ECHS UPDATEMON 21 JAN 08

PRESENTATION

• AIM

• SCHEME

• STATUS

• EXPANSION

• NEWS LETTERS

• CONCLUSION

AIMTO APPRISE NAVY FOUNDATION ON ECHS

SCHEME • Govt sanctioned - 30 Dec 02• Launched - 01 Apr 03• ESM pensioners - 20 Lakhs• Scheme to be Established By - 31 Mar 08• Polyclinics - 227• Regional Centres - 13• Central Organisation - 01(Delhi)• Budget

– Capital - 122 Cr one time– Revenue - 355 Cr per annum

(Increased to 490 Cr Per Annum

w.e.f. FY 2007-08)

• Augment AFMS ; empanel Pvt Hosp

PRESENT STATUS

• Members - 5.5 Lakhs• Polyclinics functional - All 227

– Mil - 106 – Non Mil - 121

• Clinics constructed - 61• Construction in progress - 24• Mil Hosp providing Medicare- 129• Pvt Hosp empanelled - 1002• Polyclinics Medicare - 89%• Mil Hosp Medicare - 5%• Pvt Hosp Medicare - 6%• Capital Expenditure - 55 Cr• Revenue Exp Till Date - 1003 Cr

CURRENT ISSUES

• MEMBERSHIP FOR NON MEMBERS

• EMPANEL MORE PRIVATE HOSPITALS

• EXPANSION NETWORK PROPOSAL WITH MOD

• AUGMENT MIL HOSPS FOR SUPERSPECIALITY

MEDICARE FOR ESM PENSIONERS

• STATUS OF MEDICARE BEFORE ECHS(01 APR 03)

– ENTITLED MEDICARE IN MILITARY HOSPITALS NO FURTHER REFERRALS – NO MEDICARE FOR SERIOUS DISEASES – NO GOVT FUNDS AVAILABLE FOR MEDICARE– RESTRICTED REIMBURSEMENT FROM KSB/INBA

• STATUS OF MEDICARE FOR NON ECHS MENBERS AFTER 31 MAR 08

– ENTITLED MEDICARE IN MIL HOSPITALS SUBJECT TO AVAILABILITY OF FACILITIES

– NO REFERRAL – NO MEDICARE IN POLYCLINICS/ PVT EMP HOSP– NO REIMBURSEENT

EXPANSION NETWORK

• NEW ECHS POLYCLINICS - 197• UPGRADE - 13• CONVERSION - 10• REGIONAL CENTRES - 14• BUDGET

– Capital (One Time) - 130 Cr– Revenue (Per Annum) - 45 Cr

* COSC Recommended & Case is with MOD for Approval

ECHS SUMMARYACHIEVEMENTS (APR 03 – JAN 08)

• Membership – 5.5 Lacs out of 20 Lacs (25% Appx)

• Budget : Capital – 55 Cr and Revenue 1003 Cr

• Medicare at 227 Polyclinics /1002 Pvt Emp Hosps/ 129 Mil Hosps

CHALLENGES• Membership to 100% ESM Pensioners

• Empanel more Private Hospitals

• Implementation of Expansion Network (Addl 197 Polyclinics)

ECHS NEWS LETTERS/ BULLETINS

• NEWS BULLETIN 10 DEC 2007(NAVY)

• NEWS LETTER 28 AUG 2007(ARMY)

• NEWS BULLETIN 2007(NAVY)

• NEWS LETER JAN 2007(ARMY)

• NEW BULLETIN 2006(NAVY)

• NEWS LETTER 17 JUN 2005(ARMY)

• EXPANSION NETWORK DATA

CONCLUSION

COMPREHENSIVE MEDICARE

TO ECHS MEMBERS

AT POLYCLINICS /MIL / PVT HOSPS