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A report released by the Confederation of Indian Industries (CII) on Monday recommended that a model which allows public sector to deliver services like antenatal care and immunization and private insurance to cater to emergency and curative services will be effective in implementation of universal health coverage.
The report, released at the Seventh Health Insurance Summit, said that in this model every family in India will be registered in single insurance scheme for all three levels of medical care—primary, secondary and tertiary. The services will be divided between the government and private players.
Public health experts have, however, criticized the model as they believe that with its implementation India's health care would depend largely on the private sector. The draft 12th year plan, had proposed the same model and had drawn a lot of flak from public health experts. Despite this, the final 12th Plan report maintained the same provision. The CII report is a step forward in that direction as it pushes for implementation of the provision.
‘Need to standardize treatments’
According to the proposed scheme, a family shall be the unit of cover and those who are not covered within the definition of a family can be included in the scheme by paying an extra premium. The report says that in due course of time, this will help establish a proper referral system and the doctors will be able to diagnose a disease and identify the type of care a patient needs. This will take away pressure from tertiary healthcare units, which at present cater to primary needs as well.
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