{"id":3988,"date":"2023-10-15T07:22:34","date_gmt":"2023-10-15T07:22:34","guid":{"rendered":"https:\/\/jammubulletin.com\/site\/?p=3988"},"modified":"2023-10-15T07:22:34","modified_gmt":"2023-10-15T07:22:34","slug":"jk-govt-clarifies-pmjay-sehat-scheme-implementation-amidst-misinformation","status":"publish","type":"post","link":"https:\/\/jammubulletin.com\/site\/jk-govt-clarifies-pmjay-sehat-scheme-implementation-amidst-misinformation\/","title":{"rendered":"JK Govt clarifies PMJAY-SEHAT Scheme implementation amidst misinformation"},"content":{"rendered":"

JAMMU: The\u00a0<\/span>execution\u00a0<\/span><\/span>of\u00a0<\/span>the\u00a0<\/span><\/span>Pradhan\u00a0<\/span>Mantri\u00a0<\/span>Jan\u00a0<\/span><\/a>Arogya\u00a0<\/span>Yojana\u00a0<\/span><\/span>–\u00a0<\/span><\/span>SEHAT\u00a0<\/span><\/span>(PMJAY-SEHAT)\u00a0<\/span><\/span>scheme\u00a0<\/span><\/span><\/a>has\u00a0<\/span>been\u00a0<\/span><\/span>the\u00a0<\/span>subject\u00a0<\/span><\/span>of\u00a0<\/span><\/span>complaints\u00a0<\/span><\/span>and\u00a0<\/span><\/span>claims,\u00a0<\/span><\/span>according\u00a0<\/span><\/span>to\u00a0<\/span>the\u00a0<\/span><\/span>Secretary\u00a0<\/span><\/span>of\u00a0<\/span><\/span>Health\u00a0<\/span><\/span>and\u00a0<\/span><\/span>Medical\u00a0<\/span>Education,\u00a0<\/span><\/span>Bhupinder\u00a0<\/span><\/span>Kumar,\u00a0<\/span><\/span>who\u00a0<\/span><\/span>spoke\u00a0<\/span><\/span>at\u00a0<\/span><\/span>a\u00a0<\/span>news\u00a0<\/span>conference\u00a0<\/span><\/span>today.<\/span><\/span><\/span> <\/span><\/span><\/span>One\u00a0<\/span><\/span>of\u00a0<\/span>the\u00a0<\/span><\/span>main\u00a0<\/span><\/span>accusations\u00a0<\/span><\/span>included\u00a0<\/span><\/span>a\u00a0<\/span>loss\u00a0<\/span><\/span>of\u00a0<\/span><\/span>500\u00a0<\/span>billion\u00a0<\/span><\/span>rupees.<\/span><\/span><\/span> <\/span><\/span><\/span>According\u00a0<\/span>to\u00a0<\/span><\/span>the\u00a0<\/span>government<\/a>,\u00a0<\/span><\/span>the\u00a0<\/span>entire\u00a0<\/span>premium\u00a0<\/span><\/span>paid\u00a0<\/span>to\u00a0<\/span><\/span>Bajaj\u00a0<\/span>Allianz\u00a0<\/span>General\u00a0<\/span>Insurance\u00a0<\/span><\/span>Company\u00a0<\/span><\/span>(BAGIC)\u00a0<\/span><\/span>for\u00a0<\/span><\/span>the\u00a0<\/span>policy\u00a0<\/span><\/span>period\u00a0<\/span>of\u00a0<\/span><\/span>December\u00a0<\/span>26,\u00a0<\/span><\/span>2020,\u00a0<\/span><\/span>to\u00a0<\/span><\/span>March\u00a0<\/span>14,\u00a0<\/span>2022,\u00a0<\/span><\/span>was\u00a0<\/span><\/span>Rs.\u00a0<\/span><\/span>304.59\u00a0<\/span><\/span>Crores,\u00a0<\/span><\/span>whereas\u00a0<\/span><\/span>BAGIC\u00a0<\/span><\/span>paid\u00a0<\/span><\/span>out\u00a0<\/span><\/span>Rs.\u00a0<\/span><\/span>398.41\u00a0<\/span><\/span>Crores\u00a0<\/span><\/span>in\u00a0<\/span>total\u00a0<\/span><\/span>claims\u00a0<\/span>to\u00a0<\/span><\/span>hospitals\u00a0<\/span><\/span><\/a>(both\u00a0<\/span>public\u00a0<\/span>and\u00a0<\/span>private).<\/span><\/span><\/span> <\/span><\/span><\/span>As\u00a0<\/span><\/span>a\u00a0<\/span>result,\u00a0<\/span><\/span>the\u00a0<\/span>claim\u00a0<\/span><\/span>of\u00a0<\/span><\/span>a\u00a0<\/span>loss\u00a0<\/span><\/span>is\u00a0<\/span><\/span>unfounded\u00a0<\/span><\/span>because\u00a0<\/span><\/span>the\u00a0<\/span>insurance\u00a0<\/span>company\u00a0<\/span><\/span>suffered\u00a0<\/span><\/span>a\u00a0<\/span><\/span>93.82\u00a0<\/span><\/span>crore\u00a0<\/span><\/span>loss\u00a0<\/span><\/span>in\u00a0<\/span><\/span>money.<\/span><\/span><\/span><\/span><\/span><\/span>There\u00a0<\/span><\/span>has\u00a0<\/span>also\u00a0<\/span>been\u00a0<\/span><\/span>misinformation\u00a0<\/span><\/span>spread\u00a0<\/span><\/span>regarding\u00a0<\/span><\/span>the\u00a0<\/span>contract\u00a0<\/span><\/span>renewal\u00a0<\/span><\/span>and\u00a0<\/span><\/span>termination\u00a0<\/span><\/span>clause.<\/span><\/span><\/span> <\/span><\/span><\/span>The\u00a0<\/span>maximum\u00a0<\/span>duration\u00a0<\/span><\/span>was\u00a0<\/span>specified\u00a0<\/span><\/span>at\u00a0<\/span><\/span>three\u00a0<\/span>years\u00a0<\/span><\/span>and\u00a0<\/span><\/span>was\u00a0<\/span>renewed\u00a0<\/span><\/span>every\u00a0<\/span>12\u00a0<\/span>months,\u00a0<\/span><\/span>as\u00a0<\/span>per\u00a0<\/span><\/span>the\u00a0<\/span>agreement\u00a0<\/span><\/span>between\u00a0<\/span><\/span>BAGIC\u00a0<\/span><\/span>and\u00a0<\/span><\/span>the\u00a0<\/span>State\u00a0<\/span><\/span>Health\u00a0<\/span><\/span>Agency.<\/span><\/span><\/span> <\/span><\/span><\/span>The\u00a0<\/span>contract\u00a0<\/span><\/span>said\u00a0<\/span>that\u00a0<\/span><\/span>any\u00a0<\/span>extension\u00a0<\/span><\/span>beyond\u00a0<\/span><\/span>the\u00a0<\/span>first\u00a0<\/span>year\u00a0<\/span><\/span>would\u00a0<\/span>be\u00a0<\/span><\/span>subject\u00a0<\/span>to\u00a0<\/span><\/span>mutual\u00a0<\/span><\/span>agreement;\u00a0<\/span><\/span>nevertheless,\u00a0<\/span><\/span>the\u00a0<\/span>insurance\u00a0<\/span>company\u00a0<\/span><\/span>chose\u00a0<\/span>to\u00a0<\/span>end\u00a0<\/span><\/span>the\u00a0<\/span>partnership\u00a0<\/span><\/span>after\u00a0<\/span>the\u00a0<\/span><\/span>first\u00a0<\/span><\/span>year\u00a0<\/span><\/span>due\u00a0<\/span>to\u00a0<\/span><\/span>financial\u00a0<\/span>losses.<\/span><\/span><\/span> <\/span><\/span><\/span>The\u00a0<\/span>State\u00a0<\/span><\/span>Health\u00a0<\/span><\/span>Agency\u00a0<\/span><\/span>of\u00a0<\/span><\/span>J&K\u00a0<\/span><\/span>agreed\u00a0<\/span><\/span>into\u00a0<\/span><\/span>a\u00a0<\/span>temporary\u00a0<\/span><\/span>Stop\u00a0<\/span>Loss\u00a0<\/span><\/span>agreement\u00a0<\/span><\/span>with\u00a0<\/span><\/span>BAGIC\u00a0<\/span><\/span>in\u00a0<\/span>order\u00a0<\/span><\/span>to\u00a0<\/span>prevent\u00a0<\/span><\/span>service\u00a0<\/span>interruptions\u00a0<\/span><\/span>until\u00a0<\/span><\/span>a\u00a0<\/span>new\u00a0<\/span><\/span>insurance\u00a0<\/span>provider\u00a0<\/span><\/span>was\u00a0<\/span><\/span>chosen.<\/span><\/span><\/span> <\/span><\/span><\/span>The\u00a0<\/span>government\u00a0<\/span><\/span>took\u00a0<\/span><\/span>on\u00a0<\/span><\/span>all\u00a0<\/span>of\u00a0<\/span><\/span>the\u00a0<\/span>risk\u00a0<\/span><\/span>of\u00a0<\/span><\/span>losing\u00a0<\/span><\/span>claims\u00a0<\/span><\/span>during\u00a0<\/span><\/span>this\u00a0<\/span>time.<\/span><\/span><\/span> <\/span><\/span><\/span>The\u00a0<\/span>agreement\u00a0<\/span><\/span>serves\u00a0<\/span><\/span>the\u00a0<\/span>public\u00a0<\/span><\/span>interest\u00a0<\/span><\/span>by\u00a0<\/span>ensuring\u00a0<\/span><\/span>the\u00a0<\/span>continuity\u00a0<\/span><\/span>of\u00a0<\/span><\/span>healthcare\u00a0<\/span>services\u00a0<\/span><\/span>at\u00a0<\/span><\/span>a\u00a0<\/span>reasonable\u00a0<\/span>cost.<\/span><\/span><\/span><\/span><\/span><\/span>According\u00a0<\/span><\/span>to\u00a0<\/span>the\u00a0<\/span><\/span>government,\u00a0<\/span><\/span>the\u00a0<\/span>number\u00a0<\/span><\/span>of\u00a0<\/span><\/span>eligible\u00a0<\/span>families\u00a0<\/span><\/span>remained\u00a0<\/span><\/span>the\u00a0<\/span>same\u00a0<\/span><\/span>throughout\u00a0<\/span><\/span>the\u00a0<\/span>policy\u00a0<\/span>period,\u00a0<\/span><\/span>which\u00a0<\/span><\/span>ran\u00a0<\/span><\/span>from\u00a0<\/span><\/span>December\u00a0<\/span>26,\u00a0<\/span><\/span>2020,\u00a0<\/span><\/span>to\u00a0<\/span><\/span>December\u00a0<\/span>25,\u00a0<\/span>2021,\u00a0<\/span><\/span>and\u00a0<\/span><\/span>the\u00a0<\/span>subsequent\u00a0<\/span><\/span>interim\u00a0<\/span><\/span>period\u00a0<\/span>of\u00a0<\/span><\/span>79\u00a0<\/span><\/span>days,\u00a0<\/span><\/span>totaling\u00a0<\/span><\/span>21.24\u00a0<\/span><\/span>lakhs,\u00a0<\/span><\/span>in\u00a0<\/span><\/span>defiance\u00a0<\/span><\/span>of\u00a0<\/span><\/span>claims\u00a0<\/span><\/span>that\u00a0<\/span>it\u00a0<\/span><\/span>was\u00a0<\/span>increased\u00a0<\/span><\/span>to\u00a0<\/span><\/span>the\u00a0<\/span>insurance\u00a0<\/span>company’s\u00a0<\/span><\/span>advantage.<\/span><\/span><\/span> <\/span><\/span><\/span>The\u00a0<\/span>National\u00a0<\/span><\/span>Health\u00a0<\/span><\/span>Authority\u00a0<\/span><\/span>(NHA),\u00a0<\/span><\/span>Government\u00a0<\/span><\/span>of\u00a0<\/span><\/span>India,\u00a0<\/span><\/span>issued\u00a0<\/span><\/span>instructions\u00a0<\/span><\/span>for\u00a0<\/span><\/span>the\u00a0<\/span>execution\u00a0<\/span><\/span>of\u00a0<\/span>the\u00a0<\/span><\/span>scheme,\u00a0<\/span><\/span>which\u00a0<\/span><\/span>the\u00a0<\/span>Government\u00a0<\/span><\/span>of\u00a0<\/span><\/span>Jammu\u00a0<\/span>and\u00a0<\/span>Kashmir\u00a0<\/span><\/span>emphasised\u00a0<\/span><\/span>it\u00a0<\/span><\/span>would\u00a0<\/span>follow.<\/span><\/span><\/span> <\/span><\/span><\/span>This\u00a0<\/span>includes\u00a0<\/span><\/span>adopting\u00a0<\/span><\/span>the\u00a0<\/span>Health\u00a0<\/span><\/span>Benefits\u00a0<\/span><\/span>Packages\u00a0<\/span><\/span>(2.2\u00a0<\/span><\/span>version)\u00a0<\/span><\/span>for\u00a0<\/span>implementation\u00a0<\/span><\/span>and\u00a0<\/span>using\u00a0<\/span><\/span>the\u00a0<\/span>Model\u00a0<\/span><\/span>Tender\u00a0<\/span><\/span>Document\u00a0<\/span><\/span>to\u00a0<\/span><\/span>transparently\u00a0<\/span><\/span>choose\u00a0<\/span><\/span>insurance\u00a0<\/span>providers.<\/span><\/span><\/span><\/span><\/span><\/span>The\u00a0<\/span>government\u00a0<\/span><\/span>has\u00a0<\/span>paid\u00a0<\/span><\/span>insurance\u00a0<\/span>firms\u00a0<\/span><\/span>a\u00a0<\/span>total\u00a0<\/span><\/span>of\u00a0<\/span><\/span>Rs.\u00a0<\/span><\/span>1175.32\u00a0<\/span><\/span>Crores\u00a0<\/span><\/span>in\u00a0<\/span><\/span>premiums\u00a0<\/span><\/span>since\u00a0<\/span><\/span>the\u00a0<\/span><\/span>PMJAY-SEHAT\u00a0<\/span><\/span>scheme\u00a0<\/span><\/span>was\u00a0<\/span>introduced.<\/span><\/span><\/span> <\/span><\/span><\/span>In\u00a0<\/span><\/span>exchange,\u00a0<\/span><\/span>insurance\u00a0<\/span>companies\u00a0<\/span><\/span>paid\u00a0<\/span><\/span>out\u00a0<\/span><\/span>claims\u00a0<\/span>to\u00a0<\/span><\/span>affiliated\u00a0<\/span>hospitals\u00a0<\/span><\/span>totaling\u00a0<\/span><\/span>Rs.\u00a0<\/span><\/span>1,249.33\u00a0<\/span><\/span>crores,\u00a0<\/span><\/span>helping\u00a0<\/span><\/span>around\u00a0<\/span><\/span>5.67\u00a0<\/span><\/span>lakh\u00a0<\/span><\/span>patients.<\/span><\/span><\/span> <\/span><\/span><\/span>Patients\u00a0<\/span><\/span>with\u00a0<\/span><\/span>fatal\u00a0<\/span><\/span>and\u00a0<\/span><\/span>life-threatening\u00a0<\/span>illnesses\u00a0<\/span><\/span>have\u00a0<\/span>received\u00a0<\/span><\/span>critical\u00a0<\/span><\/span>medical\u00a0<\/span>attention\u00a0<\/span><\/span>thanks\u00a0<\/span><\/span>to\u00a0<\/span>the\u00a0<\/span><\/span>programme.<\/span><\/span><\/span> <\/span><\/span><\/span>The\u00a0<\/span>risk\u00a0<\/span><\/span>has\u00a0<\/span>been\u00a0<\/span><\/span>transferred\u00a0<\/span>to\u00a0<\/span><\/span>insurance\u00a0<\/span>companies\u00a0<\/span><\/span>as\u00a0<\/span><\/span>a\u00a0<\/span>result\u00a0<\/span><\/span>of\u00a0<\/span>the\u00a0<\/span><\/span>insurance\u00a0<\/span><\/span>model,\u00a0<\/span><\/span>which\u00a0<\/span><\/span>has\u00a0<\/span>caused\u00a0<\/span><\/span>them\u00a0<\/span><\/span>to\u00a0<\/span>pay\u00a0<\/span><\/span>almost\u00a0<\/span><\/span>Rs.\u00a0<\/span><\/span>74\u00a0<\/span><\/span>crores\u00a0<\/span><\/span>in\u00a0<\/span>addition\u00a0<\/span><\/span>to\u00a0<\/span>the\u00a0<\/span><\/span>premium\u00a0<\/span><\/span>to\u00a0<\/span><\/span>accredited\u00a0<\/span><\/span>public\u00a0<\/span>and\u00a0<\/span>private\u00a0<\/span>hospitals.<\/span><\/span><\/span> <\/span><\/span><\/span>The\u00a0<\/span><\/span>UT’s\u00a0<\/span><\/span>healthcare\u00a0<\/span>system\u00a0<\/span><\/span>has\u00a0<\/span>been\u00a0<\/span><\/span>reinforced\u00a0<\/span><\/span>by\u00a0<\/span><\/span>this\u00a0<\/span>model,\u00a0<\/span><\/span>which\u00a0<\/span><\/span>has\u00a0<\/span>also\u00a0<\/span><\/span>greatly\u00a0<\/span>decreased\u00a0<\/span><\/span>out-of-pocket\u00a0<\/span><\/span>costs\u00a0<\/span>for\u00a0<\/span><\/span>families\u00a0<\/span><\/span>who\u00a0<\/span>need\u00a0<\/span><\/span>hospitalisation.<\/span><\/span><\/span><\/span><\/span><\/span>Additionally,\u00a0<\/span><\/span>a\u00a0<\/span><\/span>104\u00a0<\/span><\/span>Call\u00a0<\/span>Centre\u00a0<\/span><\/span>and\u00a0<\/span><\/span>a\u00a0<\/span>feedback\u00a0<\/span>system\u00a0<\/span><\/span>utilising\u00a0<\/span><\/span>QR\u00a0<\/span>codes\u00a0<\/span><\/span>have\u00a0<\/span>been\u00a0<\/span><\/span>put\u00a0<\/span>into\u00a0<\/span><\/span>place,\u00a0<\/span><\/span>and\u00a0<\/span><\/span>nearly\u00a0<\/span>99%\u00a0<\/span><\/span>of\u00a0<\/span>patients\u00a0<\/span><\/span>gave\u00a0<\/span><\/span>their\u00a0<\/span>treatment\u00a0<\/span><\/span>experience\u00a0<\/span><\/span>an\u00a0<\/span><\/span>Excellent\u00a0<\/span><\/span>or\u00a0<\/span><\/span>Good\u00a0<\/span><\/span>grade.<\/span><\/span><\/span> <\/span><\/span><\/span>The\u00a0<\/span>government\u00a0<\/span><\/span>emphasised\u00a0<\/span><\/span>that\u00a0<\/span><\/span>the\u00a0<\/span>accusations\u00a0<\/span><\/span>are\u00a0<\/span><\/span>unfounded,\u00a0<\/span><\/span>fraudulent,\u00a0<\/span><\/span>and\u00a0<\/span><\/span>meant\u00a0<\/span>to\u00a0<\/span>damage\u00a0<\/span><\/span>the\u00a0<\/span>scheme’s\u00a0<\/span><\/span>reputation.<\/span><\/span><\/span> <\/span><\/span><\/span>It\u00a0<\/span><\/span>reaffirmed\u00a0<\/span><\/span>its\u00a0<\/span>dedication\u00a0<\/span><\/span>to\u00a0<\/span><\/span>offering\u00a0<\/span><\/span>the\u00a0<\/span>general\u00a0<\/span>population\u00a0<\/span><\/span>high-quality\u00a0<\/span><\/span>healthcare\u00a0<\/span>services.<\/span><\/span><\/span> <\/span><\/span><\/span>Jammu\u00a0<\/span><\/span>Divisional\u00a0<\/span><\/span>Commissioner<\/span><\/span><\/span> <\/span><\/span><\/span>During\u00a0<\/span><\/span>the\u00a0<\/span>press\u00a0<\/span><\/span>conference,\u00a0<\/span><\/span>Dr\u00a0<\/span><\/span>Vikas\u00a0<\/span><\/span>Sharma,\u00a0<\/span><\/span>Ramesh\u00a0<\/span><\/span>Kumar,\u00a0<\/span><\/span>Additional\u00a0<\/span><\/span>Secretary\u00a0<\/span><\/span>in\u00a0<\/span><\/span>the\u00a0<\/span>Chief\u00a0<\/span><\/span>Secretary’s\u00a0<\/span><\/span>office,\u00a0<\/span><\/span>Vishal\u00a0<\/span><\/span>Sharma,\u00a0<\/span><\/span>Joint\u00a0<\/span><\/span>Director\u00a0<\/span><\/span>of\u00a0<\/span><\/span>HQ\u00a0<\/span><\/span>Information,\u00a0<\/span><\/span>Naresh\u00a0<\/span><\/span>Kumar,\u00a0<\/span><\/span>Deputy\u00a0<\/span>Director\u00a0<\/span><\/span>of\u00a0<\/span><\/span>Information\u00a0<\/span><\/span>PR\u00a0<\/span><\/span>Jammu,\u00a0<\/span><\/span>and\u00a0<\/span>others\u00a0<\/span><\/span>were\u00a0<\/span>also\u00a0<\/span><\/span>present.<\/span><\/span><\/span> <\/span><\/span><\/span><\/p>\n

\"JK
JK Govt clarifies PMJAY-SEHAT Scheme implementation amidst misinformation<\/figcaption><\/figure>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

JAMMU: The\u00a0execution\u00a0of\u00a0the\u00a0Pradhan\u00a0Mantri\u00a0Jan\u00a0Arogya\u00a0Yojana\u00a0–\u00a0SEHAT\u00a0(PMJAY-SEHAT)\u00a0scheme\u00a0has\u00a0been\u00a0the\u00a0subject\u00a0of\u00a0complaints\u00a0and\u00a0claims,\u00a0according\u00a0to\u00a0the\u00a0Secretary\u00a0of\u00a0Health\u00a0and\u00a0Medical\u00a0Education,\u00a0Bhupinder\u00a0Kumar,\u00a0who\u00a0spoke\u00a0at\u00a0a\u00a0news\u00a0conference\u00a0today. One\u00a0of\u00a0the\u00a0main\u00a0accusations\u00a0included\u00a0a\u00a0loss\u00a0of\u00a0500\u00a0billion\u00a0rupees. According\u00a0to\u00a0the\u00a0government,\u00a0the\u00a0entire\u00a0premium\u00a0paid\u00a0to\u00a0Bajaj\u00a0Allianz\u00a0General\u00a0Insurance\u00a0Company\u00a0(BAGIC)\u00a0for\u00a0the\u00a0policy\u00a0period\u00a0of\u00a0December\u00a026,\u00a02020,\u00a0to\u00a0March\u00a014,\u00a02022,\u00a0was\u00a0Rs.\u00a0304.59\u00a0Crores,\u00a0whereas\u00a0BAGIC\u00a0paid\u00a0out\u00a0Rs.\u00a0398.41\u00a0Crores\u00a0in\u00a0total\u00a0claims\u00a0to\u00a0hospitals\u00a0(both\u00a0public\u00a0and\u00a0private). As\u00a0a\u00a0result,\u00a0the\u00a0claim\u00a0of\u00a0a\u00a0loss\u00a0is\u00a0unfounded\u00a0because\u00a0the\u00a0insurance\u00a0company\u00a0suffered\u00a0a\u00a093.82\u00a0crore\u00a0loss\u00a0in\u00a0money.There\u00a0has\u00a0also\u00a0been\u00a0misinformation\u00a0spread\u00a0regarding\u00a0the\u00a0contract\u00a0renewal\u00a0and\u00a0termination\u00a0clause. The\u00a0maximum\u00a0duration\u00a0was\u00a0specified\u00a0at\u00a0three\u00a0years\u00a0and\u00a0was\u00a0renewed\u00a0every\u00a012\u00a0months,\u00a0as\u00a0per\u00a0the\u00a0agreement\u00a0between\u00a0BAGIC\u00a0and\u00a0the\u00a0State\u00a0Health\u00a0Agency. The\u00a0contract\u00a0said\u00a0that\u00a0any\u00a0extension\u00a0beyond\u00a0the\u00a0first\u00a0year\u00a0would\u00a0be\u00a0subject\u00a0to\u00a0mutual\u00a0agreement;\u00a0nevertheless,\u00a0the\u00a0insurance\u00a0company\u00a0chose\u00a0to\u00a0end\u00a0the\u00a0partnership\u00a0after\u00a0the\u00a0first\u00a0year\u00a0due\u00a0to\u00a0financial\u00a0losses. The\u00a0State\u00a0Health\u00a0Agency\u00a0of\u00a0J&K\u00a0agreed\u00a0into\u00a0a\u00a0temporary\u00a0Stop\u00a0Loss\u00a0agreement\u00a0with\u00a0BAGIC\u00a0in\u00a0order\u00a0to\u00a0prevent\u00a0service\u00a0interruptions\u00a0until\u00a0a\u00a0new\u00a0insurance\u00a0provider\u00a0was\u00a0chosen. The\u00a0government\u00a0took\u00a0on\u00a0all\u00a0of\u00a0the\u00a0risk\u00a0of\u00a0losing\u00a0claims\u00a0during\u00a0this\u00a0time. The\u00a0agreement\u00a0serves\u00a0the\u00a0public\u00a0interest\u00a0by\u00a0ensuring\u00a0the\u00a0continuity\u00a0of\u00a0healthcare\u00a0services\u00a0at\u00a0a\u00a0reasonable\u00a0cost.According\u00a0to\u00a0the\u00a0government,\u00a0the\u00a0number\u00a0of\u00a0eligible\u00a0families\u00a0remained\u00a0the\u00a0same\u00a0throughout\u00a0the\u00a0policy\u00a0period,\u00a0which\u00a0ran\u00a0from\u00a0December\u00a026,\u00a02020,\u00a0to\u00a0December\u00a025,\u00a02021,\u00a0and\u00a0the\u00a0subsequent\u00a0interim\u00a0period\u00a0of\u00a079\u00a0days,\u00a0totaling\u00a021.24\u00a0lakhs,\u00a0in\u00a0defiance\u00a0of\u00a0claims\u00a0that\u00a0it\u00a0was\u00a0increased\u00a0to\u00a0the\u00a0insurance\u00a0company’s\u00a0advantage. The\u00a0National\u00a0Health\u00a0Authority\u00a0(NHA),\u00a0Government\u00a0of\u00a0India,\u00a0issued\u00a0instructions\u00a0for\u00a0the\u00a0execution\u00a0of\u00a0the\u00a0scheme,\u00a0which\u00a0the\u00a0Government\u00a0of\u00a0Jammu\u00a0and\u00a0Kashmir\u00a0emphasised\u00a0it\u00a0would\u00a0follow. This\u00a0includes\u00a0adopting\u00a0the\u00a0Health\u00a0Benefits\u00a0Packages\u00a0(2.2\u00a0version)\u00a0for\u00a0implementation\u00a0and\u00a0using\u00a0the\u00a0Model\u00a0Tender\u00a0Document\u00a0to\u00a0transparently\u00a0choose\u00a0insurance\u00a0providers.The\u00a0government\u00a0has\u00a0paid\u00a0insurance\u00a0firms\u00a0a\u00a0total\u00a0of\u00a0Rs.\u00a01175.32\u00a0Crores\u00a0in\u00a0premiums\u00a0since\u00a0the\u00a0PMJAY-SEHAT\u00a0scheme\u00a0was\u00a0introduced. In\u00a0exchange,\u00a0insurance\u00a0companies\u00a0paid\u00a0out\u00a0claims\u00a0to\u00a0affiliated\u00a0hospitals\u00a0totaling\u00a0Rs.\u00a01,249.33\u00a0crores,\u00a0helping\u00a0around\u00a05.67\u00a0lakh\u00a0patients. Patients\u00a0with\u00a0fatal\u00a0and\u00a0life-threatening\u00a0illnesses\u00a0have\u00a0received\u00a0critical\u00a0medical\u00a0attention\u00a0thanks\u00a0to\u00a0the\u00a0programme. The\u00a0risk\u00a0has\u00a0been\u00a0transferred\u00a0to\u00a0insurance\u00a0companies\u00a0as\u00a0a\u00a0result\u00a0of\u00a0the\u00a0insurance\u00a0model,\u00a0which\u00a0has\u00a0caused\u00a0them\u00a0to\u00a0pay\u00a0almost\u00a0Rs.\u00a074\u00a0crores\u00a0in\u00a0addition\u00a0to\u00a0the\u00a0premium\u00a0to\u00a0accredited\u00a0public\u00a0and\u00a0private\u00a0hospitals. The\u00a0UT’s\u00a0healthcare\u00a0system\u00a0has\u00a0been\u00a0reinforced\u00a0by\u00a0this\u00a0model,\u00a0which\u00a0has\u00a0also\u00a0greatly\u00a0decreased\u00a0out-of-pocket\u00a0costs\u00a0for\u00a0families\u00a0who\u00a0need\u00a0hospitalisation.Additionally,\u00a0a\u00a0104\u00a0Call\u00a0Centre\u00a0and\u00a0a\u00a0feedback\u00a0system\u00a0utilising\u00a0QR\u00a0codes\u00a0have\u00a0been\u00a0put\u00a0into\u00a0place,\u00a0and\u00a0nearly\u00a099%\u00a0of\u00a0patients\u00a0gave\u00a0their\u00a0treatment\u00a0experience\u00a0an\u00a0Excellent\u00a0or\u00a0Good\u00a0grade. The\u00a0government\u00a0emphasised\u00a0that\u00a0the\u00a0accusations\u00a0are\u00a0unfounded,\u00a0fraudulent,\u00a0and\u00a0meant\u00a0to\u00a0damage\u00a0the\u00a0scheme’s\u00a0reputation. It\u00a0reaffirmed\u00a0its\u00a0dedication\u00a0to\u00a0offering\u00a0the\u00a0general\u00a0population\u00a0high-quality\u00a0healthcare\u00a0services. Jammu\u00a0Divisional\u00a0Commissioner During\u00a0the\u00a0press\u00a0conference,\u00a0Dr\u00a0Vikas\u00a0Sharma,\u00a0Ramesh\u00a0Kumar,\u00a0Additional\u00a0Secretary\u00a0in\u00a0the\u00a0Chief\u00a0Secretary’s\u00a0office,\u00a0Vishal\u00a0Sharma,\u00a0Joint\u00a0Director\u00a0of\u00a0HQ\u00a0Information,\u00a0Naresh\u00a0Kumar,\u00a0Deputy\u00a0Director\u00a0of\u00a0Information\u00a0PR\u00a0Jammu,\u00a0and\u00a0others\u00a0were\u00a0also\u00a0present.  <\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[6,67,15,89,54],"tags":[],"class_list":["post-3988","post","type-post","status-publish","format-standard","hentry","category-business","category-header","category-jammu-and-kashmir","category-national","category-political"],"gutentor_comment":0,"yoast_head":"\nJK Govt clarifies PMJAY-SEHAT Scheme implementation<\/title>\n<meta name=\"description\" content=\"execution\u00a0of\u00a0the\u00a0Pradhan\u00a0Mantri\u00a0Jan\u00a0Arogya\u00a0Yojana\u00a0-\u00a0SEHAT\u00a0(PMJAY-SEHAT)\u00a0scheme\u00a0has\u00a0been\u00a0the\u00a0subject\u00a0of\u00a0complaints\u00a0and\u00a0claims\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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