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S. Prinja, A. Chauhan, Anup Karan, Gunjeet Kaur, R. Kumar (2017)
Impact of Publicly Financed Health Insurance Schemes on Healthcare Utilization and Financial Risk Protection in India: A Systematic ReviewPLoS ONE, 12
A. Karan, A. Chakraborti, J. KattoorE, R. MuraleedharanV (2017)
Process Evaluation Report: Chief Minister's Comprehensive Health Insurance Scheme, Tamil Nadu
P. Chatterjee (2018)
India launches Ayushman Bharat's secondary care componentThe Lancet, 392
P. Taneja, Shallini Taneja (2016)
Rashtriya Swasthya Bima Yojana (RSBY) for Universal Health CoverageAsian Journal of Management Cases, 13
R. Shahrawat, Krishna Rao (2012)
Insured yet vulnerable: out-of-pocket payments and India's poor.Health policy and planning, 27 3
Sulakshana Nandi, H. Schneider, Samir Garg (2018)
Assessing geographical inequity in availability of hospital services under the state-funded universal health insurance scheme in Chhattisgarh state, India, using a composite vulnerability indexGlobal Health Action, 11
K. Ramani, D. Mavalankar (2006)
Health system in India: opportunities and challenges for improvements.Journal of health organization and management, 20 6
M. Rao, Krishna Rao, A. Kumar, M. Chatterjee, T. Sundararaman (2011)
Human resources for health in IndiaThe Lancet, 377
R. Khanna (2010)
Universal Health Coverage in Thailand: What Lessons can India Learn?
Sulakshana Nandi, H. Schneider, P. Dixit (2017)
Hospital utilization and out of pocket expenditure in public and private sectors under the universal government health insurance scheme in Chhattisgarh State, India: Lessons for universal health coveragePLoS ONE, 12
Arindam Nandi, A. Ashok, R. Laxminarayan (2013)
The Socioeconomic and Institutional Determinants of Participation in India’s Health Insurance Scheme for the PoorPLoS ONE, 8
(2018)
What does it take to stabilise India's sugar market?
(2016)
NSSO 71st round data on health and beyond: questioning frameworks of analysis
V. Pulla (2018)
Unwanted Hysterectomies in India: Paid by Public Insurance SchemesSpace and Culture, India
D. Griggs, M. Stafford-Smith, O. Gaffney, J. Rockström, M. Öhman, P. Shyamsundar, W. Steffen, G. Glaser, N. Kanie, I. Noble (2013)
Policy: Sustainable development goals for people and planetNature, 495
D. Nandan (2010)
National Rural Health Mission: Turning into RealityIndian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine, 35
R. Dasgupta, I. Qadeer (2005)
The National Rural Health Mission (NRHM): a critical overview.Indian journal of public health, 49 3
C. Lahariya (2018)
‘Ayushman Bharat’ Program and Universal Health Coverage in IndiaIndian Pediatrics, 55
M. Chokshi, B. Patil, R. Khanna, S. Neogi, Jyoti Sharma, Vinod Paul, S. Zodpey (2016)
Health systems in IndiaJournal of Perinatology, 36
U. Dash, V. Muraleedharan (2011)
How Equitable is Employees' State Insurance Scheme in India? A Case Study of Tamil Nadu
M. Trivedi, D. Saxena (2013)
Third Angle of RSBY: Service Providers’ Perspective to RSBY-operational Issues in GujaratJournal of Family Medicine and Primary Care, 2
T. Sundararaman (2017)
National Health Policy 2017: a cautious welcome.Indian journal of medical ethics, 2 2
C. Dijk, B. Berg, R. Verheij, P. Spreeuwenberg, P. Groenewegen, D. Bakker (2013)
Moral hazard and supplier-induced demand: empirical evidence in general practice.Health economics, 22 3
M. Rao, M. Rao, S. Ramachandra, S. Bandyopadhyay, A. Chandran, R. Shidhaye, S. Tamisettynarayana, A. Thippaiah, M. Sitamma, M. George, Vivek Singh, S. Sivasankaran, S. Bangdiwala (2011)
Addressing healthcare needs of people living below the poverty line: a rapid assessment of the Andhra Pradesh Health Insurance Scheme.The National medical journal of India, 24 6
S. Selvaraj, Anup Karan (2012)
Why Publicly-Financed Health Insurance Schemes Are Ineffective in Providing Financial Risk Protection
H. Bakshi, Rashmi Sharma, Pradeep Kumar (2018)
Ayushman Bharat Initiative (2018): What we Stand to Gain or Lose!Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine, 43
Ayushman Bharat-long live private healthcare
Js Thakur (2011)
Key Recommendations of High-Level Expert Group Report on Universal Health Coverage for IndiaIndian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine, 36
N. Devadasan, T. Seshadri, M. Trivedi, B. Criel (2013)
Promoting universal financial protection: evidence from the Rashtriya Swasthya Bima Yojana (RSBY) in Gujarat, IndiaHealth Research Policy and Systems, 11
Maaz Shaikh, S. Peters, M. Woodward, R. Norton, V. Jha (2018)
Sex differences in utilisation of hospital care in a state-sponsored health insurance programme providing access to free services in South IndiaBMJ Global Health, 3
David Evans, J. Hsu, T. Boerma (2013)
Universal health coverage and universal access.Bulletin of the World Health Organization, 91 8
(2018)
Publicly financed health insurance schemes
(2011)
Hospitalization patterns in RSBY: Preliminary evidence from the MIS. In India's health insurance scheme for the poor: evidence from the early experience of the Rashtriya Swasthya Bima Yojana
X Hou, R Palacios (2011)
India’s health insurance scheme for the poor: evidence from the early experience of the Rashtriya Swasthya Bima Yojana
Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations
(2018)
Abandon Ayushman Bharat
The Ayushman Bharat (Hindi for “India blessed with a long life”) scheme is a government health insurance program that will cover about 100 million poor and vulnerable families in India providing up to INR 0.5 million per family per year for secondary and tertiary care hospitalization services. In addition, it also proposes to establish 150,000 health and wellness centers all over the country providing comprehensive primary health care. The beneficiaries of the hospital insurance scheme can avail health care services from both public and empanelled private health facilities. This scheme is one of the largest government-sponsored health insurance schemes in the world. Previous experience with government-financed health insurance schemes in India has shown that they are inequitable, inefficient, and do not provide financial protection. There is a lack of clarity on the budgetary provisions over the years when the utilization is likely to increase. The Ayushman Bharat scheme in its current form strengthens the “for profit” private health sector, requiring greater emphasis on its regulation. The scheme, which has primary, secondary, and tertiary care components, places a great focus on the secondary and tertiary care services and requires more investment in comprehensive primary health care. The potential problems of “profit-motivated” supplier-induced demand by private health care providers and corrupt practices are possible ethical burdens of the scheme. For the Ayushman Bharat to meet the ethical principle of justice, it should first address universal coverage of comprehensive primary health care and move on to hospital insurance in a progressive manner. The scheme should have provisions to strictly regulate secondary and tertiary care hospitalization in the private health sector to prevent misuse. It is the ethical responsibility of the government to ensure a strong and robust public health system, but the current provisioning of the Ayushman Bharat scheme does not do this and the reasons for this are explained in this paper.
Asian Bioethics Review – Springer Journals
Published: Apr 3, 2019
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