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National Health Authority (NHA)

Current Affairs

  • National Health Authority (NHA) introduces a new system to measure and grade the performance of hospitals empaneled under the Ayushman Bharat PM-JAY scheme.
  • With an objective to shift the focus of measuring the performance of hospitals from the volume of services provided to the value of healthcare services, National Health Authority (NHA) is introducing a new system to measure and grade hospital performance under the flagship scheme Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY).
  • Traditionally, from the payer’s perspective, the healthcare model has been focussed on the number of services delivered, where case-based bundled payment is made on the basis of the number of services provided.
  • The new initiative will introduce the concept of ‘value-based care’, where payment will be outcome-based and providers will be rewarded according to the quality of the treatment delivered.
  • Under the new model, the providers will be rewarded for helping the patients improve their health, which consequently will reduce the effects of the disease in the population in the long term.
  • The step promises a significant increase in overall health gains and is expected to be a win-win for all concerned stakeholders from patients to healthcare providers, payers, and suppliers.
  • While the patients will get better health outcomes and higher satisfaction out of the services they receive, providers stand to get better care efficiencies. Similarly, payers will be able to maximize the health benefits generated out of the spending incurred.
  • Speaking on the initiative Dr. R.S. Sharma, CEO of, National Health Authority said, “To ensure PM-JAY beneficiaries receive both cashless healthcare benefits and high-quality care at every impaneled hospital, NHA has implemented various measures.
  • These measures include standardizing the cost of treatment under the scheme and adding new and advanced treatment procedures. Additionally, NHA has made a provision to incentivize best-performing hospitals that provide quality care to patients.”

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