through  a  network  of  empanelled  public  and  private  hospitals  in  the country.  Only  those  hospitals  (public  and  private),  which  meet  the  specified  criteria  including infrastructure, get empanelled under the scheme. Public hospitals are reimbursed at par with private hospitals and therefore, they can utilise the reimbursed amount to increase their health infrastructure including human resources.

Year-wise and State/UT-wise details of claims amount reimbursed to public and private hospitals are at Annexure.

## State/UT-wise details of claims amount 1 reimbursed to public and private hospitals

## (in crore of Rupees)

| State /                     | 2018-19   | 2018-19   | 2019-20   | 2019-20   | 2020-21   | 2020-21   | 2021-22   | 2021-22   |
|-----------------------------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|
| UT                          | Public    | Private   | Public    | Private   | Public    | Private   | Public    | Private   |
| Andaman and Nicobar Islands | 0.002     | -         | 0.079     | 0.010     | 0.085     | 0.723     | 0.079     | 1.231     |
| Andhra Pradesh              | 63.062    | 275.675   | 272.992   | 1,181.505 | 212.062   | 1,216.048 | 190.267   | 870.013   |
| Arunachal Pradesh           | 0.429     | -         | 1.318     | -         | 0.043     | -         | -         | -         |
| Assam                       | 18.715    | 8.726     | 44.779    | 29.859    | 59.782    | 62.577    | 75.802    | 75.529    |
| Bihar                       | 10.530    | 4.473     | 85.756    | 39.428    | 17.559    | 51.204    | 22.055    | 54.763    |
| Chandigarh                  | 0.333     | 0.058     | 1.927     | 0.558     | 1.508     | 0.986     | 1.348     | 1.055     |
| Chhattisgarh                | 28.864    | 129.384   | 123.739   | 370.130   | 149.525   | 293.653   | 200.772   | 374.621   |
| DNH and DD                  | 2.476     | -         | 13.261    | 9.208     | 8.073     | 2.974     | 5.960     | 2.154     |
| Goa                         | 0.005     | -         | 0.052     | 0.075     | 0.149     | 0.113     | 0.175     | 0.130     |
| Gujarat 2                   | 94.804    | 524.980   | 208.376   | 1,241.189 | 110.338   | 929.017   | 139.427   | 886.728   |
| Haryana                     | 6.592     | 9.596     | 21.909    | 90.518    | 14.598    | 125.888   | 16.375    | 127.785   |
| Himachal Pradesh            | 7.193     | 0.955     | 33.728    | 6.637     | 21.493    | 9.744     | 20.556    | 12.685    |
| J &K(incl. UT of Ladakh)    | 3.025     | 1.728     | 17.034    | 13.255    | 18.906    | 14.855    | 146.805   | 94.927    |
| Jharkhand                   | 10.222    | 86.312    | 30.708    | 296.528   | 24.973    | 208.792   | 30.707    | 167.458   |
| Karnataka                   | 46.906    | 106.663   | 243.640   | 410.604   | 113.664   | 276.295   | 48.953    | 112.117   |
| Kerala                      | -         | -         | 367.554   | 114.334   | 464.505   | 223.771   | 251.215   | 535.894   |
| Lakshadweep                 | -         | -         | -         | -         | -         | -         | 0.117     | 0.035     |
| Madhya Pradesh              | 21.514    | 30.222    | 124.827   | 222.461   | 138.803   | 368.378   | 136.670   | 475.523   |
| Maharashtra                 | 37.864    | 180.353   | 69.150    | 348.025   | 34.017    | 199.168   | 12.145    | 55.866    |
| Manipur                     | 1.774     | 0.479     | 11.232    | 5.330     | 7.447     | 7.777     | 9.231     | 11.088    |
| Meghalaya                   | 0.691     | 0.073     | 36.594    | 50.283    | 39.366    | 54.041    | 36.665    | 57.248    |
| Mizoram                     | 5.147     | 0.236     | 20.790    | 2.759     | 16.320    | 2.537     | 10.506    | 0.905     |
| Nagaland                    | 0.187     | 0.147     | 5.655     | 6.680     | 2.005     | 8.195     | 2.007     | 6.835     |
| Puducherry                  | -         | -         | 0.515     | 0.292     | 0.567     | 0.340     | 2.591     | 1.572     |
| Punjab                      | -         | -         | 79.303    | 132.982   | 135.032   | 296.346   | 136.998   | 332.112   |
| Rajasthan 3                 | -         | -         | 266.730   | 336.006   | 70.580    | 141.647   | 259.889   | 516.626   |
| Sikkim                      | 0.011     | 0.001     | 0.955     | 0.480     | 0.857     | 0.325     | 0.787     | 0.119     |
| Tamil Nadu                  | 182.728   | 271.659   | 381.973   | 534.900   | 224.208   | 464.930   | 258.440   | 383.679   |
| Telangana                   | -         | -         | -         | -         | -         | -         | 94.572    | 214.931   |
| Tripura                     | 2.784     | 0.146     | 21.071    | 1.743     | 15.812    | 2.559     | 18.252    | 2.792     |
| Uttar Pradesh               | 16.980    | 55.964    | 73.925    | 207.493   | 45.311    | 208.769   | 46.904    | 241.952   |
| Uttarakhand                 | 6.069     | 13.077    | 44.993    | 55.947    | 30.558    | 109.527   | 46.034    | 210.151   |

## Note:

1. This data is corresponding to the amount paid for hospital claims raised for both eligible SECC beneficiaries (supported by Central and State Government) and other categories of beneficiaries (supported exclusively by State Government).
2. The  State  was  implementing  the  scheme  on  its  own  IT  platform.  Therefore,  the  information  related  to  claims  paid  to empanelled hospitals was sourced offline from the State.
3. Rajasthan  started  implementing  AB  PM-JAY  in  convergence  with  State  scheme  from  01 st September  2019  i.e.,  in  the middle of the financial year 2019-20. Therefore, claims' paid information might include data for hospital claims submitted before 01.09.2019 . This data has been sourced from the State.
4. Delhi and Odisha are not implementing the scheme and West Bengal withdrew from the scheme in January 2019.