Experiences and challenges in accessing hospitalization in a government-funded health insurance scheme: Evidence from early implementation of Pradhan Mantri Jan Aarogya Yojana (PM-JAY) in India

Government-sponsored health insurance schemes can play an important role in improving the reach of healthcare services. Launched in 2018 in India, Pradhan Mantri Jan Aarogya Yojana (PM-JAY) is one of the world’s largest government-sponsored health insurance schemes. The objective of this study is to understand beneficiaries’ experience of availing healthcare services at the empaneled hospitals in PM-JAY. This study examines the responsiveness of PM-JAY by measuring the prompt attention in service delivery, and access to information by the beneficiaries; financial burden experienced by the beneficiaries; and beneficiary’s satisfaction with the experience of hospitalization under PMJAY and its determinants.

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Trivedi, M., A. Saxena, Z. C. Shroff, M. Sharma (2022) Experiences and challenges in accessing hospitalization in a government-funded health insurance scheme: Evidence from early implementation of Pradhan Mantri Jan Aarogya Yojana (PM-JAY) in India. PLOS ONE 17(5): e0266798. https://doi.org/10.1371/journal.pone.0266798