NHA building Health exchange platform
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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.