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Regarding need to ensure timely reimbursement of claims
made under Ayushman Bharat Scheme-Laid
SHRI SASIKANTH SENTHIL (TIRUVALLUR): I wish to draw the
urgent attention towards the mounting unpaid dues under the
Pradhan Mantri Jan Arogya Yojana (PMJAY), popularly known as
Ayushman Bharat scheme. As per recent figures, claims worth
(cid:110)
over 1.21 lakh crore remain unpaid across the country to both
private and government hospitals. This delay is creating a severe
financial strain on the healthcare system, and in many states,
hospitals have started refusing treatment under the scheme. This
scheme was envisioned to provide free, accessible health services
to the poorest families. But with hospitals not receiving timely
payments, they are either opting out of the scheme or delaying
patient care. Several state branches of the Indian Medical
Association (IMA) have raised serious concerns, and many
hospitals have pending dues running into crores. In some cases,
smaller hospitals have had to cut down on staff or shut down units
altogether. This not only affects the viability of the Ayushman
Bharat programme but also risks the very promise made to our
citizens that of Swasthya Suraksha for all. I urge the Government
to take immediate steps to clear the backlog of claims, ensure
timely reimbursement processes, and address the systemic delays
in claim approvals.