Ayushman Bharat Mukh Mantri Sehat Bima Yojna: Punjab health minister debunks PHANA’s ₹600-cr arrear claim, calls it “false and misleading”
Total ₹364-cr pending amount for both public and private hospitals, ₹197-cr owed to private hospitals: Dr. Balbir Singh
CM Bhagwant Mann led Punjab govt commitment to ensure timely and effective healthcare services to people of Punjab
Technical glitches arose from February 2024 after switching to new software for claim processing launched by National Health Agency, says Dr. Balbir Singh
Health minister calls a meeting with PHANA on Friday, also fixes meeting with IMA on Sept 25
Chandigarh, September 19, 2024:
Punjab Health and Family Welfare Minister Dr Balbir Singh on Thursday strongly refuted claims made by the Private Hospitals and Nursing Home Association (PHANA) Punjab that the state government owes over Rs 600 crore for various treatments availed under the the Ayushman Bharat Mukh Mantri Sehat Bima Yojna and termed the statement as "false and misleading," revealing that the total pending amount for both public and private hospitals is Rs 364 crores.
As per the official data, the breakdown of pending payments shows that Rs 166.67 crores are owed to public hospitals, while private hospitals are due Rs 197 crores. The clarification comes a day after PHANA announced that it would stop all treatments under the Ayushman Bharat Mukh Mantri Sehat Bima Yojna across empaneled private hospitals in the state.
Health Minister Dr Balbir Singh said that since April 1, 2024, the government has disbursed Rs 101.66 crores to private hospitals and Rs 112 crores to public hospitals, totalling Rs 214.30 crores.
He explained that technical glitches arose from February 2024 after switching to new software for claim processing launched by National Health Agency (NHA), which resulted in slowing down the claim processing. However, the State Health Agency (SHA) took prompt measures including deputing more staff and working on weekends and holidays, to address the issue.
To resolve the matter, the Health Minister has called a meeting with PHANA representatives on Friday. Additionally, a meeting with the Indian Medical Association (IMA) has also been fixed on September 25, 2024, at 3:30 PM to address any concerns regarding payments and SHA functioning.
Dr Balbir Singh reaffirmed the commitment of Chief Minister Bhagwant Singh Mann led Punjab Government of providing quality healthcare to citizens and ensure uninterrupted healthcare services under the Ayushman Bharat Mukh Mantri Sehat Bima Yojna.
Meanwhile, the Health Minister has already ordered the SHA to hire medical professionals to expedite claims processing and ensure timely payments to empanelled hospitals under the Ayushman Bharat Mukh Mantri Sehat Bima Yojana.