flag  भारत सरकार GOVERNMENT OF INDIA

National Health Authority

Hon’ble Union Minster, Ministry of Health & Family Welfare Profile


Shri Mansukh Mandaviya

Shri Mansukh Mandaviya,
Hon’ble Union Minster, Ministry of Health & Family Welfare

Shri Mansukh Mandaviya is Minister of Health and Family Welfare and Chemical & Fertilizers in Government of India. Shri Mandaviya was born in a small village named Hanol in Palitana district of Gujarat state in a middle-class farmer’s family. He holds a Postgraduate degree in Political Science from Bhavnagar University.

Shri Mansukh Mandaviya was very active in politics and serving people since his youth. He became a member of ABVP and soon he grabbed his position as a state executive committee member of ABVP, Gujarat unit. Seeing his intellect, skills and the zeal to work hard he was appointed as a leader of Yuva Morcha and then the president of Palitana BJP unit. He also holds a record of being the youngest MLA in Gujarat.

Working hard to serve the people and uplifting them was his only goal and thus he organized two Padyatras of 123 Km and 127 Km for the cause of Girl Education, Beti Bachao, Beti Padhao and Vayasan Hatao. At a young age of 38, he was elected as a member of Rajya Sabha. He was also a part of various standing committees in various fields.

With his hard work and intelligence, he was appointed as Secretary for state unit BJP in 2013 and General Secretary in 2014. Later in 2014, he was appointed as Gujarat State Incharge of BJP’s High-tech & Mega Membership Drive Campaign which led to 1 crore people joining BJP in Gujarat.

Shri Manukh Mandaviya is well known for his intellectual analysis and thought leadership, which he also exhibited in his speech on “2030 Agenda for Sustainable Development” at the United Nations.

On 5th July 2016, he sworn in as a Minister of State for Road Transport & Highways, Shipping and Chemical & Fertilizers in Government of India. Serving as a minister, he has implemented a lot of plans and thoughts to get the work done quickly and efficiently.

He was re-elected for the Second Term for Member of Parliament, Rajya Sabha during March, 2018.

With his decisive and bold leadership, he has helped increasing the per day road construction speed, decreasing the cost of Urea and other fertilizers, establishing more than 4000 Jan Aushadhi stores to provide more than 800 medicines at affordable rates and reducing the cost of heart stent and knee implants. Above this, he has not left any stone unturned to help the common man, farmers and businesses.

He has been a part of various delegations, twice with the President and once with vice president to sign MOUs and develop bilateral relations with other Nations. In the Asian Continent he has visited China, Israel, Oman, Nepal, Dubai and Uzbekistan. He also visited European countries like England & Germany, South American countries like Brazil & Argentina. He has visited lot many countries of Africa like Kenya, Uganda, Tanzania, Rwanda, Algeria, Hungary, Equatorial Guinea, Swaziland and Zambia. In an Oceania Region Shri Mandaviya visited New Zealand, Tonga, Fiji and Australia.

He has played a vital role in the growth and development of New India with his hard work, organizational skills and intellect.

Shri Mandaviya has been a part of various delegations, twice with the President and once with vice president to sign MOUs and develop bilateral relations with other Nations. In the Asian Continent, he has visited China, Israel, Oman, Nepal, Dubai and Uzbekistan. He also visited European countries like England, Germany & Hungary, South American countries like Brazil & Argentina. He has visited lot many countries in Africa like Kenya, Uganda, Tanzania, Rwanda, Algeria, Equatorial Guinea, Swaziland and Zambia. In an Oceania Region, Shri Mandaviya visited New Zealand, Tonga, Fiji and Australia.

Year Life Journey
1st June,1972 Born in a village Hanol in Palitana Taluka, District Bhavnagar of Gujarat. Belongs to a farmer’s family. Shri Mandaviya holds a Masters Degree in Political Science from Bhavnagar University and also pursuing PhD.
1992 At the age of 20 years, he became the member of Akhil Bharatiya Vidhyarthi Parishad. Through his organization skills, he soon became State Executive Member of Akhil Bharatiya Vidhyarthi Parishad.
1996 First Step in Politics 1996 was the year when Shri Mansukh Mandaviya joined politics by becoming a member of Bharatiya Janata Yuva Morcha (BJYM). He played key role in various activities in the State of Gujarat.
https://mansukhmandaviya.in/wp-content/uploads/2021/07/mansukh-mandaviya-media-kit-1.png1998 He became President of Palitana Taluka BJP organization.
2002 –2007 Major turn of events in his political career. He got elected to the Gujarat Assembly. One of the youngest MLAs in Gujarat Legislative Assembly.
2004 As a Member of Legislative Assembly, he undertook a 123 KM long Padyatra, titled "Kanya Kelavani Jyot Padyatra" for the Social Cause 'Beti Bachao-Beti Padhao' for 45 educational backward villages of his constituency. Due to this initiative school enrollment ratio of Palitana for girls reached 1007 and drop-out ratio could be lower than State average for girls.
2006 In 2006, he again organized 127 KM Padyatra connecting 52 villages of his constituency with the title "Beti Bachao-Beti Padhao, Vyasan Hatao"
2010 Shri Mansukh Mandaviya became Chairman, Gujarat Agro Industries Corporation Ltd. As a Chairman he took innovative measures like E-Radiation treatment plant at Bavla, which is First Government Facility; Poha (Flattened Rice) plant at Navsari; Modern banana Pack house at Achaliya (Bharuch) and Bio-Fertilizers Plant at Gondal.
Year Life Journey
2012 To 2018 Entry into National Politics Shri Mandaviya got elected to Rajya Sabha as a member. He was quite active in the debates of the Parliament. He has been a part of various important Standing and Consultative Committees, namely 'Petroleum and Natural Gas', Chemical & Fertilizers and Industries', 'Environment, Forest & Climate Change', 'Textiles', 'Select Committee for Real Estate Bill-2015' Shri Mandaviya has been part of various delegations, twice with the President and once with the Vice-President to sign MOUs and develop bilateral relations with other nations.
2013 State Secretary, Gujarat BJP Got nominated as State Secretary in BJP Organization
2014 In charge, BJP Membership Drive, Gujarat State Lead BJP's High-tech Membership Drive in Gujarat State and achieved highest members in all states of India. On completion of the membership drive, BJP became world's largest political party.
2015 State General Secretary, Gujarat BJP Considering his organizational skills, he was appointed as General Secretary in BJP. He is youngest State General Secretary of BJP Organization.
Represented India at United Nations - 19th October, 2015 For his intellectual analysis and thoughtful leadership Shri Mandaviya was selected to represent India at United Nations in 2015 where he delivered his speech on '2030 Agenda for Sustainable Development'.
5th July, 2016 Took oath as Minister of State in the Council of Ministers, Government of India During his term as Minister of State he was allocated Ministries of Road Transport and Highways, Shipping, Chemicals and Fertilizers Ministries as Minister of State. As a Minister with his decisive and bold leadership, he has helped increasing the per day road construction speed, decreasing the cost of Urea and other fertilizers. He introduced a scheme called “Jan Aushadhi” through which anyone can avail generic medicines at cheap prices establishing more than 7800 Jan Aushadhi stores to provide more than 1402 medicines and more than 200 Surgical items and medical devices at affordable rates and reducing the cost of ‘heart stent’ and ‘knee implants’. Above this, he has not left any stone unturned to help the common man, farmers and businesses.
2018 Re-elected as Member of Parliament, Rajya Sabha On Completion of First successful term as a Member of Rajya Sabha, he was re-elected for Upper House for the period 2018-2024
January, 2019 Shri Mandaviya undertook Padyatra for the third time in his political career. This 150 km long Padyatra was organized in Bhavnagar District, Gujarat coinciding with the celebrations of 150th birth anniversary of Pujya Bapuji . Through the virtual
Year Life Journey
  platform Hon’ble Prime Minister joined the culmination ceremony. Hon’ble Prime appreciated this initiative and urged Members of Parliament to organize such padyatras.
28th May, 2019 Shri Mandaviya was awarded “Men for Menstruation” by UNICEF on Menstrual Hygiene Day for his initiative of “Suvidha Sanitary Napkin” under PMBJP Scheme.
30th May, 2019 Took oath as Minister of State (Independent Charge) in the Council of Ministers, Government of India He was Minister of State (Independent Charge) in the Ministry of Ports, Shipping and Waterways. In addition, he holds the portfolio of Ministry of Chemicals & Fertilizers Ministry as Minister of State.
Jan,2020 He represented India in World Economic Forum, Davos, Switzerland
7th July 2021 Took Oath as Cabinet Minister for Ministry of Health and Family Welfare & Chemicals and Fertilizers, Government of India

Hon’ble Minister of State, Ministry of Health & Family Welfare Profile


Dr. Bharati Pravin Pawar

Dr. Bharati Pravin Pawar Hon’ble Minister of State, Ministry of Health & Family Welfare

Dr Bharati Pravin Pawar was elected to the 17th Lok Sabha from Dindori in the 2019 Indian General Election as the Member of Parliament from the ruling party, BJP. Dindora is a Lok Sabha constituency in Maharashtra. She has been awarded the Best Women Parliamentarian in December 2019. The doctor turned politician completed her MBBS degree in 2002 from NDMVP’s Medical College, Pune University.

 
Father's Name Shri Kisanrao
Mother's Name Smt. Shantabai
Date of Birth 13 Sep 1978
Place of Birth Narul-Kalwan, Nashik, Maharashtra
Marital Status Married
Date of Marriage 26 Apr 2002
Spouse's Name Shri Pravin Arjun Pawar
No. of Sons 1
No.of Daughters 1
Educational M.B.B.S. (Bachelor of Medicine & Bachelor of Surgery)
Qualifications Educated at N.D.M.V.P's Medical College, Nashik, Pune University
Profession Doctor Medical Practitioner,Farmer
Permanent Address S. No. 704, Beside Gas Godown, Anand Nagar, Gangapur Road, Nashik-422013, Maharashtra Tel : (0253) 2344276, 09421507836 (M)
Present Address 309, Western Court Hostel, New Delhi-110001
Positions Held 2012 - 2019 Member, Zilla Parishad May, 2019 Elected to 17th Lok Sabha 13 Sept. 2019 onwards Member, Standing Committee on Health and Family Welfare 09 Oct. 2019 onwards Member, Committee on Petitions Member, Consultative Committee, Ministry of Skill Development and Entrepreneurship
Social And Cultural Activities Working since last 7 years through Zilla Parishad to eradicate malnutrition and providing clean drinking water in Nashik district.
Special Interests Reading and Singing
Countries Visited Widely traveled
Other Information Helping people/patients who need medical attention

National Health Authority (NHA) is the apex body responsible for implementing India’s flagship public health insurance/assurance scheme called “Ayushman Bharat Pradhan Mantri Jan Arogya Yojana” & has been entrusted with the role of designing strategy, building technological infrastructure and implementation of “National Digital Health Mission” to create a National Digital Health Eco-system.

National Health Authority is the successor of the National Health Agency, which was functioning as a registered society since 23rd May, 2018. Pursuant to Cabinet decision for full functional autonomy, National Health Agency was reconstituted as the National Health Authority on 2nd January 2019, under Gazette Notification Registered No. DL –(N) 04/0007/2003-18.

NHA has been set-up to implement PM-JAY, as it is popularly known, at the national level. An attached office of the Ministry of Health and Family Welfare with full functional autonomy, NHA is governed by a Governing Board chaired by the Union Minister for Health and Family Welfare. It is headed by a Chief Executive Officer (CEO), an officer of the rank of Secretary to the Government of India, who manages its affairs. The CEO is the Ex-Office Member Secretary of the Governing Board.

To implement the scheme at the State level, State Health Agencies (SHAs) in the form of a society/trust have been set up by respective States. SHAs have full operational autonomy over the implementation of the scheme in the State including extending the coverage to non SECC beneficiaries.

NHA is leading the implementation for Ayushman Bharat Digital MissionABDM in coordination with different ministries/departments of the Government of India, State Governments, and private sector/civil society organizations.


Functions of NHA under PM-JAY
  • Formulation of various operational guidelines related to PM-JAY, model documents and contracts to ensure standardization and interoperability.
  • Determine the central ceiling for premium (or maximum central contribution for trusts) per family per year to be provided to the States/UTs and review it from time to time, based on field evidence and actuarial analysis.
  • Develop and enforce compliance with standards for treatment protocols, quality protocols, minimum documentation protocols, data sharing protocols, data privacy and security protocols, fraud prevention and control including penal provisions etc.
  • Develop mechanisms for strategic purchasing of health care services through PM-JAY, so as to get best return on Government’s investment. Create conducive conditions for strategic purchasing by preparing a list of packages and their rates and updating them from time to time using a transparent, predictable and evidence-based process.
  • Set up effective and efficient mechanisms to pay to the health care providers.
  • Set up systems and processes for convergence of PM-JAY with other health insurance/assurance schemes. This will include schemes being implemented by both State and Central Governments. National Health Authority will also develop a pathway to converge PM-JAY with schemes targeting workers from both, the formal and informal sectors.
  • Build a state-of-the-art health information technology ecosystem with requisite foundational components on which PM-JAY and other health systems can be hosted/linked; Information Technology standards will be developed in consultation with Ministry of Electronic and Information Technology (MeitY).
  • Explore options including ways to link PM-JAY with the larger health care system, especially primary care, in consultation with the Ministry of Health and Family Welfare, Government of India.
  • Work closely with Insurance Regulatory and Development Authority on development and implementation of Health Insurance Regulations targeting insurance companies, Third Party Administrators, hospitals and other stakeholders.
  • Effective implementation of PM-JAY across the country and its regular monitoring including taking course corrections actions, as and when required.
  • Coordination with various State Governments on regular basis for implementation of PM-JAY.
  • Capacity building of State Health Agencies and other stakeholders continuously.
  • Carrying out awareness activities for informing beneficiaries and other stakeholders about the scheme.
  • Prevention, detection and control of fraudulent activities and abuse.
  • Grievance redressal for all the stakeholders at various levels.
  • Set up an efficient monitoring system for the scheme.
  • Stimulate cross learning, sharing of best practices amongst States and documentation of these practices.
  • Ensure interoperability, standardization and convergence amongst schemes of Central Ministries.
  • Conduct and facilitate policy relevant research and evaluation studies including knowledge sharing and information dissemination at the national and international level.
  • Develop strategic partnerships and collaboration with Central and State Governments, other public and private institutions including not-for-profit institutions, banks, insurance companies, academic institutions such as universities, missions, think tanks, and other national and international bodies of repute in areas relevant to the objectives of PM-JAY.
  • Generate evidence for the policy makers from schemes’ data and other research/evaluations so as to facilitate evidence-based decision making and policy formulation by the Government.
  • Act as apex body for State Health Agencies that have been set up to implement PM-JAY.
  • Take any decision related to the implementation of the scheme, recruitment rules and hiring of staff, disbursement of grant-in-aid to the States and issue relevant directions from time to time, as required.
  • And all other activities as assigned by the Government of India from time to time.

Key responsibilities of NHA under ABDM
  • Administrative and technical leadership to the National Digital Health Mission
  • Propose policy directions as required to the Mission Steering Group, Empowered Committee and MoHFW
  • Development of models for self-financing of National Digital Health Mission
  • Implementation of policies and decision approved by the Mission Steering Group and Empowered Committee
  • Coordination with MoHFW and the States/UTs
  • Engagement with all stakeholders including private sector and civil society organizations, and develop strategic partnerships to achieve the objectives of ABDM
  • Resolution of technical and operation issues
  • Recruitment of resources from Government and private sector at competitive market rates
  • Management of day-to-day operations of ABDM
  • Capacity building of various stakeholders for health informatics

Governing Board


The NHA is governed by a Governing Board chaired by the Union Minister for Health and Family Welfare, Government of India; and is headed by a full-time Chief Executive Officer (CEO) supported by ABDM, Dy. CEO and Executive Directors. The CEO of the NHA functions as the Member Secretary of the Governing Board.

The Governing Board comprises of a Chairperson and 11 members.

List of Members of the Governing Board:
  • Chairperson: Union Minister for Health and Family Welfare, Govt. of India
  • Member:Chief Executive Officer, NITI Aayog, Govt. of India (Ex Officio)
  • Member: Secretary (Expenditure), Ministry of Finance, Govt. of India (Ex Officio)
  • Member:Secretary (Health and Family Welfare), Ministry of Health and Family Welfare, Govt. of India (ex-officio)
  • Member 4 and 5: two domain experts from the fields such as Administrative, Insurance, Public and Private Health care providers, Economics, Public Health, Management etc.
  • Member (6-10): Five principal secretaries (Health) of the state government (one representing each of the five zones of the country viz; North, east, South, west and North east) on a rotational basis, and
  • Member: Chief Executive Officer (CEO) of National Health Authority (Ex Officio)

Powers and Functions of Governing Board
  • The Governing Board is the supreme decision-making authority of NHA and responsible for all matters related to PM-JAY and the Authority
  • The Governing Board shall frame rules, regulations, guidelines and procedures for the selection, recruitment of the staff, personnel rules for the Authority
  • All the major regulations issued in the name of Authority requires the approval of the Governing Board and shall follow a public consultation route in the interest of transparency
  • The Governing Board may delegate the powers to CEO of NHA as deemed appropriate
  • The Governing Board may form sub-committee for areas as deemed appropriate for smooth functioning of PM-JAY
  • The Governing Board shall at least meet once a quarter to decide issues, protocols made by CEO of Authority
  • The Governing Board shall periodically review the performance of NHA on such parameters as may be considered expedient by the board including expenditure of budgets allocated
  • To effectively carry out tasks allotted, NHA through the Governing Board is responsible for the following
    1. Frame, amend and repeal policies and administrative and financial procedures related to hiring/retention/utilization/mobilization of resources, outsourcing of various tasks, budgetary support and release of funds including guidelines for bank accounts (escrow/other type of bank account as the case may be) for the management and administration of the Authority and for the conduct of the activities of the authority
    2. Acquire, hire or take on lease, construct property, movable or immovable, and provide their maintenance as may be necessary to carry out the objects of the Authority
    3. Initiate and enter into contracts and other such instruments by whatever names called to achieve the stated objects of Authority
    4. Receive budgetary support from the government of India. In addition, generate funds for the Authority if possible
    5. Develop strategic partnerships and collaborations with Central and State Governments, other Public and Private institutions including not-for profit institutions, banks, insurance companies, academic institutions including universities, missions, think tanks, and other national and international bodies of repute in areas relevant to the objectives of PM-JAY, and undertake any other role as required to reach its objectives effectively

Chief Executive Officer


A full time Chief Executive Officer (CEO), in the rank of Secretary to the Government of India, is appointed by Central Government at NHA. The CEO is the Ex-Officio Member Secretary to the Governing Board and has complete operational control over the NHA for implementation of PM-JAY. However, for all policy matters, the CEO reports to the Governing Board and works under their guidance. He exercises all administrative powers within the Authority and over its staff, delegated to him by the Governing Board. The CEO also exercises the financial power of a Secretary to the Government of India as envisaged under GFR and Financial Rules & regulations of Government of India.

Powers and functions of the CEO :
  • The day-to-day administration of the Authority. For this purpose, he shall report to the Chairperson of the Governing Board,
  • Implementing the work programmes and decisions adopted by the Authority,
  • Drawing up of proposal for the Governing Board’s decisions and work programmes,
  • The preparation of the statement of the revenue and expenditure and the execution of the budget of the authority,
  • Performing such other functions, or exercising such other powers, as may be specified by regulations,
  • Ensure compliance to rules, procedure, regulations related to selection and recruitment of the staff for the Authority, as laid by the Governing Board; and
  • Any other activities as assigned by the Government of India from time to time.
 
S. No Name of the CEO From To
1 Dr .Indu Bhushan 1st May 2018 31st Jan 2021
2 Dr. R. S. Sharma 1st Feb 2021 31st Jan 2023
3 Sh. S. Gopalakrishnan 1st Feb 2023 31st Jul 2023
4 Sh. Sudhansh Pant 1st Aug 2023           --

Former-Chief Executive Officer


Former-CEO's Profile
Dr. Indu Bhushan image

Dr. Indu Bhushan, former-CEO of the National Health Authority (NHA), Government of India, mandated with the implementation of Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) and the Ayushman Bharat Digital Mission(ABDM).

Dr. Bhushan is an ex-Indian Administrative Service (IAS) officer of the Indian Civil Services, 1983 Rajasthan cadre. He holds a Doctorate in Health Economics and a Master of Health Sciences from the Johns Hopkins University, USA. He is an alumnus of the prestigious Indian Institute of Technology-Banaras Hindu University (IIT BHU) and IIT Delhi where he completed his B. Tech and Post-Graduate Diploma, respectively. He is also a Chartered Financial Analyst (CFA).

Dr. Bhushan is a bureaucrat-turned-economist with a career spanning 35 years across a multitude of sectors. He served for nine years in the IAS prior to leaving government service. Thereafter, he worked as Senior Economist with the World Bank Group prior to moving to ADB. Until his appointment as CEO, AB - PMJAY, he served as Director General, East Asia Department of the Asian Development Bank (ADB). He has held multiple positions within ADB including Director General, Strategy and Policy Department and led ADB’s engagement with the People's Republic of China (PRC), Hong Kong, Republic of Korea, Mongolia, and Taiwan including management of $12.6 billion portfolio comprising of 113 projects. Dr. Bhushan administered and provided oversight to sectors like energy, environment, natural resources and agriculture, transport, public management, financial sector and regional cooperation, urban and social development. He also supervised ADB’s resident missions in the People’s Republic of China and Mongolia.

Dr. Bhushan lives in an empty nest in New Delhi, with his wife, Anjana, an ex-IAS officer, who works with the World Health Organisation (WHO). He has two daughters, Devika and Ambika, who are both medical doctors and live in the USA. He likes to play bridge and catch the latest movies and theatrical shows on the weekend.

Additional Chief Executive Officer


Dr. Basant Garg is the Additional Chief Executive Officer (Addl CEO) of the National Health Authority (NHA). Dr. Garg (IAS:2005 Punjab) is also a qualified doctor from the Government Medical College, Chandigarh. He also has a Masters in Economics, a PG diploma in Urban Studies along with certification in Tax Analysis and Revenue Forecasting, Public Policy from the Duke University, USA.

As second-in-command at NHA, Dr. Garg is in charge of policy formulation, design, and implementation of flagship healthcare schemes of the Government of India - Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY), which is the world’s largest government-sponsored health assurance scheme, and the Ayushman Bharat Digital Mission (ABDM), which aims to revolutionize digital healthcare access for all. He supervises the work of various verticals and coordinates with Ministries, International Organizations, State Governments, and other stakeholders.

Prior to his role at NHA, Dr. Garg served as the Private Secretary to Minister of State for Commerce and Industry, Government of India. He had earlier served the Government of Punjab in various capacities. He was CEO, Smart City Jalandhar, where he spearheaded many smart city features such as Swachch Bharat Mission for solid waste management and the AMRUT mission for managing water supply and reuse of waste water. Dr. Garg has also served as Municipal Commissioner of Jalandhar and District Collector of Amritsar, Bathinda and Fazilka.

At the field level, Dr. Garg has been responsible for critical government interventions concerning socio-economic development, including those in public health. He is known for leading the fight against drug addiction in Bhatinda and Amritsar encouraging citizens to share information to get help for their loved ones by leveraging technology and setting up treatment centres and rehabilitation centres. In 2016, he was entrusted with organizing and managing the mega-event of “Heart of Asia” which is an international multilateral event where 46 countries participated and in 2016 it was held for the first time in a city that is not the national capital of the host country.

State Health Agencies


SHA is a nodal agency responsible for implementation of PM-JAY in the state headed by The CEO. SHA can hire additional staff or engaged Implementation Support (ISA) to perform required tasks for implementation of the scheme. CEO, SHA is appointed by the State government and is ex-officio member secretary of the Governing Council of the SHA. Along with day to day operations of implementation of PM-JAY in the state, SHA is also responsible for data sharing, verification and validation of family members, IEC, monitoring of the scheme etc.

Roles and responsibilities of SHA
  • Policy related issues of State Health Assurance/ Insurance scheme and its linkage to PM-JAY
  • Alliance of State scheme with PM-JAY
  • Selection of Insurance Company through tendering process (if implementing PM-JAY through Insurance Companies)
  • Selection of Implementation Support Agencies (in Trust/ society mode) if needed
  • Awareness generation and demand creation
  • Aadhaar seeding and issuing print out of E-card to validated beneficiaries
  • Empanelment of network hospitals which meet the criteria
  • Monitoring of services provided by health care providers
  • Fraud and abuse control
  • Punitive actions against the providers for fraud and corrupt practices
  • Monitoring of pre-authorizations which are already approved by Insurer/ISA
  • Administration of hospital claims which are already approved by Insurer/ ISA
  • Package price revisions or adaptation of PM-JAY list
  • Adapting PM-JAY treatment protocols for listed therapies to State needs
  • Adapting operational guidelines in consultation with NHA, where necessary
  • Forming grievance redressal committees and overseeing the grievance redressal function
  • Capacity development planning and undertaking capacity development initiatives
  • Development of proposals for policy changes –e.g. incentive systems for public providers and implementation thereof
  • Management of funds through the Escrow account set up for purposes of premium release to Insurance Company under PM-JAY
  • Data management
  • Evaluation through independent agencies
  • Setting up District level offices and hiring of staff for District
  • Oversee District level offices
  • Preparation of periodic reports based on scheme data and implementation status
  • Implementing incentive systems for ASHA workers & public providers in line with national guidance

District Implementation Unit

In addition to the State level entity, a District Implementation Unit (DIU) is also established to support the implementation in every district included under the scheme. This team will be in addition to the team deployed by the insurance company/ ISA. The DIU will be chaired by the Deputy Commissioner/ District Magistrate/ Collector of the district. This Unit is to coordinate with the implementing agency (ISA/insurer) and the network hospitals to ensure effective implementation and also send review reports periodically. The DIU has to work closely and coordinate with the District Chief Medical officer and his/her team.

 
Prime Minister's National Relief Fund image Intereact with PM Digital India India Gov National Portal Make In India myGOV Data.gov.in Planning Commission Skill India StartUp India