In the first three months of PMJAY — until November 24, 2018 — 6,900 claims had been submitted for cataract surgeries even though they are done for free under the National Blindness Control Programme (NBCP).
IN THE first trimming of the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana since its launch, the National Health Authority (NHA) is planning to remove procedures covered under existing national programmes from the list of packages approved for reimbursement under PMJAY. This means procedures like cataract surgeries, dialysis and normal deliveries will not be covered by the flagship health scheme.
“PMJAY has just completed 150 days and our learning is that there is a need to streamline packages, so that there is no duplication. Procedures or diseases for which there is already an existing national programme, do not need to be covered under our packages. We are looking at the packages and will trim them so that there is no overlap,” NHA CEO Dr Indu Bhushan told The Indian Express.
Cataract surgeries have topped the list of claims submitted under PMJAY. In the first three months of PMJAY — until November 24, 2018 — 6,900 claims had been submitted for cataract surgeries even though they are done for free under the National Blindness Control Programme (NBCP). In 2017-18 alone, 15,91,977 surgeries were performed under NBCP, which dates back to 1976.
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