The high powered task force appointed by Maharashtra government to address the agrarian crisis prevalent in the state has brought to fore unfair trade practices and irregularities in the state sponsored mega health scheme Rajiv Gandhi Jeevandayee Arogya Yojana (RGJAY).
According to a report submitted to Chief Minister Devendra Fadnavis recently, malfunctioning and financial misdeeds in the RGJAY has resulted in a loss of Rs 500 crore to the state exchequer in the last three-and-a-half years.
Farm activist and president of the task force Kishore Tiwari alleged that RGJAY Society--a government body as well as Third Party Administrator (TPA) companies are responsible for this corruption.
"Six months back, the government had decided to extend medical help to farmers in drought-hit regions through this scheme. However, there was no government resolution issued in this regard. Thus, as chairman of the task force I decided to probe what went wrong and came across the irregularities. This money could have been used to help farmers," he said.
Tiwari alleged that functioning of RGJAY Health Insurance Scheme since the last three and a half years is a wilful and a deliberate violation of the provisions of Competition Act.
"The tender, contract conditions were modified later to benefit private Third Party Administrators appointed by Insurance Company contrary to the IRDA regulations," Tiwari told PTI.
He also claimed that disregard to free and transparent tender process caused a pecuniary loss of more than Rs 500 crore to the state treasury.
"The role of TPA is to just check the authentication of the
documents of the patient to approve his/her insurance claim. On the contrary, they were focused on rejection of cases from the hospital and they have received a 30 per cent as incentives on rejected cases," Tiwari alleged.
"The state government has spent Rs 2,100 crore as premium to the insurance company over RGJAY scheme during the last 4-5 years. However, the company has approved claims worth Rs 1600 crore," he added.
"It is thus clear that the TPA and the insurance company have siphoned off Rs 500 crore of the state and officials from Health department are also involved in this scam," he claimed.
He said the TPA had received Rs 130 crore as
commission from the state government and incentives against rejection cases in addition.
"This is nothing but a loot of government money and should be probed," he said.
"The role of all responsible officials must be examined and the angles of parting Commission by TPAs need to be enquired into by Vigilance, Anti Corruption Bureau (ACB) or Central Bureau of Investigation (CBI) Agency," Tiwari, Chairman of Vassantrao Naik Shetkari Swawlamban Mission (VNSSM) demanded.
VIDARBHA JANANDOLAN SAMITI PRESIDENT – KISHORE TIWARI, B.E. (Mech.Engg.), M.B.A., LL.B., M.A. (Pub. & Admn.), M.A. Sociology, M.I.S. (USA), Fellow - I.E.H., Fellow – Institution of Engineers (India)- CHARTERED ENGINEER BACKGROUND : Vidarbha Jan Andolan Samiti is fighting for the cause of common man since 1998. Vidarbha Jan Andolan Samiti is constantly pursuing its battle on various fronts like – a.Administrative b.Judicial c.Quasi-judicial d.Legislative e.Parliamentary f.International levels PUBLIC ISSUES : 1.Farmers suicides 2.Mal nutrition of Tribals. 3.Plights of Rural economy 4.Drinking water 5.Right to Food 6.Right to Education 7.Problems of Minorities 8.Issue of Separate Statehood to Vidarbha THE EFFECT OF MOVEMENT : The continued follow up and Jan Andolans of Vidarbha Jan Andolan Samiti has resulted in many success broadly classified as – 1.Waiver of small farmers crop loans 2.interest remission to marginal farmers 3.right to food to the lacs of tribals. 4.Primary Education to every rural students. 5.Farmers packages 6.BPL benefits to thousands of poor families. 7.Justice to unwed mothers