Govt Proposes Rates for Treatment Under Health Protection Scheme

Govt Proposes Rates for Treatment Under Health Protection Scheme

Scheme likely to be rolled out by Aug, registration for hospitals expected to begin by June 15

The government has proposed rates for over 1,350 treatment packages ranging from Rs 1,000 to over Rs 1.50 lakh, for the Pradhan Mantri Rashtriya Swasthya Suraksha Mission.The government issued a 205-page model tender document on Wednesday, taking the Prime Minister’s ambitious health protection scheme a step closer to implementation. The rates proposed depend on the type of therapy and procedure.

The document is expected to help states select insurance companies for the scheme, which promises up to Rs 5 lakh cover for 100 million poor families in the country.Over 20 specialties like cardiology, cancer care, neurosurgery and neo-natal care have been covered in the draft.For instance, the rate for an orthopaedic procedure like application of skin traction has been set at Rs 1,000, while aortic arch replacement under cardio thoracic surgery would be Rs 1.60 lakh.

Around 610 of the 1,354 packages listed would be mandated for pre-authorisation by the insurance company, according to the draft.Hospitals accredited by the National Accreditation Board for Hospitals and Healthcare Providers (NABH) will be allowed to charge 10-15% more than the rates set in this document, said Indu Bhushan, chief executive officer, Ayushman Bharat National Health Protection Mission.

The insurer is not liable to make any payments under the policy for expenses incurred in conditions that do not require hospitalisation, congenital external diseases, fertility-related procedures, vaccinations, suicide and persistent vegetative state.“There was a very rigorous process used (to decide the package rates). We looked at packages including CGHS, packages from all different states and our experience with RSBY. Based on that, the first draft was prepared and peer-reviewed by Niti Aayog,” he told ET.

“These (guidelines) are only indicative. States have been given the flexibility to look at them and they may make some changes,” he said.The registration process for hospitals are expected to begin by June 15, while the states are expected to be in charge of the bidding process for insurance companies, he said.“The states hopefully should start this process in a couple of weeks,” said Bhushan, adding that the scheme will be ready for a roll-out by August.

The Economic Times, New Delhi, 24th May 2018

Data storage norm splits digital payments industry

Data storage norm splits digital payments industry India’s nascent digital payment industry could be thrown into disarray due to the demand by the Reserve Bank of India (RBI) that all user data be stored within the country, fears an industry grouping, which has termed the decision as “heavy-handed”, even as others, including the country’s largest digital payment provider Paytm, have hailed the move. In a bid to narrow the growing schism, the industry is planning to send a formal representation to the regulator highlighting its concerns, a top official told ET. “We are trying to build a consensus on the issue," said the person adding that the representation to the central bank will be ready this week. RBI on April 6, mandated all payment companies—global and local—to set up data storage facilities within India by October. The stringent six-month deadline has attracted the ire of several sections of the industry that fear it will lead to a disruption of wel...

Offer’s for all of you

Great Bumper Dhamaka Offer’s for all of you... It's Time to see your Business Online, WebeCreator Offer Website Designing with domain & Email @ nominal charges. For a year For More information visit us http://goo.gl/KlpppF call on 9890151261/9773197533 drop a mail to sales@webecreator.com

Sebi to finalise options in commodities today

The Commodity Derivatives Advisory Committee of the Securities and Exchange Board of India ( Sebi) will meet on Friday with senior officials of the latter, to give a final shape to the rules on options trading in commodity futures, beside revising the warehousing norms to ensure good delivery on settlement. The decision taken, after discussing with the advisory committee, will be placed before the regulator’s board, to finalise the regulations. According to knowledgeable sources, three commodities in each segment, agricultural and non- agricultural, have been proposed for introducing options. It appears commodities from the soya and guar segments are preferred in the former. From the non- agri segment, it is likely that gold, silver and crude oil will be finalised. All these These have better liquidity and both the National Commodity and Derivatives Exchange and the Multi Commodity Exchange, respectively, will be able to introduce the options. In the equity segments, options ar...

CA Online

Search This Blog