Success-Stories-on-Health-Sector

ProbleM stateMent
a. Under utilization of data captured at various levels
b. Lack of information of Different Stakeholders
c. Fraud and abuse
d. Weak monitoring system
e. Lack of awareness among beneficiaries
PrograMMe DescriPtion
RSBY uses different types of technologies at various stages.
Each type of technology is there for a different purpose.
The following technologies are being used in the scheme:
a. Smart Card Technology
b. Biometric Technology
c. key Management System
d. Web-based Data Transfer
e. Web Portal Services
The web portal of RSBY has multiple roles. It not only
provides the details of RSBY with the outside world,
but also acts as the portal for data transfer, data sharing,
and a monitoring tool for the internal stakeholders of the
scheme. The aim of the scheme is to use technology not
only for control of fraud and monitoring, but also to find
innovative solutions. The following activities are being
done under the programme:
a. Online Monitoring through IT Usage
b. Online Claim settlement
c. Online Registration of Patient
d. Online Grievance Submission
e. Patient Details Tracking
Automated SMS service
A toll free number 18003455384 with dedicated call centre
support has been established for giving replies to the
queries raised by beneficiaries.
Medical audit team
District wise medical audit team has been set up who
provides considerable support towards assessing all types
of grievances that the hospitals raise or faces.
integration of rogi sahayata Kendro with rSBY
Rogi Shayaks of Rogi Sahayata kendro were sensitized to
facilitate the RSBY beneficiaries coming to the Hospitals
which were extended up to BPHC and RH.
Women as head of family in rSBY card
To honor the role of Women and to empower them RSBY
card are being printed in the name of the eldest women in
the family as Head. This is done for first time in India by
any State.
PrograMMe outcoMes – are as follows
a. Real time monitoring
b. Improvement in access to healthcare
c. Increase in coverage
d. Reduction in Out of Pocket Expenditure (OOPE) on
Health
e. High level of satisfaction
f. Greater awareness
g. Prevention of fraud and abuse
evaluation
Independent Household Evaluation on RSBY carried
by GIZ.
conclusions/lessons learnt
Although the scheme has welcomed a lot, but it is just the
beginning and we are working on online pre authorization,
digital record of the patient, and integration of State Illness
Assistance Fund with RSBY (as top up) for the packages
which are beyond 30,000 ranges.
Contact
Email: rsbywb@yahoo.com
To honor the role of women, RSBY cards are printed in the name
of the eldest woman in the family as Head. This is done for first
time in India by any state. 60.58 lakh household covering more
than 2.5 crore population is covered under RSBY