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).
GS II: Health
Dimensions of the Article:
- National Health Claim Exchange (NHCX)
- National Health Authority (NHA)
National Health Claim Exchange (NHCX):
Development and Purpose:
- Digital health claims platform developed by the National Health Authority.
- Serves as a gateway for exchanging claims-related information among stakeholders in the healthcare and health insurance ecosystem.
- Designed to be interoperable, ensuring compatibility with various systems.
- Machine-readable for efficient data processing.
- Auditable and verifiable to maintain accuracy and trustworthiness of exchanged information.
National Health Authority (NHA):
- Apex body implementing Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY).
- Tasked with designing strategy, building technological infrastructure, and implementing the “National Digital Health Mission” to create a National Digital Health Eco-system.
- Evolution and Autonomy:
- Successor of the National Health Agency, reconstituted as the National Health Authority in January 2019.
- Originally functioned as a registered society and transitioned to full functional autonomy.
- Structure and Governance:
- Attached office of the Ministry of Health and Family Welfare.
- Governed by a Governing Board chaired by the Union Minister for Health and Family Welfare.
- Headed by a Chief Executive Officer (CEO), holding the rank of Secretary to the Government of India.
- CEO serves as the Ex-Officio Member Secretary of the Governing Board.
- State-Level Implementation:
- Implementation at the State level involves the establishment of State Health Agencies (SHAs) as societies/trusts.
- SHAs are set up by respective States to execute the scheme locally.