Average claim under AB-PMJAY in Chhattisgarh is Rs 10,000, less than national average of Rs 13,000/year, indicating that most patients in state can use scheme only for minor procedures.
In February, 33 of the Chhattisgarh private hospitals were penalised by the administration for fraud and fake AB-PMJAY claims, in one of the biggest-ever crackdowns the state has witnessed.
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Last year, Ahmedabad-based Khyati Multispecialty Hospital made headlines after 2 patients registered under scheme died following angioplasty procedures later found to be unnecessary.
Health Ministry tells Parliament that measures are in place to detect & prevent fraud. With 8.39 crore hospital admissions under the scheme, fraudulent cases are under 0.5%.
An independent body should be constituted to oversee the process, and authorities should encourage more private hospitals to join the scheme, the panel suggests.
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