Work

Utilisation pattern of health benefit packages under Ayushman Bharat Pradhan Mantri Jan Arogya Yojana

Year: 2025

Type: article

Abstract: Objectives Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) is a novel scheme launched in 2018 to provide financial protection to economically disadvantaged populations. This study aimed to assess specialty wise pattern and cost-wise pattern of utilization of health benefit packages (HBPs) under AB-PMJAY. Material and Methods The present cross-sectional study analyzed 4,542 HBPs utilized under AB-PMJAY in 2023 at a Multispecialty Tertiary Care Institution in Lucknow. The required data for the reference period was obtained from the Ayushman portal and analyzed using the SPSS software version 24.0. Results The study revealed that among the 4,542 total packages, the highest utilization was observed in the cardiology specialty (22.8%), followed by orthopedics (15.7%). Additionally, packages under the radiodiagnosis specialty were found to be the most expensive, followed by those under the cardio thoracic and vascular surgery (CTVS) specialty. Conclusion The study concluded that the cardiology specialty ranked highest in both the cost and number of packages utilized. While radiodiagnosis and CTVS specialties were not among the most utilized, they accounted for the costliest packages utilized across all specialties.

Source: Annals of the National Academy of Medical Sciences (India)

DOI: 10.25259/anams_207_2024

Authors: Ritika Chaturvedi, Reema Kumari, Balendra Pratap Singh, Prabhaker Mishra, Ajit Kumar Singh

Institutions: King George's Medical University, Sanjay Gandhi Post Graduate Institute of Medical Sciences

Language: English

Topic: Healthcare Systems and Reforms

Subfield: Finance

Field: Economics, Econometrics and Finance

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4413221475