The hospital's marketing executive, who organized medical camps in villages to bring in patients (Representational Image: Unspalsh) 
MedBound Blog

Gujarat Hospital CEO, 4 Others Arrested: Unnecessary Procedures for Insurance Claims

The police investigation revealed that the hospital had a well-organized system to exploit the PMJAY scheme

Author : Neha Kamble

The CEO of Khyati Multispeciality Hospital in Ahmedabad, Gujarat, along with four others, has been arrested for allegedly conducting unnecessary medical procedures on patients to inflate insurance claims under the Pradhan Mantri Jan Arogya Yojana (PMJAY) scheme. The procedures included angioplasties, which allegedly led to the deaths of at least two patients, Nagarbhai Senma, 59, and Mahesh Barot, 45. Pankaj Patel and Pratik Bhatt, the other two accused, allegedly threatened patients about potential complications if they refused procedures. The alleged scam came to light after a free medical camp was held in Borisana village in Gujarat's Mehsana.

Khyati Hospital made ₹11 crore in the last one and a half years. Out of this money, 70% came from PMJAY patients while 30% from those referred by other doctors and hospitals.
Police Officer
Four accused, including hospital promoters Sanjay Patolia and Rajshree Kothari (Representational Image: Unspalsh)

The alleged scam came to light after a free medical camp was held in Borisana village in Gujarat's Mehsana, where 12 out of 19 villagers underwent angiography procedures at Khyati Hospital, resulting in the deaths of Senma and Barot. Cardiologist Prashant Vazirani was earlier arrested, and three cases were registered at Ahmedabad Vastrapur police station. Lookout circulars were issued against four accused, including hospital promoters Sanjay Patolia and Rajshree Kothari.

The arrests were made after an investigation revealed that the hospital had made ₹11 crore in the last one and a half years, with 70% of the amount coming from PMJAY patients.

The police investigation revealed that the hospital had a well-organized system to exploit the PMJAY scheme, which provides health cover of up to ₹10 lakh in Gujarat. The hospital's marketing and branding director, Chirag Rajput, allegedly pressured patients to undergo unnecessary stent procedures and doctors to comply with his instructions.

The other accused include Milind Patel, the hospital's marketing executive, who organized medical camps in villages to bring in patients, and Pankaj Patel and Pratik Bhatt, who allegedly threatened patients about potential complications if they refused procedures.

Reference:

  1. https://nha.gov.in/img

(Input From Various Sources)

(Rehash/Neha Kamble/MSM)

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