Establishing national hospital costing systems: insights from the qualitative assessment of cost surveillance pilot in Indian hospitals.

ABSTRACT:

Objective

The Indian Government launched Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY), the world's largest health insurance scheme, in 2018. To reform pricing and gather evidence on healthcare costs, a hospital cost-surveillance pilot was initiated among PM-JAY empanelled hospitals. We analysed the process and challenges from both healthcare providers and payer agency's perspectives and offer recommendations for implementing similar systems in lower- and middle-income countries.

Design

We employed an open-ended, descriptive and qualitative study design using in-depth interviews (IDI) as the data collection strategy.

Settings

The interviews were conducted in both virtual and face-to-face modes depending on the convenience of the participants. The IDIs for

SUBMITTER: Chugh Y 

PROVIDER: S-EPMC11409349 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature