Private hospitals are expected to play a key role in the implementation of government-sponsored health insurance schemes (GSHIS) in India. This paper examines the availability and spread of private hospitals in the country to provide insights on the potential access to insured health services in GSHIS schemes. It uses three sets of information to analyse the issue: private hospitals empanelled by insurance companies, the 6th Economic Census, and private hospitals empanelled in GSHIS schemes in four States. The analysis suggests that, in low-income States of the country, empanelment of private hospitals by insurance companies is low and concentrated in a few pockets. This pattern closely corresponds to the pattern of availability of private hospitals indicated in the 6th Economic Census. In Andhra Pradesh, Telangana, Tamil Nadu and Karnataka, the four States which have some of the largest GSHIS schemes in the country, there is a strong correspondence between private hospitals empanelled by insurance companies and private hospitals empanelled in GSHIS schemes.
Keyword: Private health providers, Private hospitals, Ayushman Bharat, Pradhan Mantri Jan Arogya Yojana, Access to health care, India
Mita Choudhury & Pritam Datta