The Central Government Health Scheme (CGHS) has received its first major rate revision in 15 years. The new structure, effective from October 13, will benefit over 40 lakh CGHS beneficiaries across India. It includes updated pricing for nearly 2,000 medical procedures such as MRI, mammography, and laparotomy.
Experts said the revision will strengthen healthcare infrastructure and make treatment more viable for private hospitals. Emkay Global Financial Services noted that the move meets long-pending demands from private healthcare providers to align rates with rising medical costs. ICRA added that it will positively impact hospital chains serving CGHS patients.
The new policy introduces a tier-based rate system, separating NABH-accredited and non-accredited hospitals. Super-specialty hospitals with more than 200 beds will earn a 15 per cent premium over the base rate. Hospitals in smaller cities will also see improved reimbursement levels.
This update is expected to make high-quality hospitals more accessible to patients and increase treatment volumes. However, ICRA cautioned that delays in government payments under CGHS remain a concern compared to private and insurance-paying patients.
