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Ayushman Bharat Yojana

National Health Protection Scheme

DR.T.V.RAO MD
 Ayushman Bharat Yojana 2
will be launched on 25
September 2018.
Beneficiaries will receive
Ayushman Bharat Family
Health Cards The key
stakeholders in the scheme
besides the consumers or
beneficiaries are the
Healthcare Providers, state
governments and
Insurance companies
without whose support and
involvement the execution
of this scheme cannot
happen.

Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018

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PM MODIS VISION TO INDIA FOR
EMPOWERING THE LIVES OFINDIANS

Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018

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BETTER HEALTH A UNIVERSAL DEMAND

Ayushman Bharat Yojana fulfills the demand
Dr.T.V.Rao MD @Ayushman Bharat
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Health Minister, JP Nadda, stated

 The Health Minister, JP Nadda,

stated that the government is set
to allocate 100 billion Rupees
($1.54 billion) for its ambitious
health Programme, the Ayushman
Bharat– National Health Protection
Mission. Being dubbed as the
largest public health scheme in
the world, it is expected to be
funded by both the central and
state governments every year.
Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018
 Ayushman Bharat Programme
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VISON TO HEALTHY INDIA

 The Government today

announced two major initiatives
in health sector , as part of
Ayushman Bharat Programme.
The Union Minister for Finance
and Corporate Affairs, Shri Arun
Jaitely while presenting the
General Budget 2018-19 in
Parliament here today said that
this was aimed at making path
breaking interventions to
address health holistically, in
primary, secondary and tertiary
care systems, covering both
prevention and health
promotion.

Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018

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FEATURES OF Ayushman Bharat

 Ayushman Bharat - National Health Protection Mission will have a defined benefit
cover of Rs. 5 lakh per family per year.
 Benefits of the scheme are portable across the country and a beneficiary covered
under the scheme will be allowed to take cashless benefits from any public/private
empanelled hospitals across the country.
 Ayushman Bharat - National Health Protection Mission will be an entitlement based
scheme with entitlement decided on the basis of deprivation criteria in the SECC
database.
 The beneficiaries can avail benefits in both public and empanelled private
facilities.
 To control costs, the payments for treatment will be done on package rate (to be
defined by the Government in advance) basis.
Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018
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FEATURES OF Ayushman Bharat

 One of the core principles of Ayushman Bharat - National Health Protection

Mission is to co-operative federalism and flexibility to states.
 For giving policy directions and fostering coordination between Centre and
States, it is proposed to set up Ayushman Bharat National Health Protection
Mission Council (AB-NHPMC) at apex level Chaired by Union Health and Family
Welfare Minister.
 States would need to have State Health Agency (SHA) to implement the scheme.
 To ensure that the funds reach SHA on time, the transfer of funds from Central
Government through Ayushman Bharat - National Health Protection Mission to
State Health Agencies may be done through an escrow account directly.
 In partnership with NITI Aayog, a robust, modular, scalable and interoperable IT
platform will be made operational which will entail a paperless, cashless
transaction.
Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018
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BRINGING IN BILLION CHEERS TO EVERY
INDIAN

Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018

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BRINING AFFORDABLE
HEALTH CARE TO BILLION CITIZENS OF
INDIA
Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018
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IMPLEMENTATION STRATEGY

 At the national level to manage, an

Ayushman Bharat National Health
Protection Mission Agency (AB-
NHPMA) would be put in place. States/
UTs would be advised to implement
the scheme by a dedicated entity
called State Health Agency (SHA). They
can either use an existing Trust/
Society/ Not for Profit Company/ State
Nodal Agency (SNA) or set up a new
entity to implement the scheme.
Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018
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HOW TO
IMPLEMENT
 States/ UTs can
decide to implement
the scheme through
an insurance
company or directly
through the Trust/
Society or use an
integrated model.

Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018

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Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018

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Major Impact
 Ayushman Bharat - National Health
Protection Mission will have major impact
on reduction of Out of Pocket (OOP)
expenditure on ground of:
 Increased benefit cover to nearly 40% of
the population, (the poorest & the
vulnerable)
 Covering almost all secondary and many
tertiary hospitalizations. (except a
negative list)
 Coverage of 5 lakh for each family, (no
restriction of family size)
Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018
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Major Impact
 This will lead to increased
access to quality health and
medication. In addition, the
unmet needs of the
population which remained
hidden due to lack of
financial resources will be
catered to. This will lead to
timely treatments,
improvements in health
outcomes, patient
satisfaction, improvement in
productivity and efficiency,
job creation thus leading to
improvement in quality of life.

Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018

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EXPENDITURE INVOLVED

 The expenditure incurred in premium payment will be shared

between Central and State Governments in specified ratio as per
Ministry of Finance guidelines in vogue. The total expenditure will
depend on actual market determined premium paid in States/ UTs
where Ayushman Bharat - National Health Protection Mission will be
implemented through insurance companies. In States/ UTs where the
scheme will be implemented in Trust/ Society mode, the central share
of funds will be provided based on actual expenditure or premium
ceiling (whichever is lower) in the pre-determined ratio.

Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018

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NUMBER OF BENEFICIARIES

 Ayushman Bharat - National Health

Protection Mission will target about 10.74
crore poor, deprived rural families and
identified occupational category of
urban workers' families as per the latest
Socio-Economic Caste Census (SECC)
data covering both rural and urban. The
scheme is designed to be dynamic and
aspirational and it would take into
account any future changes in the
exclusion/ inclusion/ deprivation/
occupational criteria in the SECC data

Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018

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STATES/DISTRICTS COVERED

 Ayushman Bharat -
National Health
Protection Mission will
be rolled out across
all States/UTs in all
districts with an
objective to cover all
the targeted
beneficiaries.
Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018
 The Lancet Praises the PM Modi’s 19
Health care vison to 1.3 Billion Indians

 Richard Horton, editor-in-

chief of the 'The Lancet', said
the prime minister has
grasped the importance of
health not only as a natural
right of citizens, but also as a
political instrument to meet
the growing expectations of
India's emerging middle
class.

Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018

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Benefits to the poor
health minister explains

 While speaking of the scheme, the

Health Minister stated that “This will give
underprivileged families the financial
support required when faced with
illnesses requiring hospitalisation.”
Health expenditure is one of the major
causes of poverty in India. It is seen that
close to seven percent of the
population is pushed into poverty every
year due to healthcare expenditure.
The scheme is expected to bring in
price-checks as well.
Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018
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WHAT LANCET SAYS
 Ayushman Bharat has two pillars
-- the creation of 1,50,000 health
and wellness centers across the
country to provide a spine of
primary care facilities to deliver
universal health coverage; and
the National Health Protection
Mission (NHPM), a health
insurance aimed at providing
coverage of Rs 5 lakh per family
Dr.T.V.Rao MD @Ayushman Bharat
annually, thus benefiting more
9/14/2018

than 10 crore poor families

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WHAT LANCET SAID
 While India is engulfed in this swirling
epidemic of non-communicable diseases,
the country is also in the grip of a mental
health emergency. India could claim 18 per
cent of the world's population in 2016, yet it
accounted for 37 per cent of global suicide
deaths among women and 24 per cent
among men,
 PROGRAM PLANNED WITH
VISON TO OVER COME THE NEW
CHALLEGENS IN HEALTHSECTOR

Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018

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The Lancet Says
 Richard Horton, editor-in-
chief of the 'The Lancet',
said the prime minister has
grasped the importance of
health not only as a
natural right of citizens, but
also as a political
instrument to meet the
growing expectations of
India's emerging middle
Dr.T.V.Rao MD @Ayushman Bharat
class. 9/14/2018
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BENEFITING THE CRORES POOR
INDIANS

Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018

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Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018

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9/14/2018
Dr.T.V.Rao MD @Ayushman Bharat
LET US ALL JOIN THE
MODIVISON MAKE INIDA
RICH HEALTHY
 Resources and 27

References
Ayushman Bharat Yojana
Government resources
The Lancet
Google web resources on Ayushman
Bharat Yojana

Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018

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 The Ayushman Bharat Yojana program file created

by Dr.T.V.Rao MD in support of the great efforts of
Hon Prime Minister, Health Minister and Finance
minister to benefit poor underprivileged Indians to
get the equal resources for better health care
 Email
 doctortvrao@gmail.com

Dr.T.V.Rao MD @Ayushman Bharat 9/14/2018