Leading transformational change: inner and outer skills
Ayushman bharat
1. PRESENTED BY,
MR. KAILASH NAGAR
ASSIST. PROF.
DEPT. OF COMMUNITY HEALTH NSG.
DINSHA PATEL COLLEGE OF NURSING, NADIAD
2.
3. Ayushman Bharat Yojana
will be launched on 25
September 2018.
Beneficiaries will receive
Ayushman Bharat Family
Health Cards The key
stakeholders in the scheme
besides the consumers or
beneficiaries are the
Healthcare Providers, state
governments and
Insurance companies
without whose support and
involvement the execution
of this scheme cannot
happen.
5. BETTER HEALTH A UNIVERSAL DEMAND
Ayushman Bharat Yojana fulfills the demand
6. Health Minister, JPNadda, stated
The Health Minister, JP Nadda,
stated that the government is set
to allocate 100 billion Rupees
($1.54 billion) for its ambitious
health Programme, the Ayushman
Bharat– National Health Protection
Mission. Being dubbed as the
largest public health scheme in
the world, it is expected to be
funded by both the central and
state governments every year.
7. Ayushman Bharat Programme
VISON TO HEALTHY INDIA
The Government today
announced two major initiatives
in health sector , as part of
Ayushman Bharat Programme.
The Union Minister for Finance
and Corporate Affairs, Shri Arun
Jaitely while presenting the
General Budget 2018-19 in
Parliament here today said that
this was aimed at making path
breaking interventions to
address health holistically, in
primary, secondary and tertiary
care systems, covering both
prevention and health
promotion.
8. FEATURES OF Ayushman Bharat
Ayushman Bharat - National Health Protection Mission will have a defined benefit
cover of Rs. 5 lakh per family per year.
Benefits of the scheme are portable across the country and a beneficiary covered
under the scheme will be allowed to take cashless benefits from any public/private
empanelled hospitals across the country.
Ayushman Bharat - National Health Protection Mission will be an entitlement based
scheme with entitlement decided on the basis of deprivation criteria in the SECC
database.
The beneficiaries can avail benefits in both public and empanelled private
facilities.
To control costs, the payments for treatment will be done on package rate (to be
defined by the Government in advance) basis.
9. FEATURES OF Ayushman Bharat
One of the core principles of Ayushman Bharat - National Health Protection
Mission is to co-operative federalism and flexibility to states.
For giving policy directions and fostering coordination between Centre and
States, it is proposed to set up Ayushman Bharat National Health Protection
Mission Council (AB-NHPMC) at apex level Chaired by Union Health and Family
Welfare Minister.
States would need to have State Health Agency (SHA) to implement the scheme.
To ensure that the funds reach SHA on time, the transfer of funds from Central
Government through Ayushman Bharat - National Health Protection Mission to
State Health Agencies may be done through an escrow account directly.
In partnership with NITI Aayog, a robust, modular, scalable and interoperable IT
platform will be made operational which will entail a paperless, cashless
transaction.
12. IMPLEMENTATION STRATEGY
At the national level to manage, an
Ayushman Bharat National Health
Protection Mission Agency (AB-
NHPMA) would be put in place. States/
UTswould be advised to implement
the scheme by a dedicated entity
called State Health Agency (SHA). They
can either use an existing Trust/
Society/ Not for Profit Company/ State
Nodal Agency (SNA) or set up a new
entity to implement the scheme.
13. HOW TO
IMPLEMENT
States/ UTs can
decide to implement
the scheme through
an insurance
company or directly
through the Trust/
Society or use an
integrated model.
14.
15. Major Impact
Ayushman Bharat - National Health
Protection Mission will have major impact
on reduction of Out of Pocket (OOP)
expenditure on ground of:
Increased benefit cover to nearly 40% of
the population, (the poorest & the
vulnerable)
Covering almost all secondary and many
tertiary hospitalizations. (except a
negative list)
Coverage of 5 lakh for each family, (no
restriction of family size)
16. Major Impact
This will lead to increased
access to quality health and
medication. In addition, the
unmet needs of the
population which remained
hidden due to lack of
financial resources will be
catered to. This will lead to
timely treatments,
improvements in health
outcomes, patient
satisfaction, improvement in
productivity and efficiency,
job creation thus leading to
improvement in quality of life.
17. EXPENDITURE INVOLVED
The expenditure incurred in premium payment will be shared between
Central and State Governments in specified ratio as per Ministry of
Finance guidelines in vogue. The total expenditure will depend on
actual market determined premium paid in States/ UTs where
Ayushman Bharat - National Health Protection Mission will be
implemented through insurance companies. In States/ UTs where the
scheme will be implemented in Trust/ Society mode, the central share
of funds will be provided based on actual expenditure or premium
ceiling (whichever is lower) in the pre-determined ratio.
18. NUMBER OF BENEFICIARIES
Ayushman Bharat - National Health
Protection Mission will target about 10.74
crore poor, deprived rural families and
identified occupational category of
urban workers' families as per the latest
Socio-Economic Caste Census (SECC)
data covering both rural and urban. The
scheme is designed to be dynamic and
aspirational and it would take into
account any future changes in the
exclusion/ inclusion/ deprivation/
occupational criteria in the SECC data
19. STATES/DISTRICTS COVERED
Ayushman Bharat -
National Health
Protection Mission
will be rolled out
across all States/UTs
in all districts with an
objective to cover all
the targeted
beneficiaries.
20. The Lancet Praises the PM Modi’s
Health care vison to 1.3 Billion
Indians
Richard Horton, editor-in-
chief of the 'The Lancet', said
the prime minister has
grasped the importance of
health not only as a natural
right of citizens, but also as
a political instrument to
meet the growing
expectations of India's
emerging middle class.
21. Benefits to the poor
Health minister explains
While speaking of the scheme, the
Health Minister stated that “This will
give underprivileged families the
financial support required when faced
with illnesses requiring
hospitalisation.” Health expenditure is
one of the major causes of poverty in
India. It is seen that close to seven
percent of the population is pushed
into poverty every year due to
healthcare expenditure.
The scheme is expected to bring in
price-checks as well.
22. WHAT LANCET SAYS
Ayushman Bharat has two pillars
-- the creation of 1,50,000 health
and wellness centers across the
country to provide a spine of
primary care facilities to deliver
universal health coverage; and
the National Health Protection
Mission (NHPM), a health
insurance aimed at providing
coverage of Rs 5 lakh per family
annually, thus benefiting more
23. WHAT LANCET SAID
While India is engulfed in this swirling
epidemic of non-communicable diseases,
the country is also in the grip of a mental
health emergency. India could claim 18 per
cent of the world's population in 2016, yet it
accounted for 37 per cent of global suicide
deaths among women and 24 per cent
among men,
PROGRAM PLANNED WITH
VISON TO OVER COME THENEW
CHALLEGENSIN HEALTHSECTOR
24. The Lancet Says
Richard Horton, editor-in-
chief of the 'The Lancet',
said the prime minister has
grasped the importance of
health not only as a
natural right of citizens,
but also as a political
instrument to meet the
growing expectations of
India's emerging middle
class.
