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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Main Authors: Shankar Prinja, Yashika Chugh, Nidhi Gupta, Vipul Aggarwal
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Health Systems & Reform
Subjects:
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.
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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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AT nidhigupta establishingahealthtechnologyassessmentevidenceecosysteminindiaspradhanmantrijanarogyayojana
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