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LATEST NEWS UPDATES | Health rates 'unsustainable' -GS Mudur

Health rates 'unsustainable' -GS Mudur

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published Published on May 30, 2018   modified Modified on May 30, 2018
-The Telegraph

New Delhi: The Centre's proposed rates of reimbursement to hospitals for various medical procedures under the National Health Protection Scheme are low and unsustainable and could compromise patient safety, an organisation representing hospitals has told the government.

The Association of Healthcare Providers of India (AHPI) has said the proposed rates are in general significantly lower than the costs that large tertiary-care hospitals typically incur on medical procedures.
 
Cost
 
The NHPS, announced by the Centre earlier this year, will cover hospitalisation costs of up to Rs 5 lakh each for over 10 crore "poor and vulnerable" households, or 50 crore people.

Working through insurance or trust models, the scheme will reimburse empanelled hospitals for medical procedures.

The AHPI has provided documents to senior officials tasked with rolling out the NHPS and argued that the proposed reimbursement rates range from 11 per cent to 58 per cent of the costs calculated by the Indian Institute of Management, Bangalore, and the Karnataka government.

"The fear is that if the tertiary-care rates are significantly lower than the actual costs, specialist tertiary-level hospitals might not take up the scheme," said Girdhar Gyani, director-general of the AHPI, which represents about 2,500 hospitals with 100 or more beds and about 10,000 smaller hospitals.

"We are concerned that if the rates are not compatible, patient safety may get compromised," Gyani told The Telegraph.

"The difference between costs and rates suggests that the rates are low and unsustainable," Gyani said. "The private sector would be happy to bear some of the costs to become part of this national scheme, but participation has to be within limits of sustainability."

In invoking safety concerns, AHPI officials believe that small hospitals or nursing homes without appropriate infrastructure, human resources or facilities might become empanelled to provide services under the NHPS.

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The Telegraph, 28 May, 2018, https://www.telegraphindia.com/india/health-rates-unsustainable-233618#.WwtqylSny50.twitter


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