Rashtriya Swasthya Bima Yojana (RSBY) and outpatient coverage

Ravneet Malhi; Divyangi Goel; Ramandeep S Gambhir; Prabhleen Brar; Dikshit Behal; Arvind Bhardwaj

doi:10.4103/jfmpc.jfmpc_959_19

Rashtriya Swasthya Bima Yojana (RSBY) and outpatient coverage

J Family Med Prim Care. 2020 Feb 28;9(2):459-464. doi: 10.4103/jfmpc.jfmpc_959_19. eCollection 2020 Feb.

Authors

Ravneet Malhi¹, Divyangi Goel¹, Ramandeep S Gambhir², Prabhleen Brar³, Dikshit Behal⁴, Arvind Bhardwaj⁵

Affiliations

¹ Department of Public Health Dentistry, DJ College of Dental Sciences and Research, Modinagar, Uttar Pradesh, India.
² Department of Public Health Dentistry, BRS Dental College and Hospital, Panchkula, Haryana, India.
³ Department of Conservative Dentistry and Endodontics, Dr. Harvansh Singh Judge Institute of Dental Sciences and Hospital, Punjab University, Chandigarh, Punjab, India.
⁴ Department of Oral and Maxillofacial Surgery, Luxmi Bai Dental College and Hospital, Patiala, Punjab, India.
⁵ Department of Periodontics, Rayat and Bahra Dental College and Hospital, Mohali, Punjab, India.

Abstract

The healthcare industry worldwide is undergoing a radical transformation. An enthusiastic healthcare system of the Government of India (GOI) continually tries to tackle numerous challenges facing the system. The Rashtriya Swasthya Bima Yojana (RSBY) program has provided secondary level healthcare facilities to more than 36 million families across most states in India. This particular health insurance initiative was taken by the GOI with the purpose to safeguard the pitiable or marginalized Indian population or those households who are facing economic risks due to hospitalization and their everyday expenditures. RSBY provides affordable and accessible healthcare services along with insurance coverage for secondary care. However, it is limited to inpatient treatment or hospitalization. For outpatient coverage many strategies have been applied but low enrolment is still an existing flaw under this streamer. The present paper discusses various features of RSBY, outpatient projects undertook, and various obstacles that can be removed to integrate this insurance scheme with primary healthcare in India.

Keywords: Ayushman Bharat (B); India; Rashtriya Swasthya Bima Yojana; health insurance; outpatient coverage.