Unless the Govt revise the pricing packages for 3000 procedures& treatments and unless the govt reimburse the charges/ package price with in 60 days of discharge of the patient and unless govt allocate minimum 750 crores per month ( at present only 50 cr by state and 225 crores by ayushman bharat) towards AROGYA SRI', the sustainability of the empaneled hospitals is in doldrums.
Arogya sri trust shall consider-
- to reimburse more than the package price in case of extended length of stay, co-morbidities AND
- allow more than one code at a time if necessary.
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To please the masses, cash less arogyasri services have been remarkably efficient for the patient, follow-up feedback calls to check on them, A cash benefit during hospitalisation,Return of any payments made by patient before availing Arogyasri .
But the same efficiency is missing in making timely payments to the healthcare providers.
None of the hospitals have signed up for govt propaganda camps at the time of agreement, yet G.Os are passed to allot specialist consultants for suraksha camps. None of the hospitals or representatives are part of discussion before issuing such G.O s.
Not one hospital was paid covid bills properly. huge deductions made citing lack of proper documentation at times of crisis and poor staff availability.
Arogyasri tariff stands the same as 2011. No package revision as promised.
Now coverage enhanced to 25 lakhs . it stands no value. No Arogyasri procedure on their website for enhancing the package of the individual code beyond the specified price. Only one code is applicable at a time. No comorbidities are considered. The whole idea of ICN coding of diseases is lost. The length of stay is not a factor at all. Providing food is an additional topping.
While acknowledging the need to provide subsidized health care for the needy, it should not completely be at the cost of a private establishment.
We should press for 45 day clearance time for a discharged case with 18% interest thereafter.
Beneficiaries are in crores, providers in hundreads. Beneficiaries' votes outnumber us. The only way is to come together, unite and negotiate reasonable methodology
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