7 More Hosps Lose License For Ayushman Bharat Scam, Health News, ET HealthWorld

Madhya Pradesh: 7 more hospitals lose license for Ayushman Bharat scam

Bhopal: The licenses of seven extra non-public hospitals have been terminated and two hospital homeowners face prison motion after investigation right into a multi-city rip-off unearthed fraudulent mediclaims below Ayushman Bharat scheme in Madhya Pradesh,

Seven of those non-public hospitals are in Bhopal. Owners of 5 of them face stiff penalties and the potential for dropping their medical practitioner license, Eight different hospitals within the state capital are but to answer the notices from the well being division.

In all, 28 empanelled hospitals in MP had been issued notices final month. Legal motion has been taken towards 9 after they replied to notices, mentioned Ayushman Bharat ‘Niramayam’ CEO Anurag Chaudhary. It isn’t just affirmation calls that blew the lid on the rip-off. “We used machine learning and artificial intelligence to generate triggers. These patient cases are then investigated,” mentioned Chaudhary. “In most instances, the cost has not been paid to the non-public hospitals. Recoveries might be made and a few docs could lose their proper to stay medical practitioners,” he added.

One recovery from a Bhopal-based private hospital amounts to Rs 4.5 crore, according to an FIR filed on Tuesday.

Estimates place the scam amount figure close to 2%-3% of about Rs 5,000 crore annual corpus for Ayushman Bharat in MP. Sources say 518 private hospitals are empanelled to offer government insurance up to Rs 5 lakh per family per year, and 47 of them have been assessed.

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