Non-Revision of CGHS rates: Minutes of the 33rd SCOVA meeting

Non-Revision of CGHS rates has resulted in many empanelled Private Hospitals seeking de-empanelment: Minutes of the 33rd SCOVA meeting

[DoP&PW OM No. 42/11/2023-P&PW(D) dated 03.04.2024]

Sub:- Minutes of the 33rd SCOVA meeting held under the Chairmanship of Hon’ ble MOS(PP) on 22.02.2024, at Vigyan Bhawan, New Delhi-reg

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(33.6) Non-Revision of CGHS rates

The CGHS rates were last revised in 2014. Non-revision of rates has resulted in many empanelled Private Hospitals seeking de-empanelment. Further delay in revision of CGHS rates, may compel private empanelled hospitals to get thei remove names from the list of empanelled hospitals, which would cause hardships to CGHS beneficiaries.

Therefore, there is an urgent need to revise the rate of all procedures/ tests /investigations etc., which are commensurate with the increase in the market prices of medicines, medical equipment and treatment procedures over the past several years. Revision of rates will also encourage new private hospitals to seek empanelment.

Discussion/Decision taken in the meeting

Representatives of Ministry of Health and Government informed that it has already initiated revision of CGHS package rates. In this direction, following actions have been taken:-

(i) In 2023, CGHS rates for consultation, room rent and ICU charges have been revised.

(ii) Further, recently, CGHS rates for 36 radiological investigations, package rates for 38 Cardiology procedures and inclusion of 2 new Procedures have been done.

It was also informed by MoHFW that revision of CGHS package rates in other specialties is under process. Further empanelment process is open and new hospitals are applying for empanelment under CGHS. Nearly, 150 new Health Care Hospitals had been empanelled in the last 6 months.

Secretary (DOPPW) asked Ministry of Health & Family Welfare to issue one consolidated circular in respect of procedures/tests/investigations which have been revised.

In view of the above, the item was closed.

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Source: Minutes of the 33rd SCOVA meeting held under the Chairmanship of Hon’ ble MOS(PP) on 22.02.2024, at Vigyan Bhawan, New Delhi