816 Super Specialty Pvt hospitals partner with it
Claims against treatment of individual patients grows by 102 percent
Bhubaneswar, Biju Swasthya Kalyan Yojana (BSKY), the unique health programme of Odisha scribed record growth in terms of the number of the partner hospitals, and the claims raised by them against treatment of the individual patients. This came to fore in a recent internal review meeting taken by Chief Executive Officer ( CEO) of State Health Assurance Society (SHAS) Smt D. Brundha wherein Additional Secretary cum Joint CEO Sri Subhananda Mohapatra presented the updates.
The matters relating to judicious disposal of claims raised by empanelled hospitals, quick redressal of the grievances, performance of Swasthy Mitras ( SMs) at the ground level among other things figured in the meeting. Reviewing the progress made so far, CEO Smt Brundha directed the nodal officers to regularly review the empanelled hospitals, especially those outside the State for proper facilitation of the treatment of BSKY card holders. She also directed to orient the district coordinators for timely disposal of the grievances received through Mo Sarkar and various other sources.
Review showed that 816 number of private sector super specialty hospitals were brought under the umbrella of BSKY by 15 December of the current year, thereby marking a growth rate of 43.40 percent over the corresponding period of last calendar year (2022). Besides, around 8530 Government hospitals were striving day and night for realization of the objective of quality clinical care for all. Out of 816 empanelled private sector hospitals, 160 were from 16 major States namely Andhra Pradesh, Assam, Telangana, Karnataka, Delhi, Gujrat, Maharashtra, West Bengal, Chhattisgarh, Jharkhand, Punjab, Haryana, Rajasthan, Tamil Nadu, Uttar Pradesh, and Uttarakhand. In Odisha, 656 private sector hospitals from different districts partnered with State Govt for providing high quality treatment to the poor. The prtcipation of private sector hospitals
Concomitantly, the number of claims raised by the empanelled hospitals against treatment of the individual patients also crossed 12.11 lakh by 15 December. Given the present popularity of BSKY, the number of claims was expected to cross 13 lakhs by end of December, 2023. With that number, BSKY would scribe a record growth of 102 percent over the last year of 2022.
Corresponding with the growth in number of people treated in private hospitals from among 96.5 lakh families registered under the scheme, State Govt was required to pay the bills of more than 2507.05 cr by 15 December. It was expected that the claimed bill amount might cross Rs. 2910 cr by end of December. 2013; thereby recording a growth of 107 percent over corresponding period of the last year. Available data showed that in the year 2022 the total claimed bills against treatment of the individual patients was around Rs 1409.40 cr.
Review of the feedback from people who received treatment under BSKY showed that more than 98 percent of them, especially the women and the old for whom super specialty treatment in world class hospitals of urban area was a dream, mentioned their gratefulness to Chief Minister Sri Naveen Patnaik and the State Govt for this inclusive healthcare scheme.
