The record
Written from the 1 report below. Nothing here is unsourced.
- The National Health Authority removed 2,003 hospitals from its network and suspended 839 others during 2025-26 over fraud and misuse under the Ayushman Bharat PM-JAY health insurance scheme.
- Its anti-fraud unit imposed penalties of ₹114.06 crore and says it safeguarded ₹678.47 crore by flagging suspected fraudulent claims.
- The actions followed medical audits, data analytics and coordination with states, and new dashboards have been launched to spot high-risk hospitals and unusual package utilisation.
What to watch next
- Whether the NHA details the specific types of fraudulent claims and number of cases behind the ₹678.47 crore figure
- Further de-empanelments or penalties as the Hospital Vulnerability Index Dashboard flags high-risk hospitals
- States' follow-up enforcement actions from the review meetings and audit initiatives
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