2 hrs ago
India to Open PM-JAY Records for Secure Health Research
India’s National Health Authority has collected more than 13 crore records from a government health program.
It plans to let researchers study these records in a secure system.
The system is meant to hide patients’ personal information.
Researchers could use the information to learn more about healthcare and improve services.
The authority is also using computers to check some insurance claims.
These checks look for claims that may need closer review.
About 30% of claims now go through this automated process.
The Indian Council of Medical Research has created more than 150 treatment workflows for hospitals.
These workflows are intended to make treatment more consistent for patients.
The National Health Authority will let researchers analyse more than 13 crore PM-JAY patient records in a secure data environment.
The system is designed to provide research access without revealing beneficiaries’ personal information.
NHA is expanding automated claim adjudication, with more than 60 triggers identifying potentially suspicious claims.
About 30% of PM-JAY claims currently pass through the automated adjudication process.
The Indian Council of Medical Research has shared more than 150 treatment workflows with NHA to promote consistent hospital care.
- Who
- The National Health Authority, its CEO Sunil Kumar Barnwal, the Indian Council of Medical Research, and ICMR Director General Rajiv Bahl.
- What
- NHA will provide secure research access to more than 13 crore PM-JAY patient records and expand automated claims processing.
- Where
- At Aarogya Manthan 2026; the location was not specified in the article.
- When
- The announcement was published on September 25, 2026, at Aarogya Manthan 2026.
- Why
- To support health research and analytics, protect beneficiaries’ personal information, improve claim processing, and encourage standardized treatment.
Key facts
- Records available for research
- More than 13 crore patient records generated under PM-JAY
- Data protection
- Researchers will access the data through a secure environment without disclosed personal information
- Automated claim checks
- NHA uses more than 60 triggers to identify suspicious claims
- Current automation coverage
- Around 30% of PM-JAY claims pass through automated adjudication
- Treatment workflows
- ICMR has developed more than 150 standard treatment workflows
- Claims framework
- NHA is releasing an auto-adjudication framework
- Related digital mission
- The initiative is part of broader use of PM-JAY and ABDM digital infrastructure
Quotes
Sunil Kumar Barnwal
CEO of the National Health Authority
“We have seen globally that treatment that is standardized based on standard algorithms is better quality treatment than what is irrational or done by just pure discretion of the health care providers.”
thehindubusinessline.com
“In case of PM-JAY, we are going to promise that the data which has been captured over a period of time, more than 13 crore patient records, can be used for further research and analytics.”
thehindubusinessline.com
Sources
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