Latest news with #MJPJAY
Time of India
9 hours ago
- Health
- Time of India
Charitable hospitals must comply with govt health scheme GR: Minister
1 2 3 Caption: Health minister Prakash Abitkar with Ayushman Bharat Mission Maharashtra president Om Prakash Shete and MLA Kailash Patil Pune: State health minister Prakash Abitkar on Wednesday said trust-run charitable hospitals must comply with the govt resolution on their mandatory empanelment under the Mahatma Jyotirao Phule Jan Arogya Yojana (MJPJAY). He said the govt had taken multiple steps recently to ensure that the issues raised by the hospitals were addressed, but the opposition from facilities continued. "When benefits provided by the govt under various schemes applicable to trust-run charitable hospitals are happily accepted, it is their duty to provide treatment to poor patients under various govt-run schemes," he said in the meeting with representatives from the trust-run hospitals at Yashada. You Can Also Check: Pune AQI | Weather in Pune | Bank Holidays in Pune | Public Holidays in Pune Visibly upset over hospitals sending clerical staffers as representatives, Abitkar said, "I expected decision-makers from the respective hospitals to attend this meeting; but they sent clerical staff. This is not done. The message cannot be delivered effectively by the lower-rung staff to the administration." The health minister said, "We are revising the treatment package rates, and hospitals will benefit from this as well. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like 15 most beautiful women in the world Undo There was no revision in rates since 2013. So, there were some objections. We have now addressed these. The intention of the govt behind such a GR is simply to provide affordable treatment to patients. Charitable hospitals gain benefits, be it land at nominal rates or benefits under taxes, because they come under the trusts act. Otherwise, they should have started private hospitals." Close to 50 trust-run hospitals come under the Maharashtra Public Trusts Act, 1950. According to it, these hospitals are expected to set aside 2% of their profits from income for the Indigent Patients Fund (IPF) and 10% of the beds for the poor. In exchange, the hospitals gain tax benefits under 80G and seek donations as a charity institute. A total of 11 hospitals from Pune, under the Association of Hospitals (AOH), filed a writ petition in Bombay high court earlier this month. Advocate Manjusha Kulkarni, secretary and legal advisor of AOH, said, "AOH has 11 trust-run hospitals as its members. We filed the writ petition because the govt cannot mandate the hospitals to be empanelled under the MJPJAY or the PMJAY. These are voluntary schemes. The schedule of charges under these schemes is pathetically low. With such charges, we would not be able to cope with the technology and provide the kind of services we do." When asked if the govt would take any strict action against the hospitals refusing to get empanelled under the MPJAY, Abitkar said, "As a govt authority, we have put forth our stand on the issue. We will hear what the hospitals have to say now. The current GR and the law are in line with previous court orders. If they still have any objections, we will address those. Our stand is very clear, and so we are not worried about the writ petition. " Aannasaheb Chavan, chief executive officer, MJPJAY, said, "The MJPJAY ensures Rs5 lakh insurance per family annually, and an additional Rs5 lakh coverage is provided to citizens above 70 years. We have decentralised the registration process by empowering district collectors to empanel hospitals. We have about 2,180 hospitals empanelled with us right now. We aim to increase this to 4,200 hospitals in the next two months. The packages have been revised to include 1,356 treatments, which will double in a few months. The govt is positive about revising the cap on various treatment packages as well. The disbursal of payments will also be smoothened.
Indian Express
13 hours ago
- Health
- Indian Express
Charitable hospitals must implement govt schemes, will revise treatment rates: Minister
State Health Minister Prakash Abitkar Wednesday said that charitable hospitals in the state must implement the government health schemes for needy patients. The minister also assured the charitable hospitals that the government has set up a committee to increase the treatment rates under the health schemes, to make them viable for the hospitals. 'Hospitals registered under the Charitable Trust Act should take proactive steps to ensure that needy patients receive the benefits of the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) and the Mahatma Jyotirao Phule Jan Arogya Yojana (MJPJAY),' the minister said. Hospitals not yet registered under these provisions should complete their registration, and the state government will provide necessary support, he added. 'Hospitals have flagged their concerns about treatment rates under the health schemes and a committee has been appointed towards revision of these rates. This is being done to ensure uniform implementation across all hospitals in the state,' Abitkar said. The minister was speaking at a review meeting on AB-PMJAY and MJPJAY held at YASHADA. After complaints of needy patients struggling to access treatment in charitable hospitals, the government issued a directive on April 21 mandating all charitable hospitals to implement health schemes including the Mahatma Jyotiba Phule Jan Arogya Yojana, Ayushman Bharat Yojana, and the Rashtriya Bal Swasthya Karyakram. However, charitable hospitals in Pune challenged the order in the Bombay High Court, citing financial strain due to the low reimbursement rates under these schemes, which have not been revised since 2013. The Association of Hospitals, Pune had challenged the move and filed a writ petition in the Bombay High Court. The minister said that the government had provided land and other benefits to charitable hospitals, making it necessary for them to comply with the implementation of public health schemes. Acknowledging their concerns, Abitkar said that the state government is in the process of revising the rates and policies related to charitable hospitals and health schemes with a particular focus on the Indigent Patients' Fund and the Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY). 'A committee has been formed to revise and increase the rates under the schemes, making them more viable for hospitals,' he told reporters on the sidelines of the meeting. With this revision, the government expects both charitable and private hospitals across the state to begin implementing the schemes. Abitkar added that many hospitals have already agreed to participate. To support implementation, a mobile app has been developed, and real-time information about bed availability will be accessible through a centralized dashboard. Among those who attended the review meeting were MLA Kailas Patil, Chairman of the Ayushman Bharat Mission Maharashtra Committee Dr Omprakash Shete, CEO of the State Health Assurance Society Annasaheb Chavan, Deputy Director of Health Dr Kailas Bawiskar, Dr. Prashant Wadikar, District Surgeon Dr Nagnath Yampalle, District Health Officer Dr. Sachin Desai, and representatives from various hospitals. Abitkar, who chaired a meeting to take an overview of the Employees State Insurance Scheme (ESIC) in Pune, asked for increased enrollment of employees in the scheme. In a press release issued by the district information officer the minister was quoted asking the various government agencies to take help from industry bodies to increase enrollment in the scheme. 'The various schemes which are there for the welfare of the employees should be implemented in its letter and spirit,' he said. The minister has asked the district collectorate and other concerned departments to prepare a plan for increase in registration in the scheme.
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.
