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The Long Road to Social SecurityAssessing the Implementation of National Social Security Initiatives for the Working Poor in India$
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The Long Road to Social Security: Assessing the Implementation of National Social Security Initiatives for the Working Poor in India

K.P. Kannan and Jan Breman

Print publication date: 2013

Print ISBN-13: 9780198090311

Published to Oxford Scholarship Online: May 2013

DOI: 10.1093/acprof:oso/9780198090311.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2022. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use.date: 27 May 2022

The Business of Health Care and the Challenge of Health Security

The Business of Health Care and the Challenge of Health Security

The Case of Rajiv Aarogyasri Community Health Insurance Scheme in Andhra Pradesh

Chapter:
(p.164) 4 The Business of Health Care and the Challenge of Health Security
Source:
The Long Road to Social Security
Author(s):

K.P. Kannan

Jan Breman

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198090311.003.0005

Until the mid-1980s, India’s public health care institutions offered free health care to everyone, while the private sector catered to those who can afford. Over the years, however, public health facilities have deteriorated, and the country failed to achieve equity in access to and provision of health care. In 2007, a social health insurance scheme known as the Rajiv Aarogyasri Community Health Insurance Scheme (RAS) was introduced in Andhra Pradesh in 2007 to provide health care for poor households. This chapter evaluates the functioning of the RAS, focusing on the extent to which it has been successful in addressing the health-related insecurities in Andhra Pradesh. It also examines the impact of RAS on the development of various levels of the state’s health care system, considers different types of hospitals, and explores how the RAS can be made sustainable.

Keywords:   health care, health insurance, Rajiv Aarogyasri Community Health Insurance Scheme, Andhra Pradesh, hospitals, poor households

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