Lok Sabha Question No. 1082 (UNSTARRED), answered on 2023-07-26
Subject: Ayushman Bharat Scheme
Ministry: PLANNING
Asked by: Ajay Kumar Mandal, Locket Chatterjee, Riti Pathak, Geeta Kora, Rama Devi, Navneet Ravi Rana, Jugal Kishore Sharma

## GOVERNMENT OF INDIA MINISTRY OF PLANNING

## LOK SABHA UNSTARRED QUESTION NO.1082

TO BE ANSWERED ON 26.07.2023

## AYUSHMAN BHARAT SCHEME

†1082. SHRI AJAY KUMAR MANDAL: MS. LOCKET CHATTERJEE: SHRIMATI RITI PATHAK: SHRIMATI GEETA KORA: SHRIMATI RAMA DEVI: SHRIMATI NAVNEET RAVI RANA: SHRI JUGAL KISHORE SHARMA:

Will the Minister of PLANNING be pleased to state:

- (a) whether the NITI Aayog has reviewed Ayushman Bharat which is the aspirational scheme of the Government and if so, the details thereof;
- (b) whether the people who are suffering from fatal diseases are not being benefited from the said scheme and if so, the reasons therefor; and
- (c) whether NITI Aayog proposes some corrective measures in the said scheme so that the general public may get full health benefits under the scheme and if so, the details thereof?

## ANSWER

MINISTER OF STATE (INDEPENDENT CHARGE) OF THE MINISTRY OF STATISTICS AND PROGRAMME IMPLEMENTATION; MINISTER OF STATE (INDEPENDENT CHARGE) OF THE MINISTRY OF PLANNING AND MINISTER OF STATE IN THE MINISTRY OF CORPORATE AFFAIRS

## (RAO INDERJIT SINGH)

- (a) Development Monitoring and Evaluation Office (DMEO), NITI Aayog, in consultation  with  the  Ministries/  Departments,  monitors  the  output  and outcome of the Central Sector and Centrally Sponsored Schemes including Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB - PMJAY). The progress of output and outcome indicators of the scheme during FY2022-23 is attached at Annexure-I.

- (b) Ayushman  Bharat  Pradhan  Mantri-  Jan  Arogya  Yojana  (AB  PM-  JAY), which is one of the components of Ayushman Bharat Flagship Programme, provides health cover of ₹ 5 lakhs per family per year for secondary and tertiary  care  hospitalization  to  eligible  families.  AB  PM-JAY  provides treatment corresponding to a total of 1,949 procedures under  27  different specialties  including  diseases  such  as  Cancer,  Diabetes,  Heart  Disease, and other diseases. Further, to ensure that AB PM-JAY beneficiaries are not  denied  care  for  treatments/  procedures  that  do  not  feature  in  the Health Benefit Packages (HBP), 1 unspecified package has been included in the HBP to avail treatment for such procedures under the scheme.
- (c) Does not arise in view of the facts mentioned at a) (Annexure I)  and b) above.

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## Annexure-I

| Output/Outcome-wise annual target and their progress of the Ayushman Bharat Jan Arogya Yojana (AB PM-JAY) during FY 2022-23   | Output/Outcome-wise annual target and their progress of the Ayushman Bharat Jan Arogya Yojana (AB PM-JAY) during FY 2022-23   | Output/Outcome-wise annual target and their progress of the Ayushman Bharat Jan Arogya Yojana (AB PM-JAY) during FY 2022-23   | Output/Outcome-wise annual target and their progress of the Ayushman Bharat Jan Arogya Yojana (AB PM-JAY) during FY 2022-23   | Output/Outcome-wise annual target and their progress of the Ayushman Bharat Jan Arogya Yojana (AB PM-JAY) during FY 2022-23   | Output/Outcome-wise annual target and their progress of the Ayushman Bharat Jan Arogya Yojana (AB PM-JAY) during FY 2022-23   |
|-------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------|
| Output                                                                                                                        | Output                                                                                                                        | Output                                                                                                                        | Outcome                                                                                                                       | Outcome                                                                                                                       | Outcome                                                                                                                       |
| Output Indicator                                                                                                              | Target                                                                                                                        | Achievement                                                                                                                   | Outcome Indicator                                                                                                             | Target                                                                                                                        | Achievement                                                                                                                   |
| 1. Hospital admissions (in lakhs)                                                                                             | 90.09                                                                                                                         | 165.54                                                                                                                        | 1. %change in the number of hospital admissions (per lakh beneficiaries) during the year over previous year                   | 2%                                                                                                                            | 12.5%                                                                                                                         |
| 2. Estimated number of Ayushman cards issued to individual beneficiaries (in lakhs)                                           | 300                                                                                                                           | 918.83                                                                                                                        | 2. %Change in the number of families with Ayushman cards during the year over previous year                                   | 5%                                                                                                                            | 302.8%                                                                                                                        |
| 3. Amount of claims submitted (in Rs. Cr.)                                                                                    | 9,574.14                                                                                                                      | 19,132.92                                                                                                                     | 3. %Change in claims submitted by hospitals during the year over previous year                                                | 10%                                                                                                                           | 25.3%                                                                                                                         |
| 4. Total number of public & private hospitals empanelled during the year                                                      | 2,200                                                                                                                         | 2,941                                                                                                                         | 4. %Change in the number of hospitals empanelled cumulatively during the year over previous year                              | 10%                                                                                                                           | 11.2%                                                                                                                         |

Source: OOMF Dashboard, as reported by M/o Health & Family Welfare