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Implementing health insurance : the rollout of Rashtriya Swasthya Bima Yojana in Karnataka
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Rajasekhar, D., Berg, Erlend, Ghatak, Maitreesh, Manjula, R. and Roy, Sanchari (2011) Implementing health insurance : the rollout of Rashtriya Swasthya Bima Yojana in Karnataka. Economic and Political Weekly, Vol.46 (No.20). pp. 56-63. ISSN 0012-9976.
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Official URL: http://epw.in/epw/uploads/articles/16055.pdf
Abstract
The National Health Insurance Scheme – Rashtriya Swasthya Bima Yojana – aims to improve poor people’s access to quality healthcare. This paper looks at the implementation of the scheme in Karnataka, drawing on a large survey of eligible households and interviews with empanelled hospitals in the state. Six months after initiation in early 2010, an impressive 85% of eligible households in the sample were aware of the scheme, and 68% had been enrolled. However, the scheme was hardly operational and utilisation was virtually zero. A large proportion of beneficiaries were yet to receive their cards, and many did not know how and where to obtain treatment under the scheme. Moreover, hospitals were not ready to treat RSBY patients. Surveyed hospitals complained of a lack of training and delays in the
reimbursement of their expenses. Many were refusing to treat patients until the issues were resolved, and others were asking cardholders to pay cash. As is typical for the implementation of a government scheme, many of the problems can be related to a misalignment of incentives.
Item Type: | Journal Article | ||||
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Subjects: | H Social Sciences > HJ Public Finance H Social Sciences > HM Sociology R Medicine > R Medicine (General) |
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Divisions: | Faculty of Social Sciences > Economics | ||||
Journal or Publication Title: | Economic and Political Weekly | ||||
Publisher: | The Economic and Political Weekly | ||||
ISSN: | 0012-9976 | ||||
Official Date: | 14 May 2011 | ||||
Dates: |
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Volume: | Vol.46 | ||||
Number: | No.20 | ||||
Number of Pages: | 8 | ||||
Page Range: | pp. 56-63 | ||||
Status: | Not Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Open Access (Creative Commons) | ||||
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