Establishing reference costs for the health benefit packages under universal health coverage in India: cost of health services in India (CHSI) protocol.

BMJ Open
Maninder Pal SinghBalram Bhargava

Abstract

To achieve universal health coverage, the Government of India has introduced Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB - PMJAY), a large tax-funded national health insurance scheme for the provision of secondary and tertiary care services in public and private hospitals. AB - PMJAY reimburses care for 1573 health benefit packages (HBPs). HBPs are designed to cover the treatment of diseases/conditions with high incidence/prevalence or which contribute to high out-of-pocket expenditure. However, there is a dearth of reference cost data against which provider payment rates can be assessed. The CHSI (Cost of Health Services in India) study will collect cost data from 13 Indian states covering 52 public and 40 private hospitals, using a mixed economic costing methodology (top-down and bottom-up), to generate unit costs for the HBPs. States will be sampled to capture economic status, development indicators and health service utilisation heterogeneity. The public sector hospitals will be chosen at secondary and tertiary care level. One tertiary facility will be selected from each state. At secondary level, three districts per state will be selected randomly from the district composite development score ranking. The privat...Continue Reading

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Citations

Jan 16, 2021·JCO Global Oncology·Nidhi GuptaPankaj Bahuguna
Feb 25, 2021·BMC Health Services Research·Amrit KaurArun K Baranwal
Mar 13, 2021·The Indian Journal of Medical Research·Shankar PrinjaVijay Kumar Gauba
Apr 23, 2021·Expert Review of Pharmacoeconomics & Outcomes Research·Shankar PrinjaKavitha Rajsekar
Jun 30, 2021·Applied Health Economics and Health Policy·Shankar PrinjaV R Muraleedharan
Jun 15, 2021·Vaccine·Akashdeep Singh ChauhanShankar Prinja

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