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Private hospitals threaten to pull out of model health insurance programme in India

BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.f2391 (Published 15 April 2013) Cite this as: BMJ 2013;346:f2391
  1. Ganapati Mudur
  1. 1New Delhi

Two associations of private hospitals in Andhra Pradesh have threatened to stop providing healthcare services to patients under a health insurance programme funded by the state government unless payment rates for their services are enhanced.

After months of negotiations with the state government, the associations last week imposed a 3 May deadline for an upward revision of the payment rates, which have not changed since 2007 when the Rajiv Aarogyasri health insurance scheme was launched.

The Aarogyasri scheme, initially intended to cover poor people (that is, those earning less than 60 000 rupees (£715; €842; $1100) per year), has since expanded to cover 70 million individuals, or 85% of the state population.

The government pays a premium of less than 300 rupees …

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