Ayushman Bharat: Tackling Fraud in Healthcare
In a significant revelation, the Indian government has reported that nearly 2.7 lakh claims by private hospitals under the Ayushman Bharat-PM Jan Arogya Yojana (AB-PMJAY) have been deemed non-admissible. This staggering number translates to claims worth Rs 562 crore, highlighting the crucial need for vigilance in healthcare funding.
Zero-Tolerance Approach
The government has reiterated its commitment to a zero-tolerance policy towards fraud and abuse within the AB-PMJAY scheme. Measures have been implemented for the prevention, detection, and deterrence of fraudulent activities at various stages of the program. The establishment of the National Anti-Fraud Unit (NAFU) within the National Health Authority signifies a robust framework aimed at curbing misuse.
How Claims Are Scrutinized
NAFU collaborates closely with State Anti-Fraud Units (SAFU) to scrutinize claims from empanelled hospitals. Claims flagged as suspicious are withheld until a thorough examination is conducted by SAFU. Out of a whopping 6.66 crore claims processed, 2.7 lakh were identified as problematic due to abuse, misuse, or incorrect entries, as stated by Minister of State for Health, Prataprao Jadhav.
Empowering Consumers with Looffers.com
As the healthcare sector continues to evolve, staying informed and vigilant is essential. At Looffers.com, we empower consumers with valuable insights, ensuring that you make informed choices about your health and wellness. Discover exclusive offers and stay updated on healthcare trends that matter to you.
In conclusion, the fight against fraud in the Ayushman Bharat scheme is crucial for the integrity of healthcare in India. With ongoing efforts and consumer awareness, we can work together towards a healthier future.
