Study on Universal Health Coverage Scheme in India – The Stumper to Private Hospitals

Figures & data

Figure 1. Public to private tertiary care beds distribution in India.

Figure 2. Secondary care and tertiary care level beds distribution in India.

Table 1. Comparing bundled prices offered by Karnataka Ayushman Bharat scheme and average bill paid by the general category paying patient in private medical college hospital.

List of Common procedures	Ayushman Bharat price (A)	Hospital bill paid by a paying patient (B)	Operation Procedure Costs (C)	Proposed Length of Stay (D)	Total Bed Charges (E) (Column D X INR 900)	Difference (Column A – Column B)
Septoplasty + Functional Endoscopic Sinus Surgery	11500	15392	14492	1	900	33.84%
Laparoscopic Cholecystectomy	12000	29560	26860	3	2700	146.33%
Hernia – Repair and release of obstruction	15000	15334	11734	4	3600	2.22%
Coronary artery bypass grafting (CABG)	95000	104000	95900	5	4500	9.50%
Lower Segment Cesarean Section	9000	21870	17370	5	4500	143%
Per-cutaneous Transluminal Coronary Angioplasty – single stent (medicated, inclusive of diagnostic angiogram)	60000	60930	8230	3	2700	1.50%
Total Knee Replacement	65000	96373	93673	3	2700	48.26%
Trans Urethral Resection of Prostate	30000	36030	34230	2	1800	20.10%
Laparoscopic Appendicectomy	10000	22772	20072	3	2700	127.72%

Table 2. Comparing bundled prices offered by Suvarna Karnataka Ayushman Bharat scheme and average cost incurred by the private nonacademic hospitals (Reported by FICCI and IMA).

List of Commonly done procedures	Ayushman Bharat price to Hospitals	FICCI study report on private hospitals	Difference%	IMA Tamil Nadu study based prices in 2018	Difference %
Septoplasty + Functional Endoscopic Sinus Surgery	11500			60063	486%
Laparoscopic Cholecystectomy	12000	43317	313%	86813	748%
Hernia – Repair and release of obstruction	15000	51020	360%	70480	555%
Coronary artery bypass grafting (CABG)	95000	185032	900%
Lower Segment Cesarean Section	9000	44016	350%	90991	820%
Cataract with foldable hydrophobic acrylic IOL by Phaco emulsification tech + Glaucoma	10500	25201	147%	45144	346%
Per-cutaneous Transluminal Coronary Angioplasty – single stent (medicated, inclusive of diagnostic angiogram)	60000	83886	239%
Total Knee Replacement	65000	143567	786%	186215	1212%
Trans Urethral Resection of Prostate	30000	47301	173%	66235	362%
Laparoscopic Appendicectomy	10000			63300	533%
Average			408.55%		653.83%