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About: India has achieved significant public health gains and improvements in health care access and quality over the last three decades. India’s health sector faces immense challenges. It continues to be characterized by high out-of-pocket expenditure, low financial protection, low health insurance coverage amongst both rural and urban population. It is a matter of grave concern that we incur a high out-of-pocket expenditure on account of health and medical costs. 62.58% of our population has to pay for their own health and hospitalization expenses and are not covered through any form of health protection. The Government of India is committed to ensuring that its population has universal access to good quality health care services without anyone having to face financial hardship as a consequence. Scheme under Ayushman Bharat: Pradhan Mantri Jan Arogya Yojana: Under the ambit of Ayushman Bharat, a Pradhan Mantri Jan Arogya Yojana (PM-JAY) to reduce the financial burden on poor and vulnerable groups arising out of catastrophic hospital episodes and ensure their access to quality health services was conceived. The PM-JAY seeks to: • PM-JAY seeks to accelerate India’s progress towards achievement of Universal Health Coverage (UHC) and Sustainable Development Goal - 3 (SDG3). • It will provide financial protection (Swasthya Suraksha) to 10.74 crore poor, deprived rural families and identified occupational categories of urban workers’ families as per the latest Socio-Economic Caste Census (SECC) data (approx. 50 crore beneficiaries). • It will offer a benefit cover of Rs. 500,000 per family per year (on a family floater basis). • PM-JAY will cover medical and hospitalization expenses for almost all secondary care and most of tertiary care procedures. • All families listed in the SECC database as per defined criteria will be covered. • No cap on family size and age of members. • Priority to girl child, women and senior citizens. • Free treatment available at all public and empanelled private hospitals in times of need. • Covers secondary and tertiary care hospitalization. • All pre-existing diseases covered. Hospitals cannot deny treatment. • Cashless and paperless access to quality health care services. • Hospitals will not be allowed to charge any additional money from beneficiaries for the treatment. • Eligible beneficiaries can avail services across India, offering benefit of national portability. Can reach out for information, assistance, complaints and grievances to a 24X7 helpline number - 14555 • Help India progressively achieve Universal Health Coverage (UHC) and Sustainable Development Goals (SDG). • Ensure improved access and affordability, of quality secondary and tertiary care services through a combination of public hospitals and well measured strategic purchasing of services in health care deficit areas, from private care providers, especially the not-for profit providers. • Significantly reduce out of pocket expenditure for hospitalization. Mitigate financial risk arising out of catastrophic health episodes and consequent impoverishment for poor and vulnerable families. • Acting as a steward, align the growth of private sector with public health goals. Enhanced used to of evidence based health care and cost control for improved health outcomes. • Strengthen public health care systems through infusion of insurance revenues. • Enable creation of new health infrastructure in rural, remote and underserved areas. • Increase health expenditure by Government as a percentage of GDP. • Enhanced patient satisfaction. • Improved health outcomes. • Improvement in population-level productivity and efficiency • Improved quality of life for the population