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Private Hospitals Reluctant to Join Ayushman Bharat Cashless Scheme Due to Financial Concerns

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Despite the Delhi government’s recent agreement with the Centre to implement the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), participation from private hospitals remains limited due to financial concerns. Over 50 private and 15 government hospitals have joined, yet many prominent private facilities refrain from enrolling, citing unviable package rates and delayed reimbursements.

The Association of Healthcare Providers India (AHPI), representing major hospital chains including Fortis, Max, and Apollo, have expressed dissatisfaction with the rate structure and payment delays. As per media reports,AHPI leaders have approached Chief Minister Rekha Gupta, calling for revised rates, faster reimbursements, and a dedicated mechanism for grievance redressal.

Hospitals argue that these rates are insufficient to cover the costs of advanced medical procedures, infrastructure, and skilled personnel. Additionally, delayed reimbursements exacerbate financial strain, making it challenging for hospitals to maintain quality care.

AHPI has urged the government to address these issues by revising package rates, ensuring timely payments, and establishing a dedicated grievance redressal system. Without these reforms, private hospitals may continue to abstain from participating in the scheme, potentially limiting its reach and effectiveness.

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