GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
RAJYA SABHA
QUESTION
NO 295
ANSWERED ON 25.11.2014
Treatment by CGHS
empanelled hospitals in emergency cases
295. SHRI A.U. SINGH DEO:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
(a) whether Government is aware that empanelled
hospitals provide cashless services to pensioners only for the diseases for
which they are empanelled, even during the emergencies;
(b) if so, the extant Rules and Regulations in this
regard;
(c) whether Government plans to instruct all
empanelled hospitals to provide
cashless facilities to pensioners and other CGHS beneficiaries, irrespective of diseases
for which they are empanelled during emergencies and shift the patients to
other authorized hospital after first aid;
(d) if not, the reasons therefor; and
(e) the steps proposed to check exploitation/looting of patients in emergencies by
empanelled hospitals?
ANSWER
THE MINISTER OF HEALTH
AND FAMILY WELFARE (SHRI JAGAT
PRAKASH NADDA)
(a) to (d): Recently,
the Government has amended the terms and conditions for empanelment of private hospital under the Central Government Health
Scheme (CGHS). Now, the hospitals are empanelled as a whole, meaning that all
facilities available in the hospital would be provided to CGHS beneficiaries. Disease – specific empanelment has now been
stopped.
(e): To ensure that
the terms and conditions of the Memorandum of Agreement are
followed scrupulously by the empanelled hospitals, a monitoring cell under the
aegis of a senior officer of CGHS has been established to check irregularities including exploitation
of patients. There are provisions in the MoA including issue of Show Cause
Notice, issue of warning, recovery of amount charged illegally from the beneficiaries, also confiscation of
part or whole of PBG (Performance Bank Guarantee), and ultimately removal
from the CGHS list, that can be resorted to in appropriate cases.
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