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1. As part of the comprehensive health care vision of the Government of India, the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) provides financial coverage related to hospitalization up to five lakh rupees to over 10 crore poor and vulnerable households (approx. 50 crore beneficiaries). With the choice of accessing services at both public and private providers across the country, this ambitious mission aids in protecting beneficiary households against health-related contingencies across the life cycle.
2. To operationalize the scheme at the National level, and to rollout the scheme in alliance with the various State Governments, the National Health Agency (NHA) has been established. Further NHA will serve as the apex body for setting policy for the scheme.
3. Ensuring access to and delivery of safe, quality health services to its beneficiaries is core to the vision of AB-PMJAY. Health care services under AB-PMJAY will be provided through a network of public hospitals and empaneled private providers. The government is committed to developing a strategic partnership with providers so that the vision of ABNHPM becomes a reality. Empanelment of health care providers and institutions is a key aspect of this partnership.
4. In the above regard, it has been decided to bring all medical establishments having inpatient hospitalizations under MoHFW including institutions of national significance into the provider network of AB-PMJAY to strengthen service delivery under mission. These institutions provide high quality of care, including the treatment of rare diseases and complex patients, the provision of specialized services and advanced technology, and the conduct of biomedical research, including innovations in clinical care.
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