Ayushman Bharat

• Union Budget of 2018-19 – 1.5 l Health and wellness centers and PM-
RSSM to cover 10 cr+ poor with a coverage of upto 5L per family per
year
• PM_RSS= rolled out by the states , converge multiple health
protection schemes across states into one universal health protection
scheme over time. This will be a key step towards achieving Universal
Health Coverage (UHC) and Portability
UHC and past learnings
• Cover all age groups
• Expected to increase average life expectancy by 5 years, avert 400
million unintended pregnancies and 41 million child deaths and
prevent 21 million cases of HIV/AIDS and many more
• Bridge gaps in current state provided health insurance schemessuch
as increase coverage ( monetary and percent of population), cover a
higher number of treatment types,define clinical protocol, widen
penetration upto tier 4 cities and provide a standardized package
• AB is hence a step towards unified health care
Building Blocks
• AB promises to introduce standardized treatment guidelines and
package rates, update ROHINI, enrich the NHRR, generate data and
employment
• Clearly defined short, medium and long term objectives
• Pricing Strategy to to ensure max impact of the scheme as higher market
and NHPS price difference for costly procedures affects availability
• Budgetary considerations to maximize coverage while minimizing cost
• Pooling Strategy to tackle drawbacks of multiple insurance schemes
• Infrastructure to ??
• Institutional structures and frameworks for strategic implementation
support and programme management
• Leakage Management to tackle challenges related to fraud
• Scheme Monitoring Indicators to ??
• Monitoring Dashboards to visually depict information