NHA building Health exchange platform

NHA building Health exchange platform

Subject: Economy

Context:

The National Health Authority (NHA) is setting up a health exchange platform that will digitize and simplify the process of filing health insurance claims.

The Health Exchange Platform

• It  is a digital public good that aims to digitize the health insurance industry. 
• It is a simplified workflow with standardized communication protocol between payer and provider to enable digitization of claims processing for health insurance, in accordance with IRDAI guidelines.
• This will make PM-JAY the first insurance scheme in the world to implement this digital solution.
• NHA has published the sandbox for this gateway to encourage the players in the market to develop digital solutions for health claims exchange.

Ayushman Bharat Digital Mission

• It was launched in September 2021 by the Prime Minister through a video conference
• It aims to provide digital health IDs for all Indian citizens to help hospitals, insurance firms, and citizens access health records electronically when required.
• The National Health Authority (NHA) under the Ministry of Health and Family Welfare will be the implementing Agency.
• The Ayushman Bharat Health Account (ABHA), which was earlier known as Ayushman Bharat Health ID aimed at providing a digital health ID to the population.
• ABHA is a unique health ID that uses a 14-digit identification number and can be generated using an Aadhaar card or your mobile number.

What are the Features of the Mission?

• Health ID will be issued for every citizen that will also work as their health account.
• This health account will contain details of every test, every disease, the doctors visited, the medicines taken and the diagnosis.
• Health ID is free of cost, voluntary.
• The other major component of the programme is creating a Healthcare Professionals’ Registry (HPR) and Healthcare Facilities Registry (HFR), allowing easy electronic access to medical professionals and health infrastructure.