The Madras High Court issued a number of directives for effective implementation of the health insurance scheme by hospitals.
the bench of Judge R. Mahadevan When J.Sathya Narayana Prasad Judge Directed state delegation commissions to conduct periodic review meetings to review complaints and misconduct related to the implementation of schemes and deaths of patients covered by such schemes.
Bench also directed spot checks of specialty hospitals. The bench further instructed to provide a toll-free number for the public to inquire and register complaints related to the hospital and the plan.
The court also ordered all district government hospitals to appoint node officers to provide prompt assistance to the public seeking to take advantage of the scheme.
The court has directed government-approved insurance companies to process and authorize reasonable claims without delay.
Courts issue these directions when processing petitions by cardiothoracic surgeons. The petitioner said that while he was working at a hospital, a patient covered by the prime minister’s comprehensive health insurance scheme had an anesthesiologist prematurely stop an operation to accommodate another patient not covered by the scheme. He later claimed to have died.
According to the complainants, many people are aware of the various insurance schemes put in place to provide people with world-class health care, designed especially for the poor, through government and specialized private hospitals. Is not.
Advocate L.Infant Dinesh Central Government Permanent Lawyer Appeared for Petitioner VBSundareshwar and government petitioners P. Tilak Kumar displayed to the respondent.
The court “…Government health care plans are critical to ensuring that citizens have access to quality health care, but the implementation of these plans has been compromised by specialized private hospitals seeking to exploit the system for personal gain. are under threat because of .”
“Failures in the implementation and oversight of the system are degrading the quality of health care available to citizens who are already struggling to meet their objectives. Implementing insurance schemes.”, The Supreme Court further observed.
CAUSE TITLE – Dr. Karthick v. Indian Union & Ors.
