Pradhan Mantri Jan Arogya Yojana - Ayushman Bharat

Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) was launched on 23 September 2018. The Scheme aims to provide health cover of ₹ five lakh per family per year for secondary and tertiary care hospitalization to over 10.741 crore families from the poor and vulnerable section of the population, based on the deprivation and occupational criteria of the Socio Economic Caste Census (SECC), 2011. The aim is to improve affordability, accessibility, and quality of care for the poor and vulnerable section of the population. The Scheme has been launched for achieving a significant reduction in out-of-pocket expenditure due to health care costs and achieving reduction in proportion of households experiencing catastrophic health expenditures and consequent impoverishment. The eligible beneficiaries are entitled under AB-PMJAY for cashless and paperless access to services at the empanelled hospitals.

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    Performance Audit of Pradhan Mantri Jan Arogya Yojana - Ayushman Bharat
    (CAG of India, 2023) CAG of India
    Ayushman Bharat is a health scheme of the Government of India launched on 23 September 2018 to achieve Universal Health Coverage as recommended in the National Health Policy, 2017 which envisages the attainment of the highest possible level of health and well-being for all at all ages. The Scheme has been rolled out in rural and urban areas, based on the deprivation and occupational criteria of the Socio-Economic Caste Census, 2011 (SECC-2011) respectively, for over 10.74 crore families. Aim of the Scheme is reduction in out-of-pocket expenditure of poor and vulnerable population. The Performance Audit on Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) covering the period September 2018 to March 2021 shows that the PMJAY Scheme, an ambitious and well-intentioned programme to provide healthcare access to most vulnerable sections in the country, has had a strong positive impact on the economically weaker sections of the society who need healthcare facilities. However, the implementation of the Scheme needs improvement in the light of the findings made in the report. It is expected that the compliance to the observations and recommendations made in this Report will help in improving the implementation of the Scheme.