A Study on Socio-Economic Impact of PM-JAY Health Insurance Scheme on Indian Households

Authors

Dr. C. Pushpalatha

Associate Professor in Commerce, Sri G.V.G. Visalakshi College for Women, Udumalpet (India)

R. R. Raghavi

Research Scholar in Commerce, Sri G.V.G. Visalakshi College for Women, Udumalpet (India)

Article Information

DOI: 10.51244/IJRSI.2025.1210000158

Subject Category: Marketing

Volume/Issue: 12/10 | Page No: 1815-1824

Publication Timeline

Submitted: 2025-10-30

Accepted: 2025-11-05

Published: 2025-11-12

Abstract

Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) scheme was launched on September 23,2018 by the government of India. This study explores the socio-economic impact of the PM-JAY scheme on Indian households, emphasizing its effectiveness in reducing out-of-pocket (OOP) healthcare expenditures, enhancing access to medical services, and strengthening overall financial protection. Additionally, it evaluates the scheme’s coverage across different Indian states by analysing state-wise enrolment patterns and beneficiary penetration levels. The study also investigates hospitalization trends and examines variations in morbidity and mortality among beneficiaries to gain deeper insights into the broader health outcomes associated with PM-JAY implementation. The study draws on secondary data obtained from the annual reports of the National Health Authority (NHA), as well as various academic journals and research articles. The findings reveal that PM-JAY has played a significant role in reducing instances of distress financing and enhancing healthcare accessibility, particularly among rural and low-income households. Furthermore, the broadened hospital network and the surge in admissions under PM-JAY point to improved access to quality healthcare, increased hospitalization rates, and a likely reduction in mortality. The study concludes that while PM-JAY has made meaningful progress toward universal health coverage (UHC), sustained efforts in strengthening implementation, monitoring, and public awareness are essential to ensure equitable and long-term socio-economic benefits for all Indian households.

Keywords

PM-JAY, Ayushman Bharat, health insurance

Downloads

References

1. Patel, S. (2024). An Impact of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana on Out-of-Pocket Expenditure, A Government-Funded Health Insurance Scheme. International Journal for Multidisciplinary Research, 6(3), 1-13. [Google Scholar] [Crossref]

2. Raghav Dixit, e. a. (2025). Awareness and Utilization of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-NHPM) among Beneficiaries of Gautam Buddha Nagar District: A Comparative Study. Indian Journal of Community Medicine, 50(1), 213-219. [Google Scholar] [Crossref]

3. Warren, D. (2025). Evaluating the Financial Protection Effects of AB-PMJAY Reduction in Out-of-Pocket Expenditures and Catastrophic Health Spending in Assam. [Google Scholar] [Crossref]

4. Prasad, S. O. (2025). Challenges of Policy Implementation for PM-JAY in Rural Uttar Pradesh: A Government Perspective. International Journal for Research Trends and Innovation, 10(7), b330-b335. [Google Scholar] [Crossref]

5. Beri, K. a. (2024). Analysing Beneficiary Experience with AB-PMJAY: Levels of Awareness, Usage Trends, and Information Sources. International Journal of Creative Research Thoughts, 12(6), k193-k202. [Google Scholar] [Crossref]

6. Vani, V. S. (2024). A case study of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana in Andhra Pradesh. Journal of Engineering and Technology Management, 2169-2178. [Google Scholar] [Crossref]

7. Divya Parmar, e. a. (2023). Effects of the Indian National Health Insurance Scheme (PM-JAY) on Hospitalizations, Out-of-pocket Expenditures and Catastrophic Expenditures. Health Systems & Reform, 9(1), 1-8. [Google Scholar] [Crossref]

8. Bigi Thomas, e. a. (2023). Study of Awareness, Enrolment, and Utilization of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana in Gujarat, India. International Journal of Community Medicine and Public Health, 10(8), 2741-2747. [Google Scholar] [Crossref]

9. Luhar, P. O. (2021). An Instrumental Role Played by Ayushman Bharat Pradhan Mantri-Jan Arogya Yojana Amidst the Outbreak of COVID-19. International Journal of Management, 12(1), 1604-1609. [Google Scholar] [Crossref]

10. Akshay, e. a. (2021). Oral Health Utilization and Awareness of Ayushman Bharat (PMJAY) Health Insurance Scheme in Bangalore. International Journal of Community Medicine and Public Health, 8(8), 4012-4018. [Google Scholar] [Crossref]

Metrics

Views & Downloads

Similar Articles