From UPSC perspective, the following things are important :
Prelims level: Ayushman Bharat Health Accounts (ABHA), AB-PMJAY
Mains level: NA
Why in the news?
This newscard is an excerpt from an explainer published in the PIB.
Ayushman Bharat Health Accounts (ABHA)
- ABHA, an integral part of the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), serves as a link for all health records of an individual.
- It is a sub-component of the Ayushman Bharat Digital Mission launched in September 2021.
- It is a 14-digit id employed to uniquely identify individuals, verify their identity, and connect their health records (with their consent) across various systems and stakeholders.
Features of ABHA
- Cashless Transactions: ABHA enables cashless transactions for eligible beneficiaries, reducing the financial burden during medical emergencies.
- Electronic Health Records (EHR): It integrates electronic health records, facilitating storage, and retrieval of patient information for streamlined healthcare delivery.
- Portability: ABHA accounts are portable across various healthcare providers under the Ayushman Bharat scheme, ensuring seamless access to services.
- Real-time Monitoring: Incorporating real-time monitoring mechanisms to track fund utilization, ABHA ensures efficient allocation and prevents misuse.
Various Components
- Beneficiary Identification: ABHA involves the identification and registration of eligible beneficiaries under the Ayushman Bharat scheme, assigning a unique health identification number (UHID).
- Funds Management: It manages the allocation and disbursement of funds for healthcare services, ensuring prompt and secure transfers.
- Claim Settlement: ABHA processes and settles claims submitted by healthcare providers, verifying authenticity, and disbursing payments.
- Audit and Oversight: Incorporating audit mechanisms to monitor fund utilization, ABHA ensures compliance with regulations and maintains system integrity.
Back2Basics: Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)
Details | |
Umbrella Scheme |
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Launch Year | 2018 |
Components |
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Pradhan Mantri Jan Arogya Yojana (PM-JAY) |
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Coverage |
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Beneficiaries | Identified through Socio-Economic Caste Census (SECC) data |
Funding |
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Nodal Agency | National Health Authority (NHA)
State Health Agency (SHA)
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PYQ:2021: “Besides being a moral imperative of a Welfare State, primary health structure is a necessary precondition for sustainable development.” Analyse.
Practice MCQ:Consider the following statements about the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY): 1. 3 days pre-hospitalisation and 15 days post-hospitalisation. 2. Includes diagnostic care and expenses on medicines. 3. No restriction on family size, age, or gender. 4. Beneficiaries are identified from national family health survey. How many of the above discussed features is/are correct? (a) One (b) Two (c) Three (d) Four |
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