As funding and payment models evolve, healthcare delivery organizations are rethinking the services they offer. This report describes the efforts of ACCESS Health to assess the Rashtriya Swasthya Bima Yojana (RSBY) insurance program, which provides secondary level healthcare to more than thirty six million families across most states in India, and determine how it can be modified to include primary healthcare services.

There is growing recognition among policymakers in India that primary healthcare systems should serve as a foundation for higher levels of care. Such changes would reduce system costs and improve population access to care and health outcomes. In support of these changes, Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) commissioned ACCESS Health International to explore how information technology can facilitate a well performing primary care system. In addition to assessing the existing RSBY technology systems, ACCESS Health also studied the outpatient pilots under RSBY, reviewed the medical packages of RSBY to identify services that should be delivered at the primary care level, and studied select government and private programs working in primary care and health insurance.

This report is an example of how the healthcare industry worldwide is transforming to better meet the needs and expectations of patients, healthcare providers, insurers, governments, and employers.