Government Health Schemes
Government health schemes play a crucial role in expanding access to healthcare services while ensuring financial protection for beneficiaries. Empanelment under these schemes enables hospitals to provide cashless treatment, improve patient inflow and strengthen institutional credibility.
Manavi provides structured consultancy and liaisoning support for empanelment and compliance under various Central and State Government Health Schemes.
PMJAY / MJPJAY
Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)
National Health Authority
AB-PMJAY aims to provide financial protection for secondary and tertiary care hospitalization to eligible beneficiaries.
Quality Certification Levels:
- Bronze
- Silver
- Gold
Hospitals with prior accreditation (such as NABH Entry Level or Full Accreditation) may qualify for higher certification levels.
Support Includes:
- Registration & Documentation Support
- Quality Certification Preparation
- Compliance Alignment
- Assessment Coordination
- Corrective Action Guidance
- Renewal & Monitoring Support
Benefits:
- Higher reimbursement rates
- Nationwide recognition
- Increased patient volume
- Digital transparent certification process
RSBY (Rashtriya Swasthya Bima Yojana)
RSBY provides health insurance coverage to economically vulnerable families.
Support Includes:
- Empanelment Documentation
- Compliance Review
- Scheme Alignment
- Claim Processing Readiness
Benefits:
- Access to insured beneficiaries
- Increased service utilization
- Revenue expansion
ESIC (Employees’ State Insurance Corporation)
Employees’ State Insurance Corporation
ESIC provides medical benefits to employees under organized sectors.
Services Include:
- Empanelment Support
- Documentation Filing
- Compliance Monitoring
- Renewal Tracking
Benefits:
- Access to organized employee base
- Structured claim processing
- Institutional recognition
MPKAY / MJPJAY & Other State Health Schemes
State government schemes provide financial assistance for medical treatment to eligible beneficiaries.
Support Includes:
- Registration & Empanelment
- Scheme Compliance Alignment
- Documentation & Application Filing
- Tariff Structuring
- Assessment Coordination
Benefits:
- Increased patient access
- Strengthened public healthcare integration
- Sustainable revenue channel
CGHS (Central Government Health Scheme)
Central Government Health Scheme
CGHS provides comprehensive medical care to central government employees and pensioners.
Services Include:
- Application Filing
- QCI/NABH Compliance Coordination
- Assessment Support
- Renewal Monitoring
ECHS (Ex-Servicemen Contributory Health Scheme)
Ex-Servicemen Contributory Health Scheme
ECHS provides healthcare services to Armed Forces Veterans and dependents.
Services Include:
- Empanelment Documentation
- Assessment Liaisoning
- Compliance Monitoring
- Renewal Support
Railways, Airports & PSU Health Panels
State government schemes provide financial assistance for medical treatment to eligible beneficiaries.
Hospitals may be empaneled under:
- Railway Health Services
- Airport Authority Medical Panels
- Public Sector Undertaking (PSU) Health Schemes
- State Government Funded Health Programs
Support Includes:
- Panel Registration
- Documentation & Agreement Alignment
- Compliance Review
- Tariff & Package Structuring
- Renewal Monitoring
Integration with Accreditation & Compliance
Government scheme empanelment is closely linked with:
- NABH Accreditation
- Regulatory Compliance
- Documentation Standardization
- Quality Indicator Monitoring
- Risk Management Systems
Strong quality governance increases approval success and long-term sustainability.
