Dr. Abhishek Pilani’s Post
2d
Max, Fortis, and Narayana – 3 of India’s biggest hospital chains are pulling back from government health schemes like CGHS and ECHS. These schemes were built to give government employees, pensioners, and defence personnel access to private healthcare at fixed rates. On paper, a great idea. But here’s what’s actually happening on the ground: → Reimbursement rates haven’t kept up with rising costs. → Payments are delayed so long that hospitals are pledging government receivables to NBFCs just to manage cash flow. → Max alone took a ₹200 crore hit. Narayana capped scheme volumes in the north entirely. People will call this greed, but it’s more complicated. A hospital that can’t pay its staff, its suppliers, and its rent starts cutting costs and quality just to survive. Good intentions built this system. Bad economics are breaking it. So patients lose access, or they get access to a compromised version of care. Neither is acceptable. Who do you think is responsible for fixing this
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