NHA revises health benefit packages under AB PM-JAY scheme, Health News, ET HealthWorld

New Delhi: 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. In the revised version of Health Benefit Package (HBP 2.2), rates of some health packages have been increased by 20 percent to 400 per cent, 400 procedure rates have been revised and one new additional medical management package related to black fungus has been added to the list. The HBP 2.2 will be implemented from November, 2021.

The revised rates will be applicable to various categories including radiation oncology procedures, medical management procedures, surgical package treatment for black fungus and procedures like right/left heart catheterization, Patent Ductus Arteriosus closure, arthrodesis, cholecystectomy, appendicectomy amongst others.

These changes, according to the NHA, will ensure effective implementation of the scheme and will be made in the Transaction Management System to ensure that there are no challenges in portability. Latest version of HBP 2.2 will now be accepted by State Health Agencies currently implementing any of the previous versions of HBP.

Under medical management procedures, rates for Intensive Care Unit with ventilator has been revised by 100 percent, rates for ICU without ventilator by 136 percent, rates for High Dependency Unit has been revised by 22 percent while prices for routine ward has been revised by 17 percent.

Speaking on strengthening AB PM-JAY scheme through the introduced revised rates, Health Minister Mansukh Mandaviya said “The revised version of Health Benefit Packages (HBP 2.2) will strengthen the empanelled hospitals to provide better healthcare services to the beneficiaries under Ayushman Bharat PM-JAY. The revised packages for oncology will enhance cancer care for the beneficiaries in the country. Addition of new packages related to black fungus will be a huge relief to the beneficiaries. I am sure that the rationalised HBP will further improve the uptake of schemes in private hospitals leading to reduced Out-of-Pocket Expenditure for the beneficiaries.”

1669 treatment procedures out of which 1080 surgical, 588 medical and one unspecified package are currently covered under the ABPM-JAY scheme. According to government sources, 2.2 crore eligible beneficiaries have been provided with health coverage for secondary, tertiary and day care procedures for treatment of diseases and medical conditions through a vast network of 24,000 Empanelled Health Care Providers (EHCP) under the AB-PMJAY scheme.

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