List -of –Therapies- and –Package- Prices- for -Employee –Health- Schemes-Employee -Health -Cards- GO.176
GO.No.176 Dt 1-11-2013
List of Therapies and Package Prices for Employee Health Schemes (Cashless
Treatment Scheme to Employees)-Employee Health Cards. This GO.176 gives us the Complete List of
Therapies and prices for Thearapy allowed under EHS. These shall be
adopted by Aarogyasri Health Care Trust for treatment of patients in
empanelled hospitals, under the Employees Health Scheme. In the letter From the
Chief Executive Officer,Aarogyasri Healthcare Trust Letter No.AST/ 4768
/P&C/F.49/ 2013, dated: 06-09-2013, the Chief Executive Officer, Aarogyasri
Healthcare Trust has submitted the ‘Final Therapy prices for Employees
Health Scheme’ which include additional therapies in addition to the
existing Aarogyasri therapies, prepared basing on the ‘Input Code Book’
and ‘Standard Scheduled of Rates (SSR 2012-13)’ already notified in the
G.O. 9th read above. These final therapy prices are inclusive of OP
evaluation. Vide GO.174 Govt has issued orders for implementation of Employee
Health Scheme. Vide GO.175 Govt issued Orders for Operational Guidelines.
1.
Government issued orders
in the G.O. 9th read above, by notifying the ‘Input Code Book’, ‘Standard
Schedule of Rates for 2012-13’, and the ‘Final Therapy Prices ’, for being
adopted by the Aarogyasri Health Care Trust for determining the
package rates for treatment of patients in empanelled hospitals, for Rajiv
Aarogyasri Scheme.
2.
In the letter 10th read
above, the Chief Executive Officer, Aarogyasri Healthcare Trust has
submitted the ‘Final Therapy prices for Employees Health Scheme’
which include additional therapies in addition to the existing Aarogyasri
therapies, prepared basing on the ‘Input Code Book’ and ‘Standard
Scheduled of Rates (SSR 2012-13)’ already notified in the G.O. 9th read
above. These final therapy prices are inclusive of OP evaluation.
3.
In the G.O., 9th read
above, Standard Schedule of Rates for 2012-13 are approved according to
which Rs.900/- per day is the rate prescribed for General Ward. Government
have decided to consider Rs.1200/- per day for stay in semi-private
ward and Rs.1500/- per day for private ward in the non-NABH accredited
hospitals. In so far as the NABH accredited hospitals are concerned,
the rates would be Rs.1500/- per day for semiprivate ward and Rs.2000/- per day
for private ward. This would be an incentive to the NABH accredited
hospitals for promoting quality of health care. The APIMA Rules adopt CGHS
norms and the CGHS prescribes incentives to the NABH accredited hospitals
for promoting quality of health care. Hence, NABH hospitals are considered
for higher tariff so far as hospital stay is concerned. Moreover, the
scheme will be reviewed after obtaining the actual data for six months, the
rationalization of the above prices for semi-private ward and private wards
would also be considered in the review. The Chief Executive
Officer, Aarogyasri Health Care Trust will carefully monitor the
implementation of the Scheme and after obtaining the actual data for six
months, will place the same before the Steering Committee for considering
rationalization of the above prices for semi-private ward and private
wards.
List -of –Therapies- and –Package- Prices- for -Employee –Health- Schemes-Employee -Health -Cards
Government
after careful examination hereby issue the following orders:-
a.
List of therapies and the package prices are placed in the Annexure. These
shall be adopted by Aarogyasri Health Care Trust for treatment of patients
in empanelled hospitals, under the Employees Health Scheme.
b.
The Chief Executive Officer, Aarogyasri Healthcare Trust is authorized
to include any additional inputs, which may be required during the course
of implementation of the scheme, code them, finalise the prices and
append the same in the Medical Input Code Book and Standard Schedule of
Rates (SSR) subsequently.
c.
The following standard schedule of Rates are hereby approved
i.
Stay in Semiprivate ward Rs.1,200/- per day in non-NABH accredited hospitals
and Rs.1,500/- per day in NABH accredited hospitals.
ii.
Stay in Private ward Rs.1,500/- per day in non-NABH accredited hospitals
and Rs.2,000/- per day in NABH accredited hospitals.
The Chief Executive
Officer, Aarogyasri Health Care Trust, Hyderabad shall take further
necessary action, accordingly in the matter.
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GO.176 List of
Therapies and Package Prices for Employee Health Scheme
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