Take Action on Ayushman Bharat
Ayushman Bharat has emerged as the world's largest government health assurance scheme. In 2025 it covers over 55 crore people with cashless care up to ₹5 lakh per family and has upgraded 1.6 lakh primary care centers.
The scheme at a glance
Health and Wellness Centres upgraded for preventive, primary and chronic care.
annual cover for 12 crore families, cashless, paperless, at 30,000+ hospitals.
ABHA IDs created, 55 crore records linked.
Key developments
Beneficiary expansion: March 2024 added all ASHAs, Anganwadi workers and families (~37 lakh); October 2024's "Ayushman Vay Vandana" covered all seniors 70+, adding ~6 crore people. Tech upgrades: HEM 2.0 speeds hospital empanelment, and AI/ML fraud detection flagged ₹582 crore in bogus claims. 18,000+ facilities are live with Scan & Share QR registration.
Enterprise opportunities
Hospitals & clinics
7.8 crore admissions boost occupancy; revised package rates and faster payments make PM-JAY a viable payer.
Insurers & finance
State tenders for claims management grow as the risk pool expands; data insights drive new top-up products for the "missing middle."
Health-tech & IT
Open ABDM APIs invite apps, telemedicine and analytics; demand for MDM, cybersecurity and cloud surges across 236+ ABDM partners.
Public-private partnerships
CSR groups and NGOs adopting HWCs; private hospitals managing public facilities under viability-gap funding.
Impact metrics
34.7 crore cards issued, 7.8 crore admissions, ₹1.07 lakh crore in claims, 55 crore hypertension screenings, 17 crore teleconsults. Out-of-pocket spending fell from 62.6% in 2015 to 39.4% by 2022, keeping an estimated 6 crore people out of poverty each year. Next steps: universalization for the missing middle, primary care strengthening (mental health, ophthalmology, physiotherapy at HWCs), and a digital deep dive (UHI, HCX, AI diagnostics).
Ayushman Bharat is a generational platform for universal health coverage. Enterprises that align with its goals, from hospitals to insurers to tech innovators, will help drive Health for All in India.