Overview
- Positioning quality, fragmentation, inefficient spending and weak governance as the chief obstacles, the report shifts the UHC debate beyond funding alone.
- Recommended reforms include mandatory re-licensing of doctors, a nationwide learning health system, decentralisation to districts and digital tools to coordinate care.
- The roadmap places publicly financed and provided integrated services at the core, with the private sector aligned through incentives and new payment models as Ayushman Bharat’s hospital focus leaves outpatient costs exposed.
- Authors draw on a survey of 50,000 households across 121 districts in 29 states and propose pragmatic integration of AYUSH providers through defined referral pathways.
- Public health spending remains under 2% of GDP with out-of-pocket costs near half of total health expenditure, and the commission proposes annual “State of India’s Health System” reporting to drive accountability and uptake.