Mizoram is making strides in healthcare accessibility as its Universal Health Care Scheme surpasses 11.55 lakh beneficiaries. Officials from the health department shared these updates during a high-level review on Monday, chaired by Chief Minister Lalduhoma.
The operating committee meeting focused on the scheme’s achievements and roadmap ahead. Lalduhoma commended Health Minister Lalrinpuii and the MUHCS team, crediting their commitment for enhancing faith in state-run health infrastructure.
Enrollment includes nearly 2.88 lakh families from diverse groups: ordinary families, pensioners, state employees, and AB-PMJAY cardholders. This broad coverage ensures health protection for a substantial portion of Mizoram’s residents.
Claim statistics reveal robust utilization—29 percent of families have submitted claims in the current financial period, representing seven percent of all beneficiaries. Each approved claim averages Rs 15,106, demonstrating cost-effective support.
A striking 70 percent of claims originate from public hospitals, a testament to improved reliance on government care. Private facilities see larger payouts mainly for critical conditions, balancing the scheme’s reach across providers.
Discussions stressed fortifying public hospitals and channeling treatments to empanelled ones. Emergency protocols for unlisted hospitals will be refined to ensure seamless care.
On the funding front, Rs 154 crore has been disbursed this year, with Rs 48 crore more anticipated. Authorities have processed 83,682 claims totaling Rs 126 crore, with Rs 38 crore pending swift approval.
To support hospitals, payments are issued weekly rather than the stipulated 30 days, minimizing delays. Future plans include simplifying procedures, setting up medicine depots at low costs, and curbing dual memberships for optimal implementation.
Key attendees included advisor T.B.C. Lalvenchhunga, reinforcing the administration’s focus on sustainable health reforms.