Stakeholders discuss ways to expand AYUSH insurance coverage


New Delhi:

With the objective of providing AYUSH treatment to marginalized patients, a sensitization program organized by the Ministry of AYUSH at the All India Institute of Ayurveda (AIIA) discussed the regulatory framework and policy support needed to mainstream AYUSH treatment in health insurance. was Stakeholders gathered for plans.

Due to the recent Insurance Regulatory Development Authority (IRDAI) directives to bring AYUSH treatment under health insurance cover from April 01, 2024 and the need to promote AYUSH healthcare to promote AYUSH hospitals and healthcare providers and insurance sector stakeholders to provide affordable healthcare to citizens. was planned keeping in mind.

The aim is to ensure easy access to AYUSH treatment for all, said Vaidya Rajesh Kotecha, Secretary, Ministry of AYUSH. An important milestone was achieved with the joint publication of standard treatment guidelines by DGHS and AYUSH (STG), marking the first integration of its kind in India. It aims to ensure easy access to AYUSH treatment for all. Production of AYUSH products has increased eightfold in the last decade.

Director of All India Institute of Ayurveda (AIIA) Prof. Tanuja Nesari said, “We are making significant progress in integrating AYUSH treatment into the mainstream health system. Our collaboration with insurance companies is focused on enabling cashless access to AYUSH services through the TPA network. Today’s meeting is an important step in this journey to realize our objective of making AYUSH treatment accessible and affordable for all.

Speaking on the need for separate registration for AYUSH hospitals, Prof. Bejon Kumar Mishra, Chairman, Expert Group for Insurance Sector, Ministry of AYUSH, said, “The key recommendation is to encourage AYUSH HCOs and adopt AYUSH approved Standard Treatment Guidelines (STGs), ICD-TM2 codes and AYUSH representation. Major Committees.”

Rajeev Vasudevan, MD and CEO, Apollo Ayurveda Hospitals, speaking about AYUSH’s entry into the insurance sector from the perspective of AYUSH Hospitals said, “Present insurance services mainly focus on surgical and emergency services, but two-thirds of the sector is long. – Term insurance is for people who deal with ailments and need effective health care. The question is what should patients with long-term problems, recurrent problems, autoimmune diseases, neurodegenerative diseases do? Instead of seeking relief from the symptoms, it is time to identify and treat the root cause of the disease. AYUSH treatment will prove highly effective in palliative care and end-of-life care as well.”

He also said that we expect the General Insurance Council to provide leadership as an integral component in publishing the White Paper on behalf of its 39 general insurance, standalone health insurance, reinsurance and specialty insurance companies. The multi-stakeholder event offered their perspectives from both the insurance sector and AYUSH hospitals, including panels on insurance coverage in the AYUSH sector, standard treatment guidelines and AYUSH’s entry into the insurance sector and onboarding of AYUSH hospitals and insurance coverage on the Rohini platform. Many points are covered.

Advisor to Ministry of AYUSH Dr. Kaustubh Upadhyay said, “The AYUSH Ministry has constituted a committee in October 2023 with the aim of advising and monitoring insurance related matters in the AYUSH sector and studying the current status of AYUSH systems under health. “A core group of experts for the insurance sector has been formed to prepare a letter to develop insurance and white.”

“The Ministry of AYUSH and NHA are working to include AYUSH interventions in the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY),” he said.

Dr. a. Raghu, Deputy Director General (AYUSH), AYUSH Vertical, Directorate General of Health Services, said, “AYUSH treatment requires a long investment and a fixed rate price and depends on the Roga Bal (strength of the disease) and the strength of the patient. is based on He also emphasized 3 levels of medical management (mild/moderate/discontinuation) where the duration of treatment should be systematically achieved by specialists.

Prominent speakers in the program include Prof. (Dr.) Anandaraman PV, Sri Mukunda Kulkarni Head Health, Dr. Alka Kapoor, DMS, AIIA, Mr. Yogananda Tadepalli, CTO, IIBI and Mr. Segar Sampathkumar, General Insurance Council (GIC), Amit Jain, Chief Operating Officer, Aditya Birla Health Insurance Company Limited, Mr. Ram Natesan, Senior Vice President, Network and Providers Management, Star Health Insurance, Dr. Sunil Gala, Head of Claim Magma, HDL, Rohit Gupta, Group Health Business Head, SBI General Insurance.

The program is an important step towards integrating traditional medicine into mainstream healthcare, ensuring comprehensive insurance coverage for AYUSH treatment and promoting overall health and well-being.


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