Raipur. If you are also thinking of getting treatment with Ayushman card or suddenly you need treatment with Ayushman card, then it is possible that you may have to face many problems. Not only this, the doctors treating patients are also going to have many problems. This is because the Health Department has launched Hem 2.0 portal for the internal arrangement of hospitals for treatment with Ayushman card. But its situation is exactly like ‘wedding invitations have been distributed, but the bride is yet to be found’. This is because the Health Department launched the portal, but did not generate the ID of those officials of the Health Department who have to solve the problems of the hospitals. This is the reason why private hospital management is making rounds of the officia
What problems are patients facing in treatment through Ayushman?
If you are in APL category and you have Ayushman of 50 thousand rupees and if the patient gets a heart attack and needs angioplasty, then at present he is not able to get his treatment done through Ayushman. Because when he reaches the hospital, his card is not getting blocked in the hospital, because the package of angioplasty is more than 50 rupees. Earlier the system was that it was blocked and the patient used to pay the remaining amount in cash in the hospital, now he has to pay the full amount of angioplasty. However, for diseases in which the patient has time for operation, he can apply for Chief Minister’s special assistance, but treatment will be done only after its approval and the patient cannot get treatment in emergency.
Apart from this, earlier the patient had 72 hours to submit his Ayushman card in the hospital, which has now been reduced to 48 hours.
ls of the Health Department.
Once the patient is admitted to the hospital and the hospital needs extension approval, earlier this approval used to come in 6 hours, but now this approval is coming in 24 to 48 hours. Understand it like this that the patient was admitted to the ICU in a critical condition and after the initial examination the doctor felt that the patient needs 3 days of ICU care and he blocked the package accordingly. But after three days if there is a need to keep him admitted, then he will need extension approval and this permission used to come in 6 hours earlier, which is now coming in 24 to 48 hours.
Earlier, the patient could download the e-copy of the Ayushman card from his mobile, but now this card will be made only from the authorized center or hospital.
What problems are the hospitals facing?
Now hospitals will have to treat a patient only once in one registration. If the patient needs treatment in another department, then the hospital will have to first show his discharge and then re-register him. For example, if a patient is admitted to the hospital after a serious problem of malaria and during the treatment the patient stops passing urine and needs dialysis, then the doctors will have to discharge him first and then registration and approval will be required for dialysis again and if the doctor treats the patient without approval and later it is rejected then the hospital will suffer a loss and if the treatment is done without approval then the patient will have to pay the hospital despite having a card.
What are the issues in Hem 2.0 for doctors?
Now in this portal, a doctor can register for treatment under Ayushman in only one hospital. Although the doctors who have old registrations are not facing any problem right now, but the doctors who have to join new hospitals are facing these problems. Apart from this, hospitals are also facing problems in adding any new doctor to their hospital list. However, it is not clear whether this is happening according to the new rules or there is a problem in the portal. According to the old rules, a doctor could register his name for treatment under Ayushman in 3 hospitals, although there is no compulsion for this for super specialty, because their number is very less in the state.
At the same time, those hospitals are also facing problems which have NABH certificate and they have to upgrade it in the new portal, because for this they get additional amount as per the rules. Apart from this, now new hospitals will need as many anaesthetists as the number of OTs they have for registration in this portal. Although some doctors say that some restrictions of the government are good for the patients, but some hospitals say that what about those doctors who are honestly trying to reach more and more hospitals and provide treatment?
A source said that the situation in the state is such that a new scam has started in this game. In which MBBS doctors are now demanding 10 to 15 thousand rupees per month by giving their names and MD or MS doctors are demanding 50-60 thousand rupees per month.
