Strict Action against Hospitals filing fraudulent claims under Ayushman Scheme

Inspection of 28 Hospitals in Raipur, Durg, and Bilaspur: Registration of 15 Hospitals cancelled

Raipur, 10 February 2025: The Chhattisgarh Health and Family Welfare Department has taken stringent action against fraudulent claims under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana and the Shaheed Veer Narayan Singh Ayushman Swasthya Yojana. As part of this initiative, an inspection was conducted in 28 hospitals across Raipur, Durg, and Bilaspur. Following a detailed inquiry, the registration of 15 hospitals has been canceled for one year, while 4 hospitals have been suspended for six months, 4 for three months, and 5 hospitals have been issued warning letters.

The National Anti-Fraud Unit (NAFU) of the National Health Authority (NHA) periodically identifies fraudulent claims and issues triggers for investigation. In response to such alerts, the Chhattisgarh government ordered a comprehensive probe, following which the State Nodal Agency identified suspicious hospitals and convened a special meeting of state and district-level officials. A large-scale inspection drive was conducted across Raipur, Durg, and Bilaspur, where teams comprising doctors and administrative officers inspected two hospitals daily for in-depth physical verification.

During the inspection, multiple irregularities were detected, prompting the issuance of show-cause notices to all 28 hospitals. The hospitals were given sufficient time to submit their explanations. However, since their responses were deemed unsatisfactory, strict action has been taken in accordance with the regulations.

Chhattisgarh Government committed to safeguarding Public Health: CM

Chief Minister Shri Vishnu Deo Sai has emphasized the importance of this action, stating that the Chhattisgarh government is fully committed to safeguarding public health.

“The primary goal of the Ayushman Scheme and Shaheed Veer Narayan Singh Ayushman Swasthya Yojana is to provide accessible and free medical services to every citizen of the state. Any hospital found indulging in fraudulent activities will face strict action. We will not tolerate such irregularities,” the Chief Minister warned.

Health Minister Shri Shyam Bihari Jaiswal reaffirmed the state government’s commitment to transparency in healthcare schemes.

“Hospitals that violate rules will face severe consequences. The Chhattisgarh government is ensuring that the benefits of the Ayushman Scheme reach only eligible beneficiaries. To maintain integrity and prevent fraudulent claims, we will continue conducting such inspections rigorously,” he stated.

The Chhattisgarh government has reinforced its commitment to strict surveillance of hospitals participating in the Ayushman Scheme. Authorities have assured that similar inspections will continue in other districts, and any institution found violating regulations will face immediate action.