RE: AYUSHMAN BHARAT

Amit,

Thanks for writing

Although I cannot say I have studied this topic , I would be happy to visit your office and share , whatever I can

About 28 months back , I had prepared a compilation of some of my blogs , topic-wise ( since than , many more have been added ) . You can find these at :

AGENDA   FOR   REFORMS

Warm Regards,

Hemen Parekh

+91 98675 50808

3P Consultants \ Strategic Human Resources Consultants

From: Mookim, Amit [mailto:Amit.Mookim@iqvia.com]
Sent: 03 February 2018 20:11
To: Hemen Parekh; vkabadi@im.imshealth.com
Cc: P.V, Ramakrishnan
Subject: RE: AYUSHMAN BHARAT

Hemen,

You seem to have really studied this topic.  Lets have a more detailed conversation.

I am someone, jut to be clear, who as a humble citizen wants to make a change and if there is anything we can think through collectively its great. I am requesting RK to set up some time with you.

Amit Mookim

GM – South Asia

Learn more about IQVIA™

902B, Supreme Business Park

Hirandani Gardens, Powai

Mumbai 400076, India

O: +91 22 7109 7200

twitter: mookim99

From: Hemen Parekh [mailto:hcp@recruitguru.com]
Sent: Saturday, February 03, 2018 10:48 AM
To: Mookim, Amit <AMookim@imscg.com>; vkabadi@im.imshealth.com
Cc: hcp@recruitguru.com
Subject: AYUSHMAN BHARAT

Dear Amit,

Read with interest your article in today’s Business Line

(  Proof of an Ayushman Bharat is in its implementation, down to the last mile ),

Where you observed :

However, the Central government needs to collaborate successfully with State governments and the industry, besides focussing aggressively on the operational and implementation aspect of these initiatives.

Healthcare is a dynamic space which is subjected to change owing to a variety of factors, and one of the key drivers will be the use of technology.

The relevance of technology and digitisation is imperative as we look at newer ways of healthcare delivery services.

So while the potential is immense, the government now needs to put in strong emphasis on the adoption of technology by the entire healthcare ecosystem to provide accessible and affordable patient care to the last mile of the country.

You have made very relevant observations

You may want to go through my following blog ( sent yesterday , as Email to Cabinet Ministers )

Modicare : A Game Changer

In his budget speech yesterday, Shri Jaitley announced launching of .

Ayushman Bharat [ National Health Protection Scheme ]

It will be a game changer

===============================

HIGHLIGHTS :

·         It will cover 10 crore poor families ( approx. 50 crore persons ; 40 % of our population )

·         It will pay insurance premium for coverage of Rs 5 lakh claims per family per year

·         At Rs 5,000 premium ( for Rs 5 lakh ) , total cost to government could be Rs 50,000 cr / year.

Some other estimates place the annual outgo on premium of between Rs 2 – 2.5 lakh*crore

·         Because of the huge size of the scheme, government will be able to negotiate the cost of the medicines and the services

·         Budget allocation = Rs 2,000 crore

·         It will subsume earlier scheme  “ Rashtriya Swasthya Bima Yojana “ of Rs 30,000 / year claim

·         It will be the biggest such Health Insurance Scheme, anywhere in the World

·         Details of the mechanism of the scheme are yet to be worked out and announced

·         Budget also allocated Rs 1,200 crore to create “ Health and Wellness Centres “ in India’s 1.5 lakh “ Health Sub Centres “ , to provide free essential medicines closer to home through primary , secondary and tertiary health systems

·         Budget also allocated Rs 600 crore for nutritional support at Rs 500 per month to TB patients ( which infects an estimated 27.9 lakh people each year and kills 4.23 lakh persons )

=================================

COMMENTS :

·         Opposition parties say : This is a “ Jumla “ and will flop like the earlier scheme

·         Experts say : We just don’t have any experience in running such a massive scheme

·         Economists say :  Where is the money ?

·         Pratap Reddy ( Apollo Hospital ) says :  This will be a game changer

·         R Sabesan ( Dr Agarwal group of Eye Hospital ) says : It will allow mid-sized healthcare players to invest and thereby improve the quality of healthcare in the country

·         Shailaja Chandra ( Former Secretary at the Health Ministry ) says : Insurance companies could end up reaping the benefits of the health coverage scheme . There is a need for a regulatory mechanism to make sure they pay patient bills without delay

·         Indranil Mukhopadhyay ( Asst Prof , Jindal University ) says : The allocation the government would need to pay for just the premiums is about Rs 1.2 lakh*crore and the country’s total spending on health is about Rs 1.3 lakh* crore. There is no clarity on how this will be rolled out and who will foot the bill - a plan that mirrors the confusion of the 2016 proposal . There has been barely any follow up action on the past UHC announcements

·         Antony Jacob ( Apollo Munich Health Insurance ) says : The medical services sector is optimistic about the scheme leading to large-scale employment opportunities . It will help create several lakh new jobs as new healthcare facilities will come up in smaller districts and villages

==================================

Sad Thing :

·         No one has come up with a concrete proposal which says : Here is how we can make it work

================================

MY SUGGESTIONS :

·         The scheme must cover,

        #    Supply of Medicines / Medical Devices ( both , preventive and curative )

        #    Delivery of Services ( Diagnostic /  Nursing  /  Hospitalization )

        #    Pregnancy / Delivery related medicines / investigations / hospitalization

        Prices for each / all of these must be fixed and published , not only on the web

        site of the Health Ministry but at ALL places where medicines or services are

        getting delivered

·         Each eligible family member to be issued a “ Ayushman Card “ ( linked to Aadhar ID )

Ayushman card will have inbuilt memory capacity to store that person’s health data from “ Cradle to Grave “ ( Privacy advocate need not worry ! )

All the Health Data of all 50 crore beneficiaries to be stored on a Central Server for BIG DATA analysis , in order to “ Predict “ WHO might become susceptible to WHICH ailment and WHEN

As an alternative , a GPS enabled / NFC capable Smart Phone pre-loaded with AYUSHMAN MOBILE APP , could be considered to replace the card

=============================

·         Ayushman Eco System shall consist of :

#    50   crore poor beneficiaries

#    All Medical Practitioners of India  ( Allopathic - Ayurvedic – Homeopathic )

   #     All Medical Shops of India  ( including  E – Pharmacies  )

   #     All  Nursing Homes / Hospitals / Diagnostic Centres / Health Centres etc

   #     All Pharma Companies

      #      Health Ministry

      #       All India Medical Association

      #       All India Organization of Chemists and Druggists ( AIOCD ) 

       #       Drug Controller General of India

       #       All  Medical  Colleges /  Medical Research Centres

       #       Any other entity which I might have missed out

================================

·         The Ayushman Eco System shall be built around the BLOCK-CHAIN technology , which will be the main operating system for implementation of the AYUSHMAN PROCESSES , described in my following earlier blogs ( sent as emails to Cabinet Ministers / Niti Aayog )

As to the relevance of BLOCKCHAIN technology to a Healthcare Eco-System , read :

Blockchain Technology Could Revolutionize Health 

Care

https://www.investopedia.com/news/blockchain-tech-could-restructure-health-care/

Consulting firm Deloitte believes that "blockchain technology has the potential to transform healthcare, placing the patient at the center of the healthcare ecosystem and increasing the security, privacy, and interoperability of health data."

Medicalchain, on the other hand, uses blockchain technology to store and share health records securely, allowing for easy and safe transfer of information between providers and patients.

The  Bounty of Big Data  [ 30  April  2016  ]

https://myblogepage.blogspot.in/2016/04/the-bounty-of-big-data.html

==================================================

3 D - Digital Delivery of Drugs ?  [  11  Oct  2015  ]

https://myblogepage.blogspot.in/2015/10/3-d-digital-delivery-of-drugs.html

===================================================

Online Sale of Medicines ?  [  24  Dec  2016  ]

https://myblogepage.blogspot.in/2016/12/online-sale-of-medicines.html

 

=================================================

 

Health Care through Mobile ?  [  24  Nov  2016  ]

https://myblogepage.blogspot.in/2016/11/health-care-through-mobile.html

 

==================================================

 

A Mobile App named " BANMALI "  [  16  Sept  2016  ]

https://myblogepage.blogspot.in/2016/09/a-mobile-app-named-banmali.html

 

====================================================

 

BANMALI is the TOTAL SOLUTION  [  14  Nov  2016  ]

https://myblogepage.blogspot.in/2016/11/banmali-is-total-solution.html

 

===================================================

 

Saving 1.2 million Kids  [   29  June  2016  ]

https://myblogepage.blogspot.in/2016/06/saving-12-million-kids.html

 

==================================================

 

Can Akshay Patra Banish Malnutrition ? [  05 June  2017  ]

https://myblogepage.blogspot.in/2017/06/can-akshay-patra-banish-malnutrition.html

 

==================================================

 

 

PROCESS  :

 

·         Beneficiary getting AYUSHMAN Card after authentication from nearest Health Centre

 

·         Beneficiary approaching any Registered Medical Practitioner ( RMP ) for ailment

 

·         RMP entering Diagnosis / Prescription in Mobile App ( or in Card using Card Reader )

 

·         Beneficiary presenting card at the premises of delivery of Medicines / Devices / Services as prescribed by RMP

 

·         Person delivering medicines / service , entering the details in Card and delivering service ( including no of items / unit price / GST etc )

 

·         Beneficiary “ sign off “ ( in Card ) for having received medicine / service

 

·         Person delivering service ( or medicine ) , uploading data on Central Server of Health Ministry

 

·         Health Ministry updating PATIENT HISTORY in the database and effecting DIGITAL PAYMENT to person delivering medicine / service [ DBT ]

 

·         There will be NO CASH TRANSFER to a beneficiary ( to avoid fraud / fake cases )

==================================================

 

HOW  WILL THIS  BE  A  GAME  CHANGER  ?

 

·         If meticulously designed and aggressively / speedily implemented as outlined above , AYUSHMAN has the potential to,

 

    #   Save millions of premature deaths annually

 

    #   Save billions of man-hours lost due to preventable illnesses

 

    #   Bring down the cost of Healthcare / Medicines / Services

 

    #   Vastly improve the quality of life for 50 crore persons

 

    #   Invigorate many industries and generate huge employment

 

    #   Enable BJP to return to 2019 Lok Sabha with 400 + seats

 

For NDA Ministers and Bureaucrats who have successfully carried out big ticket reforms such as De-Monetization / GST / Digital India / Bank Recapitalization etc, this is a worthy challenge

 

 

Let them not forget that the entire World is watching this INNOVATIVE SOCIAL SECURITY experiment

 

========================================================

 

 

02  Feb  2018

 

www.hemenparekh.in / blogs

 

======================================================================================

With Regards,

hemen  parekh /  Mumbai

www.hemenparekh.in 

hcp@RecruitGuru.com 

( M ) +91 - 98,67,55,08,08

________________________________________
IMPORTANT - PLEASE READ: This electronic message, including its attachments, is CONFIDENTIAL and may contain PROPRIETARY or LEGALLY PRIVILEGED or PROTECTED information and is intended for the authorized recipient of the sender. If you are not the intended recipient, you are hereby notified that any use, disclosure, copying, or distribution of this message or any of the information included in it is unauthorized and strictly prohibited. If you have received this message in error, please immediately notify the sender by reply e-mail and permanently delete this message and its attachments, along with any copies thereof, from all locations received (e.g., computer, mobile device, etc.). Thank you.