Public health insurance coverage in India before and after PM-JAY: repeated cross-sectional analysis of nationally representative survey data

Article Health Care Sciences & Services

Improving hospital-based processes for effective implementation of Government funded health insurance schemes: evidence from early implementation of PM-JAY in India

Anurag Saxena et al.

Summary: This paper aims to study and improve the measures for managing hospital-based transactions in India's PM-JAY health insurance scheme, in order to improve efficiency and reduce patient out-of-pocket expenses.

BMC HEALTH SERVICES RESEARCH (2022)

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Article Multidisciplinary Sciences

Experiences and challenges in accessing hospitalization in a government-funded health insurance scheme: Evidence from early implementation of Pradhan Mantri Jan Aarogya Yojana (PM-JAY) in India

Mayur Trivedi et al.

Summary: The study examined the experience of PM-JAY beneficiaries in India, focusing on prompt attention, access to information, financial burden, and satisfaction. It found that socio-economically weaker sections are utilizing the scheme, with differences in performance between Gujarat and Madhya Pradesh hospitals as well as between public and private hospitals. There is a need to focus on improving responsiveness, communication with beneficiaries, and reducing out-of-pocket payments.

PLOS ONE (2022)

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Article Health Care Sciences & Services

Health Insurance Coverage In Low- And Middle-Income Countries Remains Far From The Goal Of Universal Coverage

Simiao Chen et al.

HEALTH AFFAIRS (2022)

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Article Public, Environmental & Occupational Health

Did the poor gain from India's health policy interventions? Evidence from benefit-incidence analysis, 2004-2018

Sakthivel Selvaraj et al.

Summary: This article examines the impact of health policy interventions and accelerated health investments in India from 2004 to 2018 on the inequality in healthcare service utilization. Results show that the gap in healthcare service utilization between the poor and rich significantly narrowed during this period. The Concentrate Index (CI) in inpatient care in the public sector showed a trend towards more equitable distribution.

INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH (2021)

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Review Medicine, General & Internal

Impact of public-funded health insurances in India on health care utilisation and financial risk protection: a systematic review

Bhageerathy Reshmi et al.

Summary: The review examined the impact of public-funded health insurance on financial risk protection and healthcare utilization in India. It found that different central and state PFHIs increased beneficiaries' utilization of healthcare services, but there was no conclusive evidence for reducing financial risk protection for beneficiaries.

BMJ OPEN (2021)

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Article Public, Environmental & Occupational Health

Examining the level and inequality in health insurance coverage in 36 sub-Saharan African countries

Edwine Barasa et al.

Summary: Low/middle-income countries in sub-Saharan Africa are increasingly turning to public contributory health insurance to remove financial barriers and extend financial risk protection. Health insurance coverage in the region is low and pro-rich, with only four countries having coverage levels above 20% supported by tax funding. Media exposure, socioeconomic status, and level of education make significant contributions to the inequality in health insurance coverage.

BMJ GLOBAL HEALTH (2021)

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Article Multidisciplinary Sciences

Empanelment of health care facilities under Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) in India

Jaison Joseph et al.

Summary: The study analyzed the distribution of providers under the PM-JAY scheme, finding that most empanelled hospitals are located in states with previous experience implementing publicly funded health insurance schemes. The role of the private sector has increased with empanelment, but the public sector remains critical in underserved areas of India.

PLOS ONE (2021)

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Article Public, Environmental & Occupational Health

Multilevel population and socioeconomic variation in health insurance coverage in India

Pijush Kanti Khan et al.

Summary: This study explored the population-level variation in different types of health insurance coverage in India and found that contextual factors at the community, district, and state levels contribute to disparities in coverage even after adjusting for household-level socioeconomic factors. Opportunities exist to reduce these disparities by focusing on drivers of place-based differences at multiple population levels. Future research should investigate whether new insurance schemes exacerbate or reduce place-based disparities in coverage.

TROPICAL MEDICINE & INTERNATIONAL HEALTH (2021)

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Article Public, Environmental & Occupational Health