Advertisement

Updated January 4th, 2020 at 08:34 IST

171 hospitals de-empanelled, Rs 4.6 Cr penalty levied for committing fraud in PMJAY

National Health Authority has revoked the empanelment of nearly 171 hospitals and imposed a penalty of Rs 4.6 crore on many hospitals under PMJAY in nine states

Reported by: Gloria Methri
PMJAY
| Image:self
Advertisement

The National Health Authority (NHA) has revoked the empanelment of nearly 171 hospitals and imposed a penalty of Rs 4.6 crore on many hospitals in nine states for indulging in activities of fraud in Prime Minister Narendra Modi's flagship health insurance scheme: Ayushman Bharat- Pradhan Mantri Jan Arogya Yojana (AB-PMJAY).

Besides, over 390 hospitals in different states have been issued a show-cause notice and were suspended. The National Anti-Fraud Unit (NAFU) at NHA found that there are several cases of malpractices among empanelled hospitals. These misbehaviours have largely taken place in hospitals located in northern states of Gujarat, Chhattisgarh, Madhya Pradesh and Punjab.

READ | Over 300 Hospitals Get Show-cause Notices For Submitting Forged Claims Under AB-PMJAY

"Soon after getting the tipoff, the State Health Agency was alerted which disabled cards, FIR was also lodged and show cause notice was issued to the hospitals. The penalty has also been levied on TPA," said a senior official at NHA.

Penalties of more than Rs 4.5 crores have also been imposed on hospitals indulging in malpractices, the NHA official added. The department is also checking for any false enrolment of beneficiaries under the scheme.

READ | PM Modi Asserts 'world's Largest Scheme' Ayushman Bharat Benefitted 70 Lakh People

"About 3,785 village-level entrepreneurs who are positioned at common service centres and Pradhan Mantri Arogya Mitras positioned at PMJAY empanelled hospital have been deactivated so far," stated the official.

The State authorities reserve certain beneficiary packages for government hospitals. It was discovered that private hospitals were performing and blocking these government reserved procedures and were submitting the same under a different or unspecified package name.

READ | AB-PMJAY Scheme Opens Bronze Certification Accreditation For Quality Culture

About PMJAY

Ayushman Bharat- PMJAY is the world's greatest healthcare scheme, which aims to reach out to over 10 crore poor and vulnerable families (nearly 50 crore beneficiaries). Under this scheme, up to 5 lakh rupees is provided to each family every year for secondary and tertiary care hospitalization.

READ | NHRC Seeks Report Over Ayushman Bharat Beneficiaries Not Able To Avail High-cost Treatment Under RAN

(With inputs from ANI)

Advertisement

Published January 4th, 2020 at 08:34 IST

Your Voice. Now Direct.

Send us your views, we’ll publish them. This section is moderated.

Advertisement
Advertisement

Trending Quicks

INDI Seals Seat-sharing Deal in Bihar, RJD to Contest on 26 Seats, Cong 9
5 minutes ago
Bengaluru Man Tragically Dies After Friend Pumps Hot Air Into His Rectum For Fun
8 minutes ago
Sunita Kejriwal urged people to send ‘messages of support’ to Delhi CM
10 minutes ago
Congress Press Conference
10 minutes ago
Kamlesh Awasthi
12 minutes ago
Adani Green Adopts Robotics for Solar Module Maintenance
24 minutes ago
Electric Vehicle
27 minutes ago
Lok Sabha Elections 2024 LIVE
27 minutes ago
A poster of Crew
32 minutes ago
"We never celebrated Holi after the incident (the murder), I felt that today is Holi for us,” Alka Rai, wife of formerBJP MLA Krishnanand Rai said.
35 minutes ago
Advertisement
Advertisement
Advertisement
Whatsapp logo