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        Case ID :

        Govt to roll out health cover scheme from next fiscal: FM

        February 2, 2018

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        New Delhi, Feb 2 (PTI) Finance Minister Arun Jaitley today said the world's biggest health cover plan announced in the Budget will be cashless and not a reimbursement scheme, and promised more funds if required depending on the rollout later next financial year.

        The National Health Protection Scheme (NHPS) touted as ModiCare envisaged to provide medical cover of up to ₹ 5 lakh to over 10 crore poor and vulnerable families, constituting 40 per cent of total population.

        "It takes care of hospitalisation, the secondary and tertiary care. Obviously, it will involve various state hospitals and selected private hospitals. It can be on trust model, it can be on insurance model. It's not on reimbursement model because too many complaints come on the reimbursement model," he said here.

        The model is now being worked out between NITI Aayog and Health Ministry, he said adding the date of implementation would be next financial year and sometime in the course of the year it will be worked out.

        If assuming the model to be insurance led, the premium shrink with the increase in number of policy holders, he said at an event organised by Open magazine.

        The scheme although appreciated by experts also raises apprehension about its implementation and the initial corpus of just ₹ 2,000 crore.

        Assuring that the scheme will be entirely state funded, Jaitley said initial funds of ₹ 2,000 crore has been allocated and whatever funds required, as the scheme rolls over, would be made available.

        "In the coming year, I see more comfortable situation as far as revenues are concerned because the graphs as far as direct tax is concerned would move very fast," he said.

        Following demonetisation and implementation of Goods and Services Tax, the number of direct tax assesses have gone up ... once anti-evasion measures, I do expect a little bump up in the GST collection also. I don't see revenue going to be a major challenge in that," he said.

        Yesterday, Jaitley in the Budget speech said, "We are all aware that lakhs of families in our country have to borrow or sell assets to receive indoor treatment in hospitals.

        Government is seriously concerned about such impoverishment of poor and vulnerable families. Present RSBY provide annual coverage of only ₹ 30,000 to poor families."

        Several state governments have also implemented supplemented health protection schemes providing varying coverage, he had said in the Lok Sabha.

        The finance minister also advocated that the central and the state government can pool in resources for health care to achieve efficiency.

        He also emphasised on having better hospitals in rural areas even though Tier I and Tier II cities have good hospitals.

        Setting up of hospitals in various districts is the state subject under the federal structure, he added.

        Health protection scheme cashless coverage for vulnerable families; central funding assured with insurance or trust implementation options. The planned nationwide health protection initiative will provide cashless inpatient coverage for poor and vulnerable families through public and selected private hospitals, operating on either an insurance or trust model. The scheme is affirmed as entirely state funded with an initial allocation and a commitment to supply additional funds as needed during rollout next financial year. Fiscal support for ongoing funding is projected from expected increases in direct tax and broader tax collections, and implementation will require central-state cooperation and attention to health infrastructure capacity.
                          Cases where this provision is explicitly mentioned in the judgment/order text; may not be exhaustive. To view the complete list of cases mentioning this section, Click here.
                            Provisions expressly mentioned in the judgment/order text.

                                Health protection scheme cashless coverage for vulnerable families; central funding assured with insurance or trust implementation options.

                                The planned nationwide health protection initiative will provide cashless inpatient coverage for poor and vulnerable families through public and selected private hospitals, operating on either an insurance or trust model. The scheme is affirmed as entirely state funded with an initial allocation and a commitment to supply additional funds as needed during rollout next financial year. Fiscal support for ongoing funding is projected from expected increases in direct tax and broader tax collections, and implementation will require central-state cooperation and attention to health infrastructure capacity.





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