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and do not necessarily reflect the views or policies of the Asian Development Bank
(ADB), or its Board of Governors, or the governments they represent. ADB does not
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60 million Indians fall below poverty line every year due to
catastrophic health expenditure
2
India facing triple burden of disease
3
Relevance of PM-JAY for India’s poor
6%
5%
Unmet health care needs of poorest 40%
4%
537 500
Million people Thousand
Poor and Vulnerable Cover per family per
year for serious
people across 107.4 illnesses
Improved million families
Access to
Affordable
Quality
Care Portable No Cap
Benefits can be availed On Family Size, Age or
in all empaneled Gender and covers pre-
hospitals across the existing diseases
country
5
Increasing access
01
PM-JAY
Fulcrum of reform for Reducing catastrophic
02 health shocks
health care in India
06 Infusing quality,
Future is irreversibly 03
affordability &
locked to UHC
accountability
05 04
Changing the healthcare Reducing fragmentation
ecosystem
6
Evolution of scheme
Hon’ble Prime Minister’s Scheme Launch Speech February 1
Union Budget March 21
Announcement
Cabinet Approval
March 27
CEO Appointed; Team Size of 2
May 11
NHA Incorporated
June 14
Ministers’ Conclave
August 15
PM Announces PM-JAY &
September 23 Pilot Launch
“ Today I pray that that no poor has to face any PM-JAY Launched by
PM
such problem that they have to knock doors of December 11
the hospital. But if they do, then Ayushman 5 Lakh Hospital
Bharat is at your doorstep. The poor of my Admissions
2 January 2019
country must get all facilities that the rich get ” 100 days of PM-JAY Launch;
Formation of Authority
7
Challenges in designing and launching
8
Working Model of PM-JAY
9
Ecosystem of PM-JAY
NHA
SHA
Insurer
Payer
IT platform
Pradhan Mantri
Arogya Mitra Beneficiary
Public
Private
Provider
10
Building blocks of PM-JAY
CREATING IT BACKBONE:
Linking beneficiaries with service providers and States with
Centre
11
1. Setting the rules of the Game
Capacity Monitoring & Data Security
Contracting Fund flow
Building Evaluation & Privacy
Fraud Awareness
NHA
prevention Generation
SHA
Service
IT platform Portability
Delivery
Grievance
Empanelment Beneficiary
Redressal
Public
Benefit Package
Private Call Centre
& Rates
Provider
12
2. IT INFRASTRUCTURE DEVELOPMENT (1/5)
Hospital Empanelment
HARDWARE & CLOUD Module PORTABILITY
Simple Registration Process Transaction
Management System
Real-time & Secure
Beneficiary
Identification System
PREPARATION OF DATA Demographic & Bio-metric Based STATE IT INTEGRATION
13
Live 360Ο Monitoring (2/5)
14
PM-JAY Monitoring – Operations Dashboard (3/5)
36,118 51.4 L
• 9 Real time dashboards and 10+ case level reports for center and states
• 10+ customized reports made available to states on request
15
PM-JAY Monitoring – Portability Dashboard (4/5)
16
“Am I Eligible” : mera.pmjay.gov.in (5/5)
Live Demo of Mera PM-JAY Interface
17
3. Bringing States / UTs On-board
19 Trust Mode 09 Mixed Mode
07 Insurance Mode 03 MoU yet to be signed
18
4. Capacity Building
19
Building Awareness for PM-JAY (1/2) 6 modes
• 7.5 Crore personalized PM letters sent
• 24*7 Multilingual Helpline Number 14555
• Endorsement by Influencers such as Shri
Amitabh Bachchan
• Advertisement campaigns in
Newspapers, Radio, TV, Cinema Halls
and Airports
• PM-JAY outreach at empanelled hospital
• Partnership with Common Service
Centres to generate eCard
• ‘Ayushman Bharat Day’ celebrated at
village level
20
PM-JAY Report Card
21
PM-JAY Report Card (1/3)
23
PM-JAY 100 Days Report Card (3/3)
24
PM-JAY Growth Trends (1/2)
800,000
783,069 5,141,272
700,000
685,807
4,038,450
600,000
500,000
386,924
400,000
300,000
200,000
144,924 1,116,154
100,000
25,407 339,613
42,352
0
25
PM-JAY Growth Trends (2/2)
26
Challenges Ahead
1 Beneficiary Awareness
2 Capacity Building
3 Quality Assurance
27
Thank You
28