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AB-PMJAY-SEHAT scheme: SHA suspends empanelment of Private hospital

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Imposes penalty of Rs. 10.79 lakhs on two private hospitals

SRINAGAR: The State Health Agency (SHA) J&K on Friday suspended empanelment of several private hospitals for non-adherence to minimum criteria for empanelment besides non-maintenance of quality and service standards as laid under AB-PMJAY-SEHAT scheme.
These hospitals include Hakeem Sanaullah Hospital, Sopore on which a penalty of Rs. 5.81 lakhs was imposed by the government. Also, Rs. 4.98 lakhs fine was imposed on Mohammadia Nursing Home Pulwama and Florence Hospital Srinagar for various fraudulent activities.
“These hospitals have taken illegal cash payments from beneficiary patients,” the official handout reads.
Earlier, SHA J&K took similar action against Ibn Sena Hospital, Budgam, Quality Healthcare Hospital, Kupwara, Ess Bee Hospital, Kupwara, North Kashmir Hospital, Handwara, Waseem Memorial Hospital, Handwara and Narayana Hrudayalaya hospital Katra and imposed a total penalty of Rs. 44.6 Lakhs on these errant hospitals.
“The Fraud under AB-PMJAY-SEHAT not only results in financial losses but have a much greater impact on people’s health,” the handout reads, adding that AB-PMJAY-SEHAT aims at developing an anti-fraud culture that permeates all aspects of the scheme’s governance.
“The approach to anti-fraud efforts is based on principles like Transparency, Accountability, Responsibility, Independence, and Reasonability,” it reads.
Recently, in a review meeting of ABPMJAY-SEHAT, Principal Secretary Health & Medical Education, Manoj Kumar Diwedi remarked that J&K administration has adopted zero-tolerance approach while dealing with the instances of fraud and abuse under ABPMJAY-SEHAT scheme.
He also highlighted that strict action will be taken against the hospitals and doctors involved in any kind of errant or fraudulent activities under the scheme.

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