Latest news with #MJPJAY
Time of India
09-07-2025
- Health
- Time of India
871 patients denied treatment under MJPJAY in 5 years; 55 cases from Mumbai; 545 Hospitals de-empanelled since 2013
AI Image MUMBAI: Over five years, 871 patients involved their district-level Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY) officials after local hospitals denied them treatment under the scheme. Of these, 55 cases were reported in Mumbai. The data is part of a response to an RTI filed by activist Jitendra Ghadge, who said, "There are around 6,500 hospitals in Maharashtra, but only 2,019 are enrolled in these schemes, that's just 31%. Even those empanelled hospitals are denying treatment to the poor. This shows serious flaws in the implementation of the scheme." However, MJPJAY officials insist the data is misleading when read without context. "From 2019-20 to 2024-25, 58 lakh cases received pre-authorisation for treatment under the scheme. In comparison, the 871 complaint cases are very few and exceptional," said Aannasaheb Chavan, CEO of MJPJAY. He added that many of these cases were resolved immediately after district coordinators intervened. You Can Also Check: Mumbai AQI | Weather in Mumbai | Bank Holidays in Mumbai | Public Holidays in Mumbai Dr Rameshwar Kumbhar, who heads the grievance cell, said, "The scheme covers only specific treatments and ailments. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like Mini House for 60 sqm for Seniors with Toilet and Bath (Price May Surprise You) Pre Fabricated Homes | Search Ads Search Now Undo In some cases, patients file complaints against hospitals for not providing procedures that are actually not covered under the scheme." With 181 complaints, Sangli saw the highest number of patients who involved local officials. One official there said, "There are many procedures for which the scheme provides insufficient cover. In such cases, hospitals ask patients to pay the remaining amount out of pocket, and the agitated patient or relative lodges a complaint with us. In many cases, we make the hospital reimburse the out-of-pocket amount." Dr Kumbhar added that when investigations by local officials reveal that hospitals have unreasonably denied treatment, those hospitals are either suspended or de-empanelled from MJPJAY. A total of 545 hospitals have been de-empanelled since the scheme began in 2013. Some representatives of these hospitals told TOI that a number of issues made it difficult to keep the scheme functional. "There were delayed payments, lack of manpower to handle such patients in smaller hospitals, and technical glitches," said a former doctor from one of the previously empanelled city hospitals. Chavan stated that reimbursements are made on a quarterly basis. "There were some issues earlier. By the end of March, we released about Rs 1,500 crore. In this case, there were some delays, but all have been resolved. We are releasing another Rs 400 to Rs 500 crore for the April-June period in another week."
Time of India
24-05-2025
- Health
- Time of India
All charity hospitals in Pune told to implement MJPJAY health scheme
Pune: Charity commissioner, Maharashtra, has instructed all private charity hospitals in the state to become part of the Mahatma Jyotirao Phule Jan Arogya Yojana (MJPJAY) as soon as possible. The instruction comes after the death of Tanisha Bhise in April. It's alleged that Bhise, a resident of Pune, was denied emergency care at Deenanath Mangeshkar Hospital where her family were allegedly asked to pay Rs 10 lakh before admission. Bhise, who was pregnant and in need of serious care, would die later at another hospital in the city. In Pune, there are many charity hospitals that are yet to join MJPJAY. During a meeting last week, the hospitals were told to sign up by the charity commissioner. Joint charity commissioner, Pune division, Rajni Kshirsagar, said: "State government has issued a government decision to implement MJPJAY and other schemes. Accordingly, all charitable hospitals in Pune have been directed to implement these schemes. Most of these hospitals have started the process. A review of this is being done through a meeting with the hospitals. " After Bhise's death, an inquiry committee was set up under the chairmanship of Kshirsagar. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like 2025 Top Trending local enterprise accounting software [Click Here] Esseps Learn More Undo This committee had recommended the implementation of MJPJAY and the 'National Child Health Programme', which provides free treatment to children up to the age of 18, at all charitable hospitals in the state. Based on those recommendations, the state Law and Justice Department issued a govt resolution on April 21, making it mandatory for charitable hospitals in the state to implement these schemes. MJPJAY and the Ayushman Bharat Yojana provide insurance coverage of up to Rs five lakhs to all the citizens in the state. There are 58 charitable hospitals in Pune region which includes hospitals in PMC, PCMC and Pune rural areas. In the state, there are 480 such hospitals. Under the state health schemes, a total of 1,240 treatments are subsidized or offered for free, ranging from emergency surgery in case of accidents to heart procedures. Also included are cancer treatments such as chemotherapy, radiation therapy, cancer surgery and brain and nervous system-related treatments and procedures. Along with these, kidney transplants, dialysis, orthopedic, stomach surgery, knee and hip replacements, gastrointestinal surgeries are treated free of cost.
Time of India
16-05-2025
- Health
- Time of India
Nagpur Docs Save Tribal Schoolboy with Ultra-Rare Brain Condition
Nagpur: A 15-year-old tribal schoolboy from a residential school (ashram shala) in Gadchiroli has made a full recovery after undergoing a highly complex brain procedure at Government Medical College and Hospital (GMCH), Nagpur, for a rare and life-threatening condition that affects barely 1 in 1 lakh people. Tired of too many ads? go ad free now The boy was brought to GMCH's emergency department late at night in a semi-conscious, stuporous state by his teacher, after he complained of a severe headache and vomiting. A quick CT scan revealed a large haemorrhage—bleeding deep inside his brain. Suspecting an underlying vascular anomaly, doctors immediately referred him to the department. An advanced brain vessel scan (DSA angiography) revealed a (pAVF)—a rare defect where an artery connects directly to a vein in the brain, bypassing the normal capillary network. This creates a dangerously high-pressure system that can rupture, leading to a potentially fatal brain bleed. "This is an extremely rare condition. It's seen in less than 1% of brain vascular malformations. What made this case even more urgent was the presence of multiple venous aneurysms, which could rupture again at any time, causing permanent disability or death," said Dr Jawahar Rathod, head of interventional radiology at GMCH, who led the procedure. A swift decision was taken to perform a life-saving embolisation procedure. In this delicate, minimally invasive surgery, doctors navigated a microcatheter through the brain's blood vessels and injected a special medical glue to block the abnormal artery-vein connection and the balloon-like weak spots (aneurysms). "The entire team worked against time. We super-selectively blocked the abnormal blood flow using glue and excluded the fistula from the brain's circulation. Tired of too many ads? go ad free now This stopped the bleeding and saved the boy's life," explained Dr Vinod Khandait, an interventional cardiologist, who coordinated the multi-departmental response. The entire treatment, including diagnostics, surgery, ICU care, and post-operative recovery, was provided completely free of cost under the (MJPJAY). "This case shows the true potential of a public healthcare system when departments work together seamlessly. Not only was this a very rare diagnosis, but it was managed in a timely manner and at no cost to the family. The boy has now fully recovered and is walking home," said Dr Raj Gajbhiye, dean, GMCH Nagpur.
Hindustan Times
12-05-2025
- Health
- Hindustan Times
PCMC cancer hospital in final stage of approval
PUNE After three extensions to the tender deadlines of the cancer hospital, the Pimpri Chinchwad Municipal Corporation (PCMC) has finalised the contractor and submitted the same for approval to the standing committee, said officials on Sunday. The PCMC, for the past two years, has been working to set up a dedicated cancer hospital in Thergaon. A tender was issued to set up the hospital on a public-private partnership (PPP) model. However, the tender received a poor response. Furthermore, even after three extensions, only one contractor came forward. Following this, the PCMC decided to award the project to this contractor. The PCMC will provide a land parcel to the contractor for 30 years. Approvals have been completed, and the proposal is in the final stage and has been submitted to the Standing Committee for approval, said officials. Dr Laxman Gophane, health officer of PCMC, said, the treatment charges at the hospital will be covered under the Mahatma Jyotiba Jan Arogya Yojana (MJPJAY). 'The patients not eligible for any scheme will be treated as per the Central Government Health Scheme (CGHS) rates, which makes it accessible to all income groups. The proposal is in the end stage, and the work will start soon,' he said. The hospital will also offer auxiliary services like chemotherapy, radiation therapy, surgeries, and counselling. It will be equipped to treat various types of cancers, including breast, lung, prostate, and cervical cancer. Facilities like linear accelerators, brachytherapy units, and PET-CT scans will also be available, informed Dr Gophane.
Hindustan Times
04-05-2025
- Health
- Hindustan Times
New app to ensure transparency, accountability in MJPJAY scheme: Abitkar
Maharashtra health minister Prakash Abitkar on Saturday said the Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY), Maharashtra's flagship health scheme, will soon undergo a major overhaul to bring in more transparency and accountability. Abitkar said a mobile application is being developed to closely monitor private hospitals empanelled under the scheme. 'The app available from next month will allow patients and their families to directly file complaints about malpractice by hospitals. The complaints will be received and monitored by the health department for immediate action,' he said. The state government in 2023 revamped the MJPJAY scheme making it universal and increasing the medical treatment cover from ₹1.5 lakh to ₹5 lakh per year per family. Currently, there are 1,359 private and 672 government facilities empanelled under Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) and MJPJAY schemes in the state. Abitkar said, 'We are determined to make the system more transparent. There will be major changes in the scheme, and even the packages will be revised, with a rate revision in some packages. Once the app is operational, hospitals will be held accountable, and patients can directly raise their grievances. If they exploit patients or violate the scheme's norms, action will be taken against them.' According to officials, in the past five years, the government received 1,007 complaints about irregularities in hospitals under MJPJAY. Most of the complaints are regarding illegally demanding money from patients, even though treatment under the MJPJAY scheme is free. Abitkar said that many times the complaints are not taken seriously or handled insensitively by the district coordinators of MJPJAY scheme. 'If the terms of the contract already state that no money should be asked of patients, how can hospitals do otherwise? It is unethical and illegal,' he said. The minister said the mobile app will provide real-time information on hospital bed availability. 'When government systems work efficiently, hospitals will also be forced to follow rules properly,' he said.
