Impact of Health Benefit Package Revisions on Service Utilization in Punjab's PM-JAY Scheme
Content Editor: PHC Editor
November 4, 2024 at 5:47:31 PM
PM-JAY, Health Benefit Package, Service Utilization, Health Insurance

A study by Prinja S et al evaluated the effects of Health Benefit Package (HBP) revisions on service utilization under Punjab's Pradhan Mantri Jan Arogya Yojana (PM-JAY).
Revisions from HBP 1.0 to HBP 2.0, including changes in package nomenclature, construct, and pricing, led to increased utilization in both public and private hospitals.
Price adjustments, especially in underpriced packages, significantly boosted claims, highlighting the importance of appropriate pricing in health insurance schemes.
The study used time-series analysis on 1.35 million claims, showing that policy adjustments directly influenced provider behavior towards service uptake.
Findings emphasize the need for thoughtful HBP revisions to enhance accessibility and sustainability in publicly funded health insurance.
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