Draft National Health Research Policy 2026

  • align country’s research more closely with its disease burden & public health priority

Ayushman Bharat Health Account

PIB: link

  • unique 14digit number to link all health records of a person (registration free of cost)
  • create digital health ecosystem, digitization of healthcare
  • features
    • Electronic health records: storage and recrieval of patient info, medical history
    • portable across healthcare providers
    • transparent & accountable
  • ABHA Address: easy to remember username for people to access their health records and share it with healthcare providers
    • eg. name@abdm is an ABHA address
  • benefits:
    • unique, trustable identity
    • unified benefits, eliminate need of hardcopies of reports, seamless access
    • consent based sharing of medical history
    • hassle free appointments, eg. scan code to book
    • data driven diagnosis
  • integrates CGHS beneficiaries
  • pointers:
    • ABHA number generation does NOT mean enrolment in Ayushman Bharat (similar name but they’re different)
    • it is only an account to unify scattered health records, but ABHA number itself doesn’t make you eligible for any benefits

Private healthcare boom & cost crisis

  • Parliamentary Standing Committee on Health & Family Welfare - 176th Report on Affirdability & Accessibilyt of Healthcare Facilities in Pubilc & Private Sector
  • average cost of hospitaliation in pvt facility is Rs.50,500, 8x more than public hospital (Rs.6631)
  • Why? Expansion, corporatiation, Private Equity funded Multi speciality hospitals
  • Disporportionate childbirth costs: OOPE for institutional delivery in pvt hospital: Rs.37k
  • 45% of total health expenditure remains out of pocket, & medical inflation b/w 10-13% annually
  • 60% hospitalization & 70% OPD consultation in india is w/ Private hospitals

Report suggestions

  • capping basic room rents
  • mandatory upfront cost disclosure
  • reviewing FDI in brownfield hospital acquisition: scrutinize FDI that merely buys out existing domestic hospitals
  • mandate standardized treatment packages for predictable costs

Challenges with regulating pvt healthcare

  • risk of cost shifting, bill inlation
  • deterring healthcare investments in tier 2/3 regions
  • complexity & heterogenous nature of hospital capacity
  • weak implementation of Clinical establishments act
  • inadequate public healthcare infra

Way forward

  • transition to diagnostic related groups for charging - fixed reimbursible rates per treatment episode
  • strengthen enforcement of Clinical Establishmint act
    • transparent price display
    • periodic clinical quality audits
  • incentivize greenfield hospital investment
  • deploying National Health Claims Exchange to reduce inflated OOPE
  • expand public healthcare spending towards 2.5% of GDP