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Rsby expterience in cg

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  • 1. Rashtriya Swasthya Bima Yojna – Introduction and experiences State Nodal Agency DH&FW ,GOCG 2nd Floor Directorate of Health Services Old Nursing Hostel, Raipur-492001 Tel: 0771-4255948 email: rsbycg@gmail.comwww.cghealth.nic.in www.rsby.in 22.09.2011 Seite 1
  • 2. Current Status of RSBY Implementation in India  Cards issued – App. 17 Million  People enrolled – App. 62 million  No. of States which have started the RSBY process – Twenty Six  No. of States which have signed MoU with Central Govt.-Twenty five  No. of States where enrolment has started – Twenty three  No. of States where Service delivery has started – Twenty threewww.rsby.in 22.09.2011 Page 2 Seite 2
  • 3. RSBY in CG  All 18 district covered in two phases  318 network hospitals  Total 10.7 lakhs enrolled during 1st Round  21500 beneficiaries have availed treatment under this scheme worth 10.5 crs.  Second round started in phase 1 districts  Premium for Second round Rs 437.89 per family  Insurance company- OIC Ltd.www.rsby.in 22.09.2011 Page 3 Seite 3
  • 4. Main features  Business Model for all Stakeholders  Empowering the beneficiary  Insurers  Hospitals  Government  IT basedwww.rsby.in 22.09.2011 Page 4 Seite 4
  • 5. Implementation BPL Data as per GOI Guidelines Selection of Insurance Company Enrollment of Beneficiaries -Empanelment of Hospitals -Setting up of Support Services -Utilization of Serviceswww.rsby.in 22.09.2011 Page 5 Seite 5
  • 6. www.rsby.in 4. Selection through tendering Government State Nodal 9. Submission of data and bill Insurance of India Company Agency 10. Payment to Insurer BPL Data FKO Health Care Providers 8. Download of FKO Data at DKM server District Call Kiosk Centre 6. Issuance of BPL FKO Card Awareness Beneficiaries Health Camps DKMwww.rsby.in 22.09.2011 Page 6 Seite 6
  • 7. Going Beyond BPL  RSBY is being extended to other categories of Unorganized sector workers who are non-BPL  NREGA beneficiaries  Building and Construction Workers  Postman  ASHA Workers/ Mitanin  Anganwadi Workers  Non-Government sectors  In many of these categories people have agreed to pay part or full premium by themselves  Some other ministries are also contemplating to extend it to their targeted beneficiarieswww.rsby.in 22.09.2011 Page 7 Seite 7
  • 8. Moral hazards  At the time of enrollment  At the time of empanelment  For utilization of serviceswww.rsby.in 22.09.2011 Page 8 Seite 8
  • 9. What RSBY will you do in District plan?  Plan for quality services  Making your block/district cataract free  Increasing Institutional deliveries  Increasing utilization of family planning services.www.rsby.in 22.09.2011 Page 9 Seite 9