National Health Claim Exchange (NHCX)

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Overview:

The National Health Authority (NHA) and the Insurance Regulatory and Development Authority of India (IRDAI) have joined hands to operationalize the National Health Claim Exchange (NHCX).

About National Health Claim Exchange (NHCX) 

  • It is a digital health claims platform developed by National Health Authority.
  • It will serve as a gateway for exchanging claims-related information among various stakeholders in the healthcare and health insurance ecosystem. 
  • It is designed to be interoperable and machine-readable, auditable and verifiable as well as help ensure the information exchanged is accurate and trustworthy, 

Key points about National Health Authority (NHA)

  • It is the apex body responsible for implementing Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY).
  • It has been entrusted with the role of designing strategy, building technological infrastructure and implementation of “National Digital Health Mission '' to create a National Digital Health Eco-system.
  • It is the successor of the National Health Agency, which was functioning as a registered society since 2018. Pursuant to Cabinet decision for full functional autonomy, National Health Agency was reconstituted as the National Health Authority in January 2019.
  • It is an attached office of the Ministry of Health and Family Welfare with full functional autonomy.
  • It is governed by a Governing Board chaired by the Union Minister for Health and Family Welfare.
  • It is headed by a Chief Executive Officer (CEO), an officer of the rank of Secretary to the Government of India, who manages its affairs.
  • The CEO is the Ex-Office Member Secretary of the Governing Board.
  • To implement the scheme at the State level, State Health Agencies (SHAs) in the form of a society/trust have been set up by respective States.

Q1) What is Ayushman Bharat Pradhan Mantri Jan Arogya Yojana?

It is a significant government-sponsored health insurance scheme in India. Launched in September 2018, it aims to provide healthcare coverage to economically vulnerable families and aims to cover over 100 million poor and vulnerable families, offering them financial protection against high medical costs.

Source: National Health Authority (NHA) organises Accelerator Workshops on ABDM Integration and NHCX Adoption in association with IRDAI