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DDSSY beneficiaries go private as majority, only one-third go to government hospitals

Panjim: Has the Deen Dayal Swasthya Seva Yojana (DDSSY) proved to be a boon to the private hospitals and the insurance company rather than the citizens of the state, is a question that the government will have to ponder upon.While the government has spent approximately Rs 37.75 crore on the premium for the beneficiaries till March-end, the government hospitals empanelled under the scheme have received only one-third of the share of patients for procedures under the scheme.Goa Medical College and Hospital (GMC) Bambolim; Hospicio, Margao; North District Asilo Hospital, Mapusa and Sub District Hospital, Ponda are the four empanelled government hospitals under the scheme.While, the government hospitals continue to cater to a huge number of patients everyday and are always overloaded, under the DDSSY scheme the number of beneficiaries from the four government hospitals is approximately 1500 compared to 4000 from the private hospitals. In the six months of the scheme a total of 5564 cases have been claimed under the scheme.
In terms of the monetary benefits, the government has received around Rs 8 crore towards the claims compared to around Rs 15 crore claimed by the private hospitals. And the insurance company, United India Insurance has profited approximately Rs 15 crore.Interestingly, the amount spent on mediclaim scheme of the Goa Government has dropped only by Rs 1 crore. In 2015-16, the government had spent Rs 9.5 crore on mediclaim reimbursements, during the current year the government has spent Rs 8.5 crore in addition to the DDSSY scheme.Under the DDSSY scheme, the cards issued were to expire by 31 March, however, Directorate of Health Services has extended the current tenure of the scheme till August 31. Therefore the total cost on the premiums for the year is expected to be around Rs 60 crore.
Further, out of the 447 procedures mentioned in the scheme, 147 procedures have never been executed.Sources in the health department informed that as per the MoU signed between the insurance company and the department, the responsibility for publicity was entrusted upon the insurance company. However, no publicity of the scheme has been visible during the last six months.When Herald contacted Directorate of Health Services, Senior Consultant for DDSSY, Dr Balkrishna Pai said that the government is responsible for public health. “Government should spend on health of the people, provide maximum inputs and get maximum output, which in turn will contribute to the economy”, he stated.He acknowledged that the publicity to scheme has not been as required, due to which the citizens are unaware of the process for receiving benefits under the scheme.Dr Pai informed that the cards issued to the citizens will continue till the end of August this year and will not have to be renewed by the beneficiaries.Launched from September 1 last year, under the scheme a total of 2.10 lakh cards have been generated and distributed until the March-end. A total of 31 hospitals have been empanelled, which include four government hospitals, four hospitals from outside the state and 23 private hospitals within the state. [H]

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