CAG report has highlighted issues including beneficiary validation errors, shortcomings in claim handling, lapses by State Health Authorities, and more
As per the CAG audit of the PM-JAY scheme from 2018-19 till June 2022, the states where these refunds will be initiated include Maharashtra, Tamil Nadu and Gujarat, , PMJAY, insurance companies, cag audit
AB-PMJAY guarantees cashless secondary and tertiary inpatient care for almost all health conditions to its beneficiaries. This ambitious scheme has extraordinary potential to protect people from serious health hazards
The CAG has found glaring loopholes with regards to various aspects of the Ayushman Bharat-Pradhan Mantri Jan Aarogya Yojana (AB-PMJAY) scheme. From patients shown as ‘dead’ getting treatment to multiple beneficiaries being linked to the same mobile number, here are some findings of the CAG report.
The report has revealed major discrepancies subsuming fake beneficiaries using the same IDs for multiple uses, unqualified hospitals empanelled under the PMJAY scheme, inconsistency in claim settlements and financial management and insufficient grievance redressal mechanisms across the country, , PMJAY, Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana, fake beneficiaries, comptroller and auditor general of india, cag report