Ayushman Bharat Revised

Ayushman Bharat Revised

Part of: Prelims and GS II – Health 

Context The National Health Authority (NHA) has revised the Health Benefit Package (HBP) Master under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) scheme.

Health Benefit Package (HBP 2.2)

• Rates of some packages have been increased by 20% to 400%. 
• Rates of around 400 procedures have been revised 
• Oone new additional medical management package related to black fungus has also been added.
• The revised packages for oncology will enhance cancer care for the beneficiaries in the country.
• Benefit: The rationalised HBP will further improve the uptake of schemes in private hospitals leading to reduced out-of-pocket expenditure.

What is National Health Authority (NHA)?

• NHA has been set-up to implement PM-JAY. 
• Ministry: Ministry of Health and Family Welfare 
• It has full functional autonomy.
• NHA is governed by a Governing Board chaired by the Union Minister for Health and Family Welfare. 
• It is headed by a Chief Executive Officer (CEO), an officer of the rank of Secretary to the Government of India, who manages its affairs. 
• The CEO is the Ex-Office Member Secretary of the Governing Board.

About Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) 

• This scheme is a Centrally sponsored scheme with some Central sector components.
• PMJAY offers a sum insured of 5 lakh per family for secondary care (which doesn’t involve a super specialist) as well as tertiary care.  For the beneficiaries, this is a free scheme.
• It is an entitlement-based scheme that targets the beneficiaries as identified by latest Socio-Economic Caste Census (SECC) data
• The insurance cost is shared by the centre and the state mostly in the ratio of 60:40.