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Private Hospitals Demand Guarantee for Payment for BSBY Beneficiaries

A day after private hospitals stopped admitting patients under Bhamashah Swasthya Bima Yojna (BSBY), they demanded guarantee from the state government for payments, for providing cashless treatment to BSBY beneficiaries. The hospitals did not admit any patients on Sunday too. They had stopped providing treatment to patients under BSBY, as they had received an e-mail from New India Assurance Company (NIAC) on Friday midnight, informing them that no fresh claims would be admissible or payable under the BSBY. “Who will pay the bills for treatment of patients under BSBY? The NIAC is not ready to pay. Nobody from the government has taken any guarantee for payment. We are not here for charity,” a senior hospital administration official of a private hospital said on condition of anonymity. He said that they have not admitted any patient on Sunday under BSBY. With situation getting worse for patients, the health department has started appealing to the private hospitals not to stop admitting BSBY beneficiaries.

In an effort to control the situation, health minister Kalicharan Saraf has directed the hospitals to continue admitting patients under BSBY. ““The insurance company has stopped working. There were some complaints against the company, on the basis of that, we had stopped the payment of ₹106 crore. In the matter, the investigation against the company is in progress. We have directed the hospitals not to stop providing treatment to patients under BSBY,” said Saraf. Making an attempt to persuade hospitals to admit patients under BSBY, Rajasthan State Health Assurance Agency (RSHAA) is sending a message to hospitals that they had taken the step of stopping payment to the insurance company, as the company had not paid claims of the hospitals. Ashish Modi, joint chief executive officer, RSHAA said that payments to the hospitals will continue to be made as per the existing provisions. Moreover, the health department claimed that on Saturday, BSBY patients were admitted to hospitals.

“There were 3270 cases in government and 4117 cases in private hospitals under BSBY reported on   Saturday. On treatment of these patients, claims of ₹3.95 crore were booked,” the health department further claimed. ‘Similar scheme in Andhra Pradesh led to corruption,’ Gehlot. Referring to Bhamashah Swasthya Bima Yojna, former chief minister Ashok Gehlot on Sunday said, Andhra Pradesh had a similar scheme but there was large-scale corruption in it. It was not known who was getting treatment at what level and where. Indicating that it was a failure, he said that the scheme should not have been implemented here. Gehlot, at Jaipur airport told newspersons that when he was the CM, he had collected the details of the scheme in Andhra Pradesh. He said, “In Bhamashah scheme, crores of rupees were spent on preparing Bhamashah cards and that is a matter of investigation. At a time when people have Aadhaar cards, then why were the Bhamashah cards made.” – TOI