Maharashtra Clears Rs 1,299 Crore Dues to Hospitals under MJPJAY, PMJAY
Pune: In a move aimed at improving healthcare delivery in Maharashtra, the state government has cleared dues amounting to Rs. 1,299 crore to hospitals empanelled under the Mahatma Jyotirao Phule Jan Aarogya Yojana (MJPJAY) and the Pradhan Mantri Jan Aarogya Yojana (PMJAY) schemes. These payments were made between March 1 and April 17, 2025, to ensure the smooth continuation of medical services.
Currently, 1,359 private and 672 government hospitals are empanelled under these two schemes in Maharashtra. Additionally, 1,352 health procedures are covered, providing access to a wide range of medical treatments for beneficiaries across the state.
Previously, both MJPJAY and PMJAY operated under an insurance model, where the state government paid premiums, and the insurance company handled health claims for the empanelled hospitals. However, in July 2024, the state switched from the insurance model to the assurance model, where the Maharashtra government directly took responsibility for settling treatment charges. This change in the scheme's structure led to delays in releasing payments to hospitals over the past several months, reports the Daily.
Medical Dialogues had previously reported that 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.
However, there have been successful models like the orthopaedics department IGGMCH, also known as Mayo Hospital in Nagpur, that set a remarkable example among government hospitals by delivering high-quality treatment while maintaining financial sustainability. Over the past year, the Hospital generated approximately Rs. 3.64 crore in revenue through surgeries performed under the Mahatma Jyotiba Phule Jan Arogya Yojana.
Disclaimer: This website is primarily for healthcare professionals. The content here does not replace medical advice and should not be used as medical, diagnostic, endorsement, treatment, or prescription advice. Medical science evolves rapidly, and we strive to keep our information current. If you find any discrepancies, please contact us at corrections@medicaldialogues.in. Read our Correction Policy here. Nothing here should be used as a substitute for medical advice, diagnosis, or treatment. We do not endorse any healthcare advice that contradicts a physician's guidance. Use of this site is subject to our Terms of Use, Privacy Policy, and Advertisement Policy. For more details, read our Full Disclaimer here.
NOTE: Join us in combating medical misinformation. If you encounter a questionable health, medical, or medical education claim, email us at factcheck@medicaldialogues.in for evaluation.