EHS likely to run into rough weather

EHS likely to run into rough weather
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Highlights

Implementation of Employees’ Health Scheme (EHS) may not be an easy task for the Telangana government as super-speciality hospitals in Hyderabad have expressed their helplessness to offer treatment at government prescribed rates, which they feel, were comparatively lower than Central Government Health Scheme (CGHS).

Super specialty hospitals in TS contend that even NIMS charges are higher than those fixed by govt

Hyderabad: Implementation of Employees’ Health Scheme (EHS) may not be an easy task for the Telangana government as super-speciality hospitals in Hyderabad have expressed their helplessness to offer treatment at government prescribed rates, which they feel, were comparatively lower than Central Government Health Scheme (CGHS).

Chief Minister K Chandrashekar Rao formulated EHS to provide cashless treatment to four lakh working staff and 2.43 lakh retired employees and their dependents. EHS also comes with additional benefits such as post-operative care and treatment of chronic diseases, which do not require hospitalisation and treatment in empanelled hospitals. However, Telangana Super-speciality Hospitals Association (TSHA) wants the government makes a few changes in the guidelines so that the services can become viable for them.

The TSHA invited representatives of various employees’ unions to apprise them of their predicament. A few demands put forward by it were fixation of packages according to CGHS and NIMS rates, categorisation of hospitals as per diseases, roping in third party insurance (TPA) and no-free OP service.

According to hospital managements, the infrastructure, facility, equipment, medical expenses, cost of operations and quality of accreditations vary depending upon hospital and location whether it is in Hyderabad, Warangal, Karimnagar, Suryapet or Kamareddy etc. However, the tariff prescribed for all hospitals is the same, which the tertiary care hospitals have opposed.

Even schemes like CGHS and ESI pay higher for national accredited hospitals in larger cities when compared to B towns. Drugs and consumables rates, room rents and investigation rates are also very low and unviable in the new scheme.

BY:Mahesh Avadhutha
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