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Digital Health Incentive Scheme (DHIS): Definition, Benefits, Eligibility, And More

TeamAckoJan 23, 2024

The Digital Health Incentive Scheme (DHIS), which became live on January 1, 2023, aims to boost adoption of digital healthcare services and encourage public adoption of the Ayushman Bharat Digital Mission (ABDM)

Aiming to provide digital health services to all people of the nation, ABDM also plans to use the Digital Health Incentive Scheme to encourage and support the adoption of these services by healthcare facilities such as clinics, diagnostic centers, hospitals, and labs. 

Healthcare facilities’ “digital transactions” will be the foundation for calculating the incentive under ABDM. In this article, learn about the DHIS in detail, from its meaning to its benefits and more. So, let’s start.

Digital Health Incentive Scheme (DHIS)

Contents

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Digital Health Incentive Scheme: What Is It?

DHIS aims to facilitate the Ayushman Bharat Digital Mission’s broad implementation and adoption, enabling a significant portion of India’s population to obtain digital health services and high-quality healthcare.

Tier 1 and Tier 2 Indian cities are the main locations that adopt digital health services, even though their growth has been unparalleled nationwide. The government hopes that DHIS will encourage medical practitioners to support this initiative and increase the number of digital health transactions nationwide. 

Digital Health Incentive Scheme: Benefits For Indians

  • Receive Rewards for Digitization: Pay back all participating healthcare facilities’ and Digital Solution Companies’ digitization-related costs.

  • Efficiency in the Provision of Healthcare: It ensures seamless access to the longitudinal medical records of patients and reduces the burden associated with the healthcare procedure (such as IPD admission, discharge, consultation, appointment, and registration).

  • Establishing a Sturdy Digital Health Environment: It helps create a strong digital health ecosystem at various healthcare facility levels.

  • Higher Standard of Care: It provides care that is accessible, evidence-based, and of high quality. Patients’ convenience of access to electronic health records and better medical care.

Digital Health Incentive Scheme: Overview of Beneficiaries and Registration

Beneficiaries:

Several government and commercial institutions, including KGMU, Lucknow, KIMS Hubli, Bengaluru, AIIMS Raipur, Bhopal, and Lok Bandhu Raj Narayan Combined Hospital, Lucknow, are among the recipients of the incentives.

Registration:

  • Currently, 1,205 healthcare facilities—including 638 commercial and 567 governmental hospitals, clinics, and diagnostic labs—have registered for this program. Moreover, 22 of the 25 registered digital solution companies are private enterprises.

  • Until June 2023, the DHIS scheme gave incentives of ₹4.84 crore to seven health IT startups and over 120 healthcare facilities.

Availability of The DHIS Incentive Scheme: Who Are Eligible?

The program is available to healthcare facilities that list 10 or more beds in the Health Facility Registry (HFR). An incentive would be available for any ABHA-linked health record created in the medical facility (OPD/IPD services). 

Hospitals must perform 50 transactions per bed per month minimum to be eligible for the incentive. Transactions in the laboratory or diagnostics must total more than INR 500 per month to be eligible for this incentive scheme. 

Note: Click on this link to verify your eligibility: https://abdm.gov.in/DHIS.

Transactions That Qualify Under The Digital Health Incentive Scheme

“Transaction” refers to establishing any teleconsultation, lab report, prescription, or other health record linked to an ABHA/ABHA address by a medical facility or a health locker. 

Be aware that if you produce any medical records created during a specific care setting, the authorities will consolidate them into a single transaction in relation to an ABHA address. These medical records may include prescriptions for over-the-counter medications, diagnostic results, or even several consultations during a single hospital visit.

Incentives Under Digital Health Incentive Scheme: How To Claim Them?

Type of Entity

Base Level Criteria

Incentives

Hospitals/Clinics/Nursing homes

100 transactions per month

₹20 per additional transaction above the base level.

Diagnostic Facilities/Labs

100 transactions per month

₹20 per additional transaction above the base level.

Digital Solution Companies

For hospitals/labs/clinics/nursing homes using their software

₹5 per transaction per month

For health locker/teleconsultation transactions

500 transactions per month, ₹5 per additional transaction above the base level.

Insurance Provider

For every insurance claim transaction linked with ABHA address filled by hospital through Health Claim Exchange

₹500 per claim or 10% of the claim amount, whichever is lower.

As of right now, ABDM has provided instructions on how to submit a claim for incentives through DHIS. Here are the steps to claim.

  1. Create a Health Facility Registry (HFR) account for your facility.

  2. Use software that supports ABDM, or download the ABHA mobile app.

  3. Use your HFR ID to register for DHIS. 

  4. To claim the incentive, log in to your HFR profile.

Note: Kindly visit https://abdm.gov.in/DHIS/incentive-calculator to understand the reward you can earn under the DHIS.

Documents & Info You Need For Registration:

The DHIS registration process requires the following data and/or documents: 

  • Bank account information: 

    • Account Holder’s Name

    • Bank Account Number

    • Bank Branch Name and Address

    • Branch IFSC Code

    • Attached Canceled Check

  • Attach the undertaking form and entity mandate form.

Incentives Under DHIS: When To Claim Them?

At the end of each calendar month, the authority computes the health facilities’ total incentive amount in their HFR accounts. However, they do so on the basis of digital transactions that ABDM has logged. If there are any computation mistakes, the health facility or DSC may contact [email protected]

Each calendar month will consist of two payment cycles. The first payment cycle of a given month would process claims submitted on or before the fifth day of the calendar month. In the second payment cycle, DHIS processes the claims you submit after the fifth but before the twentieth day of the month. 

Ending Note: Why An ABHA ID Card Is The Need of The Hour?

Among the fundamental components or modules that ABDM will develop, the primary ones are registries of people, citizens, and patients (Health ID registry), healthcare professionals, and registries of healthcare facilities. Every one of these entities has a distinct identifier in these registries that is valid throughout the ecosystem. 

People will get unique identification and have their health records threaded across various systems and stakeholders. This couldn’t have been possible without the ABHA Number.

So, you can further enhance your access to medical care and make the most of the digital health incentive scheme by obtaining an ABHA card. Additionally, you can allow medical experts to access your medical data when needed and safely save it. So, create an ABHA card to enhance your whole medical experience.

Frequently Asked Questions (FAQs)

Here are the answers to some of the common questions about Digital Health Incentives Scheme.

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Will there be a reward for each transaction completed, each day/month?

Yes, however in accordance with DHIS norms, incentives will be computed for claim settlement each calendar month based on the specified criteria.

What distinguishes ABDM from DHIS?

The goal of the Ayushman Bharat Digital Mission (ABDM) is to provide the framework required to sustain the nation's integrated digital health infrastructure. Moreover, Ayushman Bharat Digital Mission (ABDM) offers an incentive program called the Digital Health Incentive Scheme (DHIS). 

Who is eligible for DHIS?

The program is open to registered Digital Solution Companies (DSCs) under ABDM's Health Facility Registry (HFR) and health facilities (hospitals, diagnostic labs).

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