Overview

• Hospitals must confirm acceptance of the new schedule by October 13 or face de‑empanelment, with updated Memoranda of Agreement to be signed within 90 days.
• The framework applies calibrated differentials: non‑NABH/NABL hospitals at 15% lower, super‑specialty at 15% higher, Y‑category cities at 10% lower, Z‑category at 20% lower, general ward at 5% lower, and private ward at 5% higher.
• Package rates use the semi‑private ward as the base, some categories remain unchanged, cancer surgery rates are unchanged, and chemotherapy and radiotherapy rates are specifically revised.
• Officials expect restoration of easier cashless access for central government employees, pensioners and dependents across roughly 80 CGHS cities.
• DAM Capital estimates an average 25–30% uplift in reimbursements, and shares of Fortis, Max Healthcare, Narayana Health and Apollo Hospitals rose by up to 6% on the announcement.