Title:
The RSBY scheme as a pathway towards universal health coverage in India: assessment of its performance and implementation
Authors:
Ngaihte, Ginlianmung
Year:
2016
PAGE:
ix, 40
Language:
En
Subject:
Health and Poverty
Keywords:
RSBY, India
Abstract:
Introduction The RSBY health insurance scheme was launched in 2008 to combat medical impoverishment and increase health access for the BPL population of India. However, its effectiveness remains in question. Objective of the study The objectives of the study are to appraise the existing literature on the performance of the RSBY scheme and to suggest improvements using evidence informed approaches from India and abroad. Methods The study is based on a literature review of published articles, policy documents and official data available from the RSBY online database. The study used the framework for analyzing public policies developed by the National Collaborating Centre for Healthy Public Policy (NCCFHPP). Findings There is inadequate level of awareness, low to moderate enrolment and poor utilization. OOP spending has not declined since the launch of RSBY. Performance is affected by weakness in design and poor implementation by TPAs, Insurers and hospitals. Conclusions Despite the grand scale of the scheme, the RSBY has some limitations in both the design and operations. Due to the numerous actors involved in implementation, the management has become complicated and the question of feasibility on whether there exists a reliable system of incentives and sanctions, and administrative mechanisms to guide the activities of all actors remains valid. Recommendations The RSBY should not only be hospital centric but include primary care with medicine reimbursements for OPD services, input better grievance redressal and monitoring mechanism, expand enrolee base to include premium paying population and/or integrate with existing schemes - ESIS and CGHS.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institue)
Department:
Health & Education
Country:
India
Region:
South Asia
Training:
Master of Public Health/International Course in Health Development (MPH/ICHD)
Category:
research
Right:
© 2016 Ngaihte
Document type:
Thesis/dissertation
File:
s1yYniXJdQ_20170507151447366.pdf