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Tuesday, January 7, 2014
Govt to revise rates for CGHS empanelled hospitals- PRESS NEWS
In a good news for lakhs of beneficiaries under the Central
Government Health Scheme (CGHS), the Government is in the process of revising
the rates of medical procedures offered by empanelled hospitals and diagnostic
centres and giving them early payment assurance to encourage more medical
institutions join the scheme.
The Ministry of Health and Family Welfare has floated e-tenders
for empanelment of hospitals and decided that the rates of various medical
procedures would be fixed by an average of rates quoted in e-tenders instead of
the old system where the lowest quotation became the rate.
Rates of all medical procedure centres under CGHS would be revised
by April next year.
Not just that, the Government is also revising its policy by
providing empanelled hospitals assured upfront payment of 70 per cent of the
total bill within five days of its presentation and balance admissible amount
within a maximum period of 30 days.
The direction for a 10 per cent deduction in case of early/cash
payment to hospitals under CGHS has also been done away with, highly-placed
sources in the Ministry told PTI.
"These measures will put an end to the problems of delayed
payments which discourage hospitals from getting empanelled under the
scheme," a Health Ministry official said.
Under the new policy finalised by the Ministry, the category of
super specialty hospitals empanelled under the CGHS has also been done away
"Now, hospitals, exclusive eye hospitals/centres, exclusive
dental clinics and diagnostic centres shall be empanelled for all facilities
available in the health care organisation as approved by National Accreditation
Board for Hospitals/National Accreditation Board for Labs and the Quality
Council of India and shall not be empanelled for selected specialities/facilities,"
the new policy says.
The changes will help rope in more hospitals, clinics and
diagnostic centres under the CGHS as many renowned and big hospitals were
shying away from being empanelled under the scheme due to pending payments and
low rates for medical procedures.
Sources said payments of bills amounting to around Rs 100 crore of
private hospitals are pending with the government under CGHS alone, even though
hospitals are crying hoarse that pending payments are to the tune of over Rs
Officials, however, say this huge amount is not pending under CGHS
and it may include payments under ECHS, ESI and health bills of other big
departments like Delhi Police and others.