Community Health Care Insurance Scheme is a Public Private Partnership (PPP) model to be funded by Government to provide quality health care by health insurance scheme for below the poverty line citizens. The Scheme utilizes government finances 100% of the premiums for the citizens who fall below the poverty level. The stake holders for such schemes are Government, Corporate Hospitals, Insurance companies and the beneficiaries, the B40 Group. 

The Scheme beneficiaries have access to facilities they would not otherwise be able to utilize due to the financial barriers to access. For example, In India, one state is implementing such scheme and Apollo Hospital is a member of the Community Health Care Insurance Scheme network and provides care to hundreds of Scheme members. In fact, one third of the hospital’s volumes are comprised of below poverty line Scheme members. 

So, even though network eligibility requirements are somewhat stringent, the benefits of being a network provider are many. Additional patient volumes (and thus revenues) alone are an attractive enough proposition for both public and private hospitals to improve their operating procedures to align with the eligibility requirements for Scheme.