Monday, June 8, 2015

State health insurance scheme: Money flows to private hospitals

MADURAI: The health insurance scheme in Tamil Nadu, which was renamed as Chief Minister's Comprehensive Health Insurance Scheme and launched again in 2012, aimed mostly to benefit government hospitals. But private hospitals earn a major share of the money.

According to information obtained through Right To Information (RTI) Act, out of close to Rs 680 crore that was spent on health insurance in the 2013, government hospitals claimed just Rs 245.46 crores, whereas private hospitals managed to earn about Rs 434.51 crore.

The private hospitals in the state managed to improve their performance in the following year, i.e, 2014, but the government hospitals did not carry the momentum forward. Of the total of Rs 678.05 crore spent in 2014, government hospitals earned Rs 239.40 crore and private hospitals earned a major share of Rs 438.65 crore. Government hospitals in 2014 earned nearly Rs six crore less than what they earned in 2013.

However, the present scheme fared much better than the earlier version introduced during the DMK period, said C Anandaraj, a health rights activist who obtained the information on the money generated by government hospitals through the scheme. Between 2009-10 and 2010-11, government hospitals earned only a fraction of what they earn now. The scheme was first introduced in July, 2009 during the DMK regime.

For example, in the first year, of the allotted Rs 517 crore, just Rs 4.46 crore went to government hospitals, while the figure was a whopping Rs 391 crore for private hospitals.

Under the Chief Minister's Comprehensive Health Insurance Scheme, the state reimburses the amount to the hospitals for specific medical and surgical procedures, for eligible people from poor backgrounds.

Taluk hospitals in districts like Ramanathapuram, Virudhunagar, Vellore, Tiruvallur, Cudaalore, Namakkal, Pudukottai, Tiruvannamalai, Trichy and Nilgiris registered the highest earnings under the scheme in 2014. Taluk hospitals in Ramanathapuram district alone managed to earn Rs 5.08 crores, followed by Virudhunagar with Rs 4.09 crore and Vellore with Rs 3.47 crore. Tiruvallur, Cuddalore and Namakkal districts managed to earn more than Rs two crore each.

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