Yeshasvini Health Program: The committee recommends ratings of some procedures up to 50%

The revised Yeshasvini Health plan is to be launched in 2022-2023. |Picture source: Getty Images/Istockphoto

According to the revised Yeshasvini Health program, the ratio of various medical procedures will soon rise. The government established a committee of experts to study the current market prices of various procedures and propose revisions, suggesting some complex procedures to increase by 50%.

The committee, led by MLA, is an ophthalmologist, Kudligi Srinivas NT, and submitted a report to Chief Minister Siddaramaiah on Tuesday. While most procedures are recommended to use standard revisions, the Commission proposes a 50% rate revision for certain complex procedures such as pediatric cardiac surgery, oncology, neurosurgery and interventional radiology.

The biggest solution

Yeshasvini, launched in Karnataka in 2003, is one of the largest self-funded health care programs in the country. In March 2018, when Arogya Karnataka was launched in the state, eight independent sanitation programs including Yeshasvini were merged by one person. The idea is to eliminate overlaps of multiple health programs and duplications in fund release. However, the program will be restarted in 2022-2023, depending on the needs of farmers and cooperative members.

Under the revised plan, rural beneficiaries can take advantage of cashless treatment and contribute to Rs 500 per year for four members annually, with an annual contribution of Rs 500 per year for every 100 additional Rs. While the ceiling for treatment costs for city beneficiaries is the same, they must pay an annual donation of Rs 1,000 for the family of four, Rs 200 for each additional membership. Under the plan, approximately 4.56 million members of urban and rural cooperative institutions were recruited before the end of March this year.

Research on market prices

“We looked at the current market prices over the past six months, involving several top doctors and industry leaders. We met 13 times and recommended rationalization of the existing 2128 procedures. While six outdated procedures have been removed, 69 new procedures were added to the same plan. In this plan, the overall number of the plan covered the total number of the plan. Hindu After submitting the report.

The MLA noted that fixed existing interest rates for 2017-2018 were too low, and the MLA said many private hospitals were hesitant to participate in the program. “As of now, we have 782 hospitals, but we hope that with the proposed revision, more hospitals will agree to treat patients under the program,” he said.

Under the plan, the total cost for 68,159 beneficiaries in 2024-2025 is Rs 11,779 crore. “It is estimated that over 75,000 beneficiaries above the fiscal year may use their treatment at a total cost of Rs 12,750 crore. With the increase in new procedures and the proposed rate revisions for certain procedures exceeding 50%, we urge the government to release an additional grant of Rs 40 crore for the scheme to make an additional Rs 40 crore for the scheme,” the MLA added.