Digital Health Incentive Scheme: Meaning, Benefits and more

Posted on: Mar 27, 2024 | 3 mins | Written by: HDFC ERGO Team

Digital Health Incentive Scheme: Meaning, Benefits and more

What is Digital Health Incentive Scheme?

The National Health Authority (NHA) brought DHIS into effect in India on 1st January 2023. This scheme brings about a robust digital health ecosystem in India with the implementation of Ayushman Bharat Digital Mission (ABDM). better Senior citizen health insurance can be availed through this.

The Tier 1 and 2 cities in India have been the main beneficiaries of digital healthcare services. Hence, the Indian Government is encouraging medical institutions and the public to increase the usage of the digital healthcare system and transactions nationwide through DHIS.

What is DHIS?

Digital Health Incentive Scheme is a national scheme by the National Health Authority. It is a tool that promotes the nationwide implementation of Ayushman Bharat Digital Mission.

Digital Health Incentive Scheme: Benefits for Indians

• Enhanced Quality of Care:

This scheme ensures evidence-based quality care, with easy access to health records provided via digitisation.

• Improved Healthcare Delivery:

It facilitates seamless access to all patient records, thus reducing the difficulties associated with any procedures like patient registration, admission, and discharge.

• A Robust Digital Health Ecosystem:

It helps create a strong digital health ecosystem at various healthcare establishments and better health insurance.

• Earn Incentives for Digitisation:

Reimbursement for expenses incurred during the digitisation to all the medical facilities and digital solution companies.

Overview of Beneficiaries:

Many government and commercial institutions are beneficiaries of the Digital Health Incentive Scheme. As of now, 1205 health facilities have registered under this scheme, out of which 567 are public and 638 are private facilities. Further, 25 digital solution companies have registered.

Some healthcare institutions that benefitted from DHIS are:

• Public medical institutions like AIIMS Delhi, AIIMS Bhopal and Lucknow, KC General Hospital Bengaluru and private hospitals like KGMU Lucknow, KIMS Hubbali Bengaluru

• Diagnostic labs like Indira Path Labs Delhi and Leo Clinical Lab Kannur

• Digital solution companies such as NIC, CDAC, Driefcase, Ekacare, Bajaj Finserv and Paytm

How to Register?

Healthcare institutions and digital solution entities can register for the Digital Health Incentive Scheme using the following method.

For Health Institutions:

1: Register on Health Facility Registry (HFR)

2: Use ABDM-enabled software

3: Login into HFR Profile to Register for DHIS

For Digital Solution Entities:

1: Register on ABDM Sandbox

2: Integrate and go live with health facilities

3: Login into ABDM Sandbox Profile to Register for DHIS

Documents and information required at the time of registration for DHIS:

• PAN card and copy of PAN card

• Name of Account Holder

• Bank Account number

• Name and address of Bank Branch

• IFSC code of the branch

• Attach cancelled cheque

• Attach entity mandate form as per undertaking form

Who Are Eligible?

• All Health facility institutions like clinics, Nursing Homes & Hospitals

• Laboratories/Radiology diagnostics centres

• Digital Solution Companies providing ABDM-enabled digital solutions

Transactions That Qualify Under the DHIS:

"Transaction" means creating any ABHA-linked health record by a healthcare facility or a Health Locker, which includes tele consultations, lab reports, prescriptions, etc. The benefits for the Digital Health Incentive Scheme will be provided to the health facilities only for transactions above the base threshold.

Incentives Under DHIS: How to Claim Them?

Critical illness insurance can also be claimed under the DHIS. Kindly consult your health insurance provider for more details.

Healthcare Facility	Base Level Criteria	Incentives
Hospitals	100 Transactions per month	Rs. 20 per additional transaction above the base threshold
Diagnostic facilities /Labs	100 Transactions per month	Rs. 20 per additional transaction above the base threshold
Cost Incentives for Digital Solution (HMIS and LMIS) Companies	For every transaction by hospitals/labs using their software and receiving incentives 100 transactions per month per facility Minimum 10 associated facilities	Rs 5 per additional transaction above the base threshold
	For other transactions (including by health lockers, tele consultation platforms, small clinics, etc.), provided the transactions are more than 500 per month	Rs. 5 per Transaction
Insurance Provider	For every insurance claim transaction linked with the ABHA address, which is to be filled by the hospital through the Health Claim Exchange	₹500 per claim or 10% of the claim amount, whichever is lower

Incentives Under DHIS: When to Claim Them?

To claim the incentives, the entities must log in to their HFR profile, which is the HFR ID used to register for the Digital Health Incentive Scheme.

Every calendar month consists of two cycles, and in the first payment cycle, the claims entered on or before the 5th day of the month would be processed. In the second payment cycle, DHIS will process the claims submitted after the 5th day but before the 20th day of the month.

Conclusion:

With the digitisation of healthcare in our nation, it is highly beneficial to have an ABHA card. The Ayushman Bharat Health Account card is the key to digital health services and can be used anywhere in India. Let us move ahead with a digital India.

FAQs:

• What is HFR (Health Facility Registry)?

Health Facility Registry (HFR) is a conglomerate repository of all the country's health facilities across different medical systems. Both private and public health facilities, including hospitals, clinics, diagnostic laboratories, imaging centres, pharmacies, etc, would come under this.

• What is considered as one transaction?

It is important to note that all the health records generated during the same hospital visit, for example, OP prescription, diagnostic reports, and even multiple consultations, etc., will collectively be considered as one transaction.

Disclaimer: The above information is for illustrative purposes only. For more details, please refer to the policy wordings and prospectus before concluding the sales.

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