All posts tagged: PM JAY

How AI Can Help UP, MP Doctors Clear Ayushman Bharat Claims | Explained | Lucknow-news News

How AI Can Help UP, MP Doctors Clear Ayushman Bharat Claims | Explained | Lucknow-news News

Last Updated:March 06, 2026, 12:23 IST To curb fraud and delays in Ayushman Bharat claims, AI will now process approvals under a pilot in UP and MP. If successful, the system may soon expand nationwide The objective is to make the process of claim verification and approval faster, more efficient, and more transparent. Under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY), claim decisions will soon be taken by artificial intelligence (AI) rather than doctors. The National Health Authority (NHA) has approved a pilot project to introduce this new system. The trial of this AI-based claim system will begin in Uttar Pradesh and Madhya Pradesh. Authorities plan to test the technology in these two states before considering wider implementation across the country. Automated System To Be Set Up In Uttar Pradesh In Uttar Pradesh, the State Agency for Comprehensive Health and Integrated Services (SACHIS) will soon establish an automated adjudication system. The objective is to make the process of claim verification and approval faster, more efficient, and more transparent. Until now, claim verification under …

Chandigarh: 67% spine surgery patients at PGI reaped benefit of PM-JAY in 2 years, revels study

Chandigarh: 67% spine surgery patients at PGI reaped benefit of PM-JAY in 2 years, revels study

In two years, 67% of the total patients having undergone spine surgeries at the Post Graduate Institute of Medical Education and Research (PGIMER) were benefited by Pradhan Mantri Jan Arogya Yojna, covering treatment upto ₹5 lakh per year per family, a study conducted by orthopaedics department has revealed. PM-JAY utilisation increased from 58.7% in 2023 to 73.5% in 2024 with a decline in self-paid procedures from 37.8 to 18.9%. (HT) From January 2023 to December 2024, 410 patients underwent spine surgeries in PGI and out of these 276 received financial aid under the central government scheme. The study, titled “impact of Ayushman Bharat (PM-JAY) on access to spine surgery at a tertiary care centre in north India: a retrospective analysis” has been conducted by Dr Vishal Kumar, professor in department of orthopedic surgery along with Dr Sarvdeep Singh Dhatt. The team noted that spine surgery is among the most financially demanding areas of modern healthcare, making it a critical test case for the effectiveness of public health insurance. PM-JAY utilisation increased from 58.7% in 2023 …