Establishing a Health Technology Assessment Evidence Ecosystem in India’s Pradhan Mantri Jan Arogya Yojana
The introduction of the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) scheme in India was a significant step toward universal health coverage. The PM-JAY scheme has made notable progress since its inception, including increasing the number of people covered and expanding the range of...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Health Systems & Reform |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/23288604.2024.2327097 |
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| author | Shankar Prinja Yashika Chugh Nidhi Gupta Vipul Aggarwal |
| author_facet | Shankar Prinja Yashika Chugh Nidhi Gupta Vipul Aggarwal |
| author_sort | Shankar Prinja |
| collection | DOAJ |
| description | The introduction of the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) scheme in India was a significant step toward universal health coverage. The PM-JAY scheme has made notable progress since its inception, including increasing the number of people covered and expanding the range of services provided under the health benefit package (HBP). The creation of the Health Financing and Technology Assessment (HeFTA) unit within the National Health Authority (NHA) further enhanced evidence-based decision-making processes. We outline the journey of HeFTA and highlight significant cost savings to the PM-JAY as a result of health technology assessment (HTA). Our paper also discusses the application of HTA evidence for decisions related to inclusions or exclusions in HBP, framing standard treatment guidelines as well as other policies. We recommend that future financing reforms for strategic purchasing should strengthen strategic purchasing arrangements and adopt value-based pricing (VBP). Integrating HTA and VBP is a progressive approach toward health care financing reforms for large government-funded schemes like the PM-JAY. |
| format | Article |
| id | doaj-art-7b67335d2ca24805bbed9b7dfba4869d |
| institution | Kabale University |
| issn | 2328-8604 2328-8620 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Health Systems & Reform |
| spelling | doaj-art-7b67335d2ca24805bbed9b7dfba4869d2024-12-05T14:45:45ZengTaylor & Francis GroupHealth Systems & Reform2328-86042328-86202023-12-019310.1080/23288604.2024.2327097Establishing a Health Technology Assessment Evidence Ecosystem in India’s Pradhan Mantri Jan Arogya YojanaShankar Prinja0Yashika Chugh1Nidhi Gupta2Vipul Aggarwal3Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, IndiaDepartment of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, IndiaRadiation Oncology, Government Medical College and Hospital, Chandigarh, IndiaDepartment of Global Health and Population, Harvard TH Chan School of Public Health, Boston, Massachusetts, USAThe introduction of the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) scheme in India was a significant step toward universal health coverage. The PM-JAY scheme has made notable progress since its inception, including increasing the number of people covered and expanding the range of services provided under the health benefit package (HBP). The creation of the Health Financing and Technology Assessment (HeFTA) unit within the National Health Authority (NHA) further enhanced evidence-based decision-making processes. We outline the journey of HeFTA and highlight significant cost savings to the PM-JAY as a result of health technology assessment (HTA). Our paper also discusses the application of HTA evidence for decisions related to inclusions or exclusions in HBP, framing standard treatment guidelines as well as other policies. We recommend that future financing reforms for strategic purchasing should strengthen strategic purchasing arrangements and adopt value-based pricing (VBP). Integrating HTA and VBP is a progressive approach toward health care financing reforms for large government-funded schemes like the PM-JAY.https://www.tandfonline.com/doi/10.1080/23288604.2024.2327097Ayushman Bharathealth financinghealth technology assessmentstrategic purchasingvalue-based pricing |
| spellingShingle | Shankar Prinja Yashika Chugh Nidhi Gupta Vipul Aggarwal Establishing a Health Technology Assessment Evidence Ecosystem in India’s Pradhan Mantri Jan Arogya Yojana Health Systems & Reform Ayushman Bharat health financing health technology assessment strategic purchasing value-based pricing |
| title | Establishing a Health Technology Assessment Evidence Ecosystem in India’s Pradhan Mantri Jan Arogya Yojana |
| title_full | Establishing a Health Technology Assessment Evidence Ecosystem in India’s Pradhan Mantri Jan Arogya Yojana |
| title_fullStr | Establishing a Health Technology Assessment Evidence Ecosystem in India’s Pradhan Mantri Jan Arogya Yojana |
| title_full_unstemmed | Establishing a Health Technology Assessment Evidence Ecosystem in India’s Pradhan Mantri Jan Arogya Yojana |
| title_short | Establishing a Health Technology Assessment Evidence Ecosystem in India’s Pradhan Mantri Jan Arogya Yojana |
| title_sort | establishing a health technology assessment evidence ecosystem in india s pradhan mantri jan arogya yojana |
| topic | Ayushman Bharat health financing health technology assessment strategic purchasing value-based pricing |
| url | https://www.tandfonline.com/doi/10.1080/23288604.2024.2327097 |
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