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May 14, 2017 - admin

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NABH accreditation now mandatory for chief minister’s insurance scheme empanelment

CHENNAI: After requesting and demanding hospitals to follow a protocol to maintain standards, the state has now made it mandatory for all medical institutions to get a certificate from the National Accreditation Board for Hospital and Healthcare providers if they want to continue their contract under the chief minister’s insurance scheme.

According to the new empanelment policy under the Chief Minister’ Comprehensive Health Insurance Scheme (CMCHIS), hospitals, both government and private, have to get basic level accreditation from NABH – a quasi-government body – within a year of them coming under the programme. Failing this, the state will terminate the contract.

Of the total 790 hospitals that were empanelled before the new policy came into force in January this year, 500 have renewed their contract. Of this only around 40 have NABH certificates.

T S Selvavinayagam, director of community medicine at Madras Medical College who is currently in charge of CMCHIS said the state had so far been insisting on the certificate only orally. “Our previous policy had mentioned high standards in hospitals as criteria for empanelment but didn’t specify NABH. It was done more on voluntary basis,” said Dr Selvavinayagam. In 2014, the government had set up a help centre to exclusively guide hospitals in obtaining NABH certificates. It also negotiated with the body to reduce the accreditation fee. The government even offered to increase reimbursement rates for accredited hospitals in an effort to lure them. Many private hospitals in the state get nearly 60% of their total revenue from the insurance scheme.

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