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Table 5 Descriptive findings on OOPE and CHE25 under different PFHI schemes

From: Performance of India’s national publicly funded health insurance scheme, Pradhan Mantri Jan Arogaya Yojana (PMJAY), in improving access and financial protection for hospital care: findings from household surveys in Chhattisgarh state

a. Mean OOPE for Hospitalisation Episodes (in INR) with 95% CI in ()

PFHI scheme

Type of hospital

Year 2004

Year 2014

Year 2019

 

n

556

817

924

All

Public

8603 (6818–10,388)

3491 (2844–4137)

3101 (2281–3922)

Private

15,280 (12195–18,365)

22,929 (18481–27,377)

26,108 (18622–33,595)

RSBY

Public

 

2633 (1669–3598)

 

Private

 

26,326 (17734–34,918)

 

PMJAY

Public

  

3078 (1928–4228)

Private

  

19,375 (11305–27,447)

MSBY

Public

  

3506 (920–6092)

Private

  

41,154 (20689–61,619)

Not enrolled

Public

2912 (2213–3749)

1800 (1537–2000)

2974 (1675–4272)

Private

7922 (6647–9407)

13,650 (10500–16,778)

20,261 (11689–28,843)

b. Median OOPE for Hospitalisation Episodes (in INR) with 95% CI in ()

PFHI scheme

Type of Hospital

Year 2004

Year 2014

Year 2019

 

n

556

817

924

All

Public

2912 (2213–3749)

1100 (903–1350)

378 (378–606)

Private

7922 (6647–9407)

12,450 (10500–15,222)

7575 (7299–10,253)

RSBY

Public

 

570 (400–800)

 

Private

 

10,650 (9510–15,093)

 

PMJAY

Public

  

530 (379–758)

Private

  

7299 (3788–9032)

MSBY

Public

  

303 (151–496)

Private

  

13,447 (7299–18,138)

Not enrolled

Public

2912 (2213–3749)

1800 (1537–2000)

417 (298–703)

Private

7922 (6647–9407)

13,650 (10500–16,778)

8759 (7575–11,990)

c. Proportion of incurred CHE25 for Hospitalisation Episode (%) with 95% CI in ()

PFHI scheme

Type of Hospital

Year 2004

Year 2014

Year 2019

 

n

556

817

924

All

Public

14.9 (10.6–19.3)

4.4 (2.5–6.3)

7.2 (5.0–9.4)

Private

27.6 (22.6–32.9)

32.1 (27.6–36.6)

39.4 (34.4–44.5)

RSBY

Public

 

4.8 (2.0–7.7)

 

Private

 

34.4 (26.9–41.8)

 

PMJAY

Public

  

7.6 (4.5–11.0)

Private

  

43.6 (36.3–51.4)

MSBY

Public

  

3.8 (0.5–8.1)

Private

  

32.4 (23.4–41.4)

Not enrolled

Public

14.9 (10.6–19.3)

4.0 (1.4–6.6)

7.9 (4.2–11.7)

Private

27.6 (22.6–32.9)

30.7 (25.0–36.4)

39.5 (28.6–50.4)