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    Question

    NHA has  announced financial incentives under the

    Digital Health Incentive Scheme (DHIS) from Jan 2023.According to the DHIS, what financial incentives are provided for hospitals for every insurance claim transaction through NHCX?
    A Rs 1000 per claim or 5% of the claim amount, whichever is higher Correct Answer Incorrect Answer
    B Rs 500 per claim or 10% of the claim amount, whichever is lower Correct Answer Incorrect Answer
    C No financial incentives are provided. Correct Answer Incorrect Answer
    D A fixed amount of Rs 500 per claim. Correct Answer Incorrect Answer
    E Financial incentives are determined based on the policyholder's health records. Correct Answer Incorrect Answer

    Solution

    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), a digital health claims platform developed by National Health Authority.    The NHCX will serve as a gateway for exchanging claims-related information among various stakeholders in the healthcare and health insurance ecosystem. The integration with NHCX would enable seamless interoperability of health claims processing, enhancing efficiency and transparency in the insurance industry and benefiting the policyholders and patients.   To encourage adoption of digital health transactions and digitization of patient health records in the country, NHA has also announced financial incentives under the Digital Health Incentive Scheme (DHIS) from Jan 2023.  Under the DHIS, to encourage efficiency in insurance claim processing, there is a provision that for every insurance claim transaction through NHCX, financial incentives of Rs 500 per claim or 10% of the claim amount, whichever is lower would be provided for the hospitals.

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