Pvt hosps to stop cashless RGHS services from July 15 over unpaid dues, ET HealthWorld
Jaipur: Private hospitals across Rajasthan have announced to suspend cashless treatment under the Rajasthan Government Health Scheme (RGHS) from July 15, alleging non-payment of dues amounting to Rs 980 crore pending for over seven months. The move comes after repeated appeals to the state govt failed to yield any resolution.
Dr Vijay Kapoor, president of Private Hospitals Association, said, “No payments have been released since last 5-6 months. Many hospitals have been de-empanelled, and defaulter hospitals penalised heavily based on AI-generated data, yet legitimate dues remain unpaid. Bills of 701 private hospitals worth Rs 980 crore are pending for over seven months.
Now, the private hospitals have decided to stop the cashless treatment from July 15. The situation has become unsustainable.”
The association has proposed that RGHS be shifted from the current cashless model to a reimbursement-based system, especially for OPD services and medicines.
Under this model, patients would initially bear treatment costs and later claim reimbursement by submitting valid documentation. The hospitals stressed that this system should be open to all registered doctors under the Rajasthan Medical Council (RMC) or equivalent bodies.
To prevent hardship for patients, the association has urged the govt to ensure timely, transparent reimbursement within a fixed timeframe.
They also demanded that cashless treatment be retained only for select tertiary care procedures with high costs to prevent misuse and focus resources effectively.
Further, the association recommended automatic empanelment of all hospitals registered under the Clinical Establishments Act (CEA) for IPD services under RGHS, eliminating non-transparent empanelment practices. They also called for allowing beneficiaries to buy medicines from any licensed pharmacy, promoting accessibility and curbing monopolies.
