HEALTH INSURANCE AND STATE SPONSORED HEALTH SCHEME- ANDHRA PRADESH IS A ROLE MODEL
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 27
Abstract
BACKGROUND Because of increasing cost of state-of-the-art health care and inability of the public health care to provide the services, a state sponsored health care system is required as such services are not within the reach of a common man. The Government of Andhra Pradesh introduced state sponsored health insurance in the form of Rajiv Aarogyasri now called NTR Vaidyaseva in 2007 for below poverty line population. MATERIALS AND METHODS We have analysed the data of NTR Vaidyaseva trust and studied the utility of services from years 2007 to 2017. RESULTS A total of 1044 diseases are covered under the scheme. 10 days of post discharge medication are given. 273 corporate hospitals and 149 Government Hospitals are brought under the purview of NTR Vaidyaseva trust. 171 Medical therapies and 873 surgical therapies are listed under the scheme. A total of 2.4 million procedures were preauthorized from 2007 to 2017. Oncological procedures constituted 23.61%, Polytrauma 14.93%, Nephrology 12.86%, Cardiac and Cardiothoracic surgery procedures 10.65% and genitourinary procedures numbered around 7.77%. Total number of varieties of procedures authorized are 1044 considering the preauthorized amount in crores of rupees Cardiac and cardiothoracic surgery procedures claimed 27.33%, Polytrauma 16.04%, Oncology 13.10% CONCLUSION The State Government sponsored health scheme as a cashless program for selective diseases through a network of public and private hospitals and ensures quality health care for BPL people. This scheme is extended to the middle and upper class people through a payment of specific premium. The programme is successful in Andhra Pradesh and can be extended throughout the country.
Authors and Affiliations
Ramakrishna Rachakonda, Nagasree Venkata Chuda Dhupati, Sasidhar Kumar Bandi
Keywords
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- EP ID EP569051
- DOI 10.18410/jebmh/2018/420
- Views 85
- Downloads 0
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