The state government will soon form a dedicated cell for the Deen Dayal Swasthya Seva Yojana (DDSSY), a cashless health insurance scheme, wherein this cell will be entrusted with the responsibility of cross verification of the claims of the hospitals empanelled under the scheme.
“The government has given in-principle approval for the formation of the cell, however, it is yet to be decided whether the government will recruit new staff for this proposed cell or rope in few health officers from the Directorate of Health Services,” said sources in the state Secretariat.
The sources said that on receiving the scrutinised bills of the hospitals from the Third-Party Administrator (TPA), this cell will thoroughly cross-examine each and every claim and then forward the documents to settle the claim and subsequently forward the claims for payment.
The state government is currently running the scheme on its own through a TPA and the scheme is likely to be extended for another three months.
When contacted, DDSSY consultant Dr Balkrishna Pai said that the scheme is running smoothly. “The enrollment for the DDSSY scheme is still on; Goans can enrol themselves and avail of the benefits offered under the scheme,” he said, adding that, all the hospitals were accepting the cards and no patients are being denied treatment.
Meanwhile, a detailed presentation was held for Chief Minister Manohar Parrikar in the presence of Health Minister Vishwajit Rane on Tuesday morning at the state Secretariat in order to work out the modalities to integrate the state’s health scheme with the Prime Minister’s ambitious Ayushman Bharat-National Health Protection Mission (AB-NHPM) scheme.
A team of the health department headed by Secretary Health J Ashok Kumar, including Dr Pai, had visited Gujarat in the last month to study that state’s hybrid model of health insurance scheme, and the Goa government is contemplating to adopt the same for Goa, however, a final decision is yet to be taken.
Source:: The Navhind Times