ArticleThe Lancet regional health. Southeast Asia2023
Impact of India's publicly financed health insurance scheme on public sector district hospitals: a health financing perspective.
Article in The Lancet regional health. Southeast Asia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- A Systematic Review of the World's Largest Government Sponsored Health Insurance Scheme for 500 Million Beneficiaries in India: Pradhan Mantri Jan Arogya Yojana.Applied health economics and health policy · 2024Pooled it
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- Socio economic vulnerability and forgone health care among tribal population: a cross-sectional study from a block of Nagpur district in central India.BMC public health · 2026Article
- "We get support now …": a mixed methods study of patients' experiences of healthcare under the national health insurance scheme (PM-JAY) in India.BMC health services research · 2025Article
- Financial Viability of Private Hospitals Operating Under India's National Health Insurance Scheme Ayushman Bharat Pradhan Mantri-Jan Arogya Yojana (AB PM-JAY).Applied health economics and health policy · 2025Article
- Assessing Surgical Care under the Government‑Funded Health Insurance Scheme-Pradhan Mantri Jan Arogya Yojana in India.Annals of global health · 2025Article
- Framework for responsive financing of district hospitals of India.Frontiers in public health · 2024Article
- Public health insurance coverage in India before and after PM-JAY: repeated cross-sectional analysis of nationally representative survey data.BMJ global health · 2023Article
- India's publicly financed insurance scheme - scope for revision.The Lancet regional health. Southeast Asia · 2023Article
- India's publicly financed insurance scheme: scope for revision - authors' reply.The Lancet regional health. Southeast Asia · 2023Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Districts hospitals in India play a pivotal role in delivering health care services in the public sector and are empanelled under India's national health insurance scheme i.e. Methods: We used cost data from India's nationally representative costing study-'Costing of Health Services in India' (CHSI) to determine the incremental cost of treating PMJAY patients, after adjusting for resources that are paid through supply-side government financing route. Second, we used data on number and claim value paid to public district and sub-district hospitals during 2019, to determine the additional revenue generated through PMJAY. The annual net financial gain per district hospital was estimated as the difference between payments under PMJAY, and the incremental cost of delivering the services. Findings: At current levels of utilisation, the district hospitals in India gain a net annual financial benefit of $ 26.1 (₹ 1839.3) million, which can potentially increase up to $ 41.8 (₹ 2942.9) million with an increase in the share of patient volume. For an average district hospital, we estimate net annual financial gain of $ 169,607 (₹ 11.9 million), increasing up to $ 271,372 (₹ 19.1 million) per hospital with increased utilisation. Interpretation: Demand-side financing mechanisms can be used to strengthen the public sector. Increasing utilisation of district hospitals, by either gatekeeping or improving availability of services will enhance financial gains for district hospitals and strengthen public sector. Funding: Department of Health Research, Ministry of Health & Family Welfare, Government of India.
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