Ayushman Bharat – PM-JAY: Latest Report Highlights (2025)

Why in News?

The latest National Health Authority report (2025) shows PM-JAY largely utilized in private hospitals, haemodialysis is the most common treatment, and digital health records (ABHA) now cover 50 crore citizens.

Description:

Source: Annual Report, National Health Authority (Oct 2025)

Scheme Launch: 2018 | Implementing Body: National Health Authority (NHA)

Objective: Universal Health Coverage through cashless secondary & tertiary care up to ₹5 lakh/family/year.

Key Findings (2025 Report):

1. Private vs Government Hospitals:
   1. A total of 31,005 hospitals were empanelled.
   1. Private hospitals: 45% of total.
   1. Yet, they handled 52% of hospitalisations and 66% of total treatment cost (₹1.29 lakh crore).
   1. Shows higher reliance on the private sector under PM-JAY.
2. Treatment Data:
   1. Total treatments since 2018: ~9.19 crore hospitalisations.
   1. Total cost incurred: ₹1.29 lakh crore.
   1. Most sought treatment: Haemodialysis (14% of all treatments).
   1. Other common treatments: Fever (4%), Gastroenteritis/stomach infection (3%), Animal bites (3%)
   1. Top specialities (2024–25): General Medicine, Ophthalmology, General Surgery.
3. Portability (Treatment Across States):
   1. Patients can seek treatment anywhere in India (key PM-JAY feature).
   1. Top “in-migration” destinations: Chandigarh (19%), Uttar Pradesh (13%), Gujarat (11%), Uttarakhand (8%), Punjab (8%)
   1. Top “out-migration” states: Uttar Pradesh (24%), Madhya Pradesh (17%), Bihar (16%), Punjab, Himachal Pradesh (7% each)
4. Digital Health Ecosystem Progress:
   1. ABHA (Ayushman Bharat Health Account) – 14-digit health ID for digital records.
   1. 50 crore health records linked under the scheme since 2021.
   1. 6 in 10 citizens have ABHA numbers.
   1. Registered Facilities: 3.8 lakh (~38% of total).
   1. Registered Health Personnel: 5.8 lakh (~26% of total).
   1. Aim: Create integrated Digital Health Infrastructure for seamless record-sharing.
5. Significance:
   1. Indicates success in reducing out-of-pocket expenditure (OOPE).
   1. Demonstrates portability and private sector dependency for healthcare delivery.
   1. Strengthens India’s digital health ecosystem.

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