9 Hospitals de-empanelled from MJPJAY, 11 suspended
Kolhapur: The state government de-empanelled 9 hospitals from the state's health insurance scheme, Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY) which was launched in 2012 for the poor patients after the raids carried out by a state-level monitoring team in the private hospitals at Kolhapur and Sangli.
The health department officials associated with the schemes informed about the suspension of 11 hospitals, barred from undertaking any surgical procedure under the scheme, notably suspension is the first step before hospitals are removed from the panel of the scheme.
The official requesting anonymity explained to TOI, "Once suspended, the hospital cannot admit new patients or beneficiaries under the scheme. In the case of de-empanelment, the hospital will be permanently debarred from offering the scheme. We have found that the rules of the agreement were not followed, treatment charges were taken from patients, while in some instances, false cases were made to claim reimbursement," he stated.
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