ISSN (Print) - 0012-9976 | ISSN (Online) - 2349-8846

Abhijit RoySubscribe to Abhijit Roy

Ayushman Bharat

The Pradhan Mantri Jan Arogya Yojana is an ambitious health insurance scheme that has been touted as an important tool to achieve universal health coverage. However, there is still no clarity regarding the financial implications of this scheme. Based on National Sample Survey data of 2004 and 2014 on hospitalisation rates and average medical expenditures, three alternate scenarios have been analysed based on different assumptions about these two parameters, to estimate the total costs of the programme. The results indicate a potentially high burden of the programme on the state and union government finances, especially if it is successful in covering all the intended beneficiaries.

Third Party Administrators

This paper attempts to understand the role of TPAs, and examines the issues that need to be taken into account while evaluating their usefulness and functioning. TPAs, in spite of their importance in enabling accessibility to insured healthcare, cannot be seen as a panacea for the problems of the health sector.The TPA system should be regulated and checked in order to ensure that consumer interest is not compromised.
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