Big decision of Uttarakhand government! Free treatment of ‘cataract’ excluded from Atal Ayushman Yojana, bonus of hospitals also cut:

Dehradun. The state government has made a strict and major policy change regarding the health system of Uttarakhand and the operation of Ayushman schemes. With the aim of bringing financial discipline and transparency in ‘Atal Ayushman Uttarakhand Yojana’ and ‘Ayushman Bharat-PMJAY’, the Health Secretary has issued a new mandate. This decision will have a direct impact not only on the general public but also on the private hospitals and medical colleges associated with the scheme. The main focus of the government is to reduce the increasing financial burden of the scheme and implement it completely. Insurance Mode Have to shift.

Shock to the general public: Cataract surgery is no longer free

Under the new mandate, the government has increased the benefits to the beneficiaries of ‘Atal Ayushman Yojana’ (state funded). Cataract Surgery The facility has been terminated with immediate effect.

What closed: Now free cataract operation will not be possible at government expense.

What will continue: The matter of relief for kidney patients is that Kidney Dialysis The treatment will continue completely free of cost as before.

Scissors on ‘commission’ and incentive amount of hospitals

The government has made major cuts in incentives given to hospitals to control the budget:

10% Bonus Over: The 10 per cent incentive given to empaneled (EHCP) hospitals under the scheme has now been abolished.

Shock to NABH hospitals: The 10% additional incentive provided to ‘entry level NABH’ hospitals located in the plains, except in the hilly areas, has also been discontinued.

Ban on multiple incentives: Now instead of multiple benefits available on different packages, only the maximum permissible incentive in one category will be given.

Now the scheme will run in ‘insurance’ mode, not ‘trust’

By making a major administrative change, the Uttarakhand government has now implemented these schemes completely. insurance mode It has been decided to operate in.

For this, the process of selection of insurance companies has been started.

Soon its detailed report (RFP) will be submitted to the government, which is expected to speed up the settlement of claims.

New rules for ESI card holders and government hospitals

The government has made it clear that ESI (Employees’ State Insurance) Card holders will no longer be eligible for the state-funded Atal Ayushman Yojana. They will have to depend on their ESI services only. Apart from this, there is a plan to eliminate the incentive amount given to the staff and doctors posted in government hospitals and medical colleges in a phased manner.