With only 2.36 lakh more patients than public hospitals, the private hospitals in Madhya Pradesh have generated three times as many claims under the PMJAY-Ayushman Bharat Scheme.
Following the treatment of 11.52 lakh patients under the PMJAY-Ayushman Bharat Scheme through November, private hospitals in MP generated Rs 2432.78 crore, according to a National Health Authority (NHA) response to an RTI request. According to the NHA response, the cost for public facilities to treat 9.16 lakh patients under the program is Rs 875 crore. Since then, each fiscal year has seen an increase in the treatment value received by private hospitals in Madhya Pradesh.
It increased from just Rs 34.29 crore in 2018–19 to Rs 871 in 2021–22. Similar patterns can be seen in Indore, the state’s medical capital, where private hospitals received about three-fourths of the claim money up until last year. According to CMHO Dr. BS Saitya, “The package for treatments like cardiac, orthopaedic, and ophthalmology is very high under the scheme. In the neighborhood, many private institutions specialize in these high-end medical treatments.
For such high-end specialized care, Dr. Saitya continued, people rush to private hospitals in Indore and Bhopal.