INSUBCONTINENT EXCLUSIVE:
ANI |
Updated: Jan 04, 2020 00:54 IST
New Delhi [India], Jan 4 (ANI): The National Health Authority (NHA) has de-empanelled about 171 hospitals and imposed penalty
of Rs 4.6 crore to several hospitals in nine states for indulging in fraudulent activities in the Prime Minister Narendra Modi's flagship
health insurance scheme: Ayushman Bharat- Pradhan Mantri Jan Arogya Yojana (AB-PMJAY).Moreover, more than 390 hospitals have been served
show-cause notice and suspended in different states.The National Anti-Fraud Unit (NAFU) at NHA has pointed out that several cases of
malpractices among empanelled hospitals
These malpractices have largely occurred in hospitals based in Gujarat, Chhattisgarh, Madhya Pradesh and Punjab."Soon after getting the
tipoff, the State Health Agency was alerted which disabled cards, FIR was also lodged and show cause notice was issued to the hospitals
The penalty has also been levied on TPA," said a senior official at NHA.Penalties to the tune of more than Rs 4.5 crores have also been
levied on hospitals indulging in malpractices, he added.A close watch is also maintained on wrongful enrolment of beneficiaries under the
scheme."About 3,785 village-level entrepreneurs who are positioned at common service centres and Pradhan Mantri Arogya Mitras positioned at
PMJAY empanelled hospital have been deactivated so far," stated the official."There are certain packages, which are reserved for government
hospitals by the state authorities
It was detected that private hospitals were performing these government reserved procedures and blocking and submitting the same under a
different package name or as an unspecified package."Ayushman Bharat- PMJAY is the world's biggest healthcare scheme, it aims to cover over
10 crore poor and vulnerable families (approximately 50 crore beneficiaries) providing coverage upto 5 lakh rupees per family per year for
secondary and tertiary care hospitalization
