NHA revises HBP; corporate hospitals in tier-I cities to receive 10% incentive 

The National Health Authority (NHA) has revised the Health Benefit Package (HBP) under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY), which includes providing incentives to hospitals. Recently, it was announced that corporate hospitals in tier-I cities will receive a 10% incentive over and above the reimbursement for the cost of treatment. This incentive structure is part of broader efforts to encourage participation and improve quality standards among healthcare providers.

Key points:

• Incentive structure: The 10% incentive for corporate hospitals in tier-I cities encourages participation and improves service quality.
• Health Benefit Package (HBP) revisions: The NHA has been revising the HBP regularly, with significant updates in HBP 2.2, including rate increases for various procedures and adding new packages.
• Ayushman Bharat PM-JAY: The scheme aims to provide free and cashless healthcare services up to Rs 5 lakh per family per year to over 10.74 crore poor and vulnerable families.

Incentives for hospitals:
Incentives are provided based on quality standards and location. For example, hospitals with full NABH accreditation receive a 15% incentive, while those in aspirational districts receive a 10% incentive. These incentives are calculated by compounding, not simple addition, and are designed to encourage better quality care and participation in the scheme.
MB Bureau