Why is the Pradhan Mantri Jan Arogya Yojana (PM-JAY) for Ayushman Bharat in the news?

According to the Minister of State for Health, 3.14 crore people have benefited from the Ayushman Bharat-Pradhan Mantri programme. Over the past two years, the Jan Arogya Yojna

S.P. Singh Baghel, Minister of State for Health, spoke about the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojna’s target achievement, which has resulted in significant out-of-pocket expenditure savings related to hospitalisations for the targeted beneficiaries.

During the last two years, a total of 3.14 crore beneficiaries have benefited from the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojna, according to the Minister of State for Health.

In relation to Ayushman Bharat-PM

 The largest health insurance/assurance programme in the world, Jan Arogya Yojna PM-JAY is entirely funded by the government.

This programme, which was introduced in February 2018, aims to offer free medical care up to Rs. 5 lakh per family for secondary care (which doesn’t require a super specialist) and tertiary care (which does).

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The beneficiaries of PM-JAY are given access to services at the point of service, which is the hospital, without the need for cash or paperwork.

Surgery, medical and nursery treatment, the price of medications, and diagnosis are all covered by health benefit packages under the PM-JAY.

Agency in charge

The National Health Authority (NHA), an independent organisation created in accordance with the Society Registration Act of 1860, has been partnered with the state governments to effectively implement PM-JAY.

The State Health Authority (SHA) is the highest level of state government and is in charge of implementing PM-JAY throughout the state.

Beneficiaries

The beneficiaries of this programme are determined using the most recent Socio-Economic Caste Census (SECC) data. Once the beneficiaries have been identified, they can enter any hospital that has accepted them because they are insured.

Funding

The funding for this plan is split 60:40 between all the states and UTS under their own laws.

Jammu and Kashmir, Himachal Pradesh, Uttarakhand, and the Northeastern States all share funds 90:10 each.

Without any legislation, the federal government fully funds all UTs.

allocation of funds for 2023

The Union Budget 2023 includes a Rs. 7,200 crore allocation for the PM-JAY.

Challenges

States’ lack of cooperation

weight of expenses

insufficient health capabilities

For a fee, “strategic purchasing” of services from secondary and tertiary hospitals was suggested in the National Health Policy of 2017.

Achievements

According to the data, the programme has helped 3.14 crore beneficiaries over the past two years. This programme was crucial in ensuring that migrant workers who were eligible for the PM-JAY programme could use its services anywhere in the nation, regardless of where they were living, during the Covid-19 pandemic.