Chiranjeevi Yojana
Hospital revenue integrity in Rajasthan.
The Mukhyamantri Chiranjeevi Swasthya Bima Yojana covers a very wide beneficiary base, making scheme volume unusually high relative to private pay.
Cities in Rajasthan
Reading
How the scheme actually works here
Chiranjeevi covers an unusually wide beneficiary base, which makes scheme volume high relative to private pay across most of the state. For many hospitals the scheme is not a segment; it is the business.
The payer mix in Rajasthan
Jaipur and Jodhpur act as referral hubs for very large rural catchments. Udaipur carries tourism-linked private pay alongside scheme work.
Where hospitals here lose money
When most of your volume is scheme volume, a package that sits below cost is not an occasional loss. It has to be identified before admission.
Patients arriving from across the state need eligibility evidence collected at the desk, which a hospital used to local patients is not staffed for.
A desk handling both scheme and private admissions applies the wrong rules under pressure. The failure is procedural, not individual.
Check this week
For your ten most common scheme procedures, compare package rate against actual cost including consumables. Any negative line is volume you are subsidising.
What does not change at the state border
Room-rent proportionate deduction, pre-authorisation notification clocks, tariff drift against contract, and package-with-component billing work identically in Rajasthan and everywhere else in India. They vary by contract, not by geography. What the state changes is the scheme layer sitting on top — which cases are viable, and what evidence the payer expects.
Worked through in detail: the nine ways an Indian payer reduces a claim, how scheme claims differ from private ones, and the ₹8,000 upgrade that costs ₹43,000.
Cities we cover in Rajasthan
Questions from Rajasthan
Does Drapto work with Chiranjeevi Yojana in Rajasthan?
Yes. Package rates are held per scheme, so a case can be checked for viability before admission rather than at billing. Chiranjeevi covers an unusually wide beneficiary base, which makes scheme volume high relative to private pay across most of the state.
What do hospitals in Rajasthan lose the most money to?
Package viability as an admission decision. When most of your volume is scheme volume, a package that sits below cost is not an occasional loss. It has to be identified before admission.
Do the payer rules change between states?
The scheme layer does — package lists, empanelment and eligibility are state-specific. The mechanics underneath do not. Room-rent proportionate deduction, notification clocks and tariff drift work identically everywhere in India; they vary by contract, not by geography.
Is Drapto available across Rajasthan?
Yes, anywhere in the state. Deployment is remote and takes one to five weeks depending on size, with your payer tariffs loaded before go-live rather than after.
What does the free audit involve?
Twenty claims you have already settled. We show what was disallowed, how much was predictable, and how much the payer never explained. About an hour of your team's time, and you keep the findings whatever you decide.
Read next
The scheme changes at the state border. The payer mechanics do not — room caps, notification clocks and tariff drift work the same way in Rajasthan as everywhere else.
Other states
Read next
What is not on this page. We do not publish hospital directories, rank hospitals, or list which facilities sit on any insurer’s or scheme’s panel. Empanelment is product-specific and changes constantly — a stale list published by a third party sends a family to a hospital believing they are covered when they are not.
Your Insurance Ombudsman
For repudiated claims in RajasthanA repudiated cashless claim here is generally heard by the Jaipur office, broadly covering Rajasthan. Filing costs nothing and needs no lawyer, but there is a one-year clock from the insurer’s final reply.
Jurisdiction is defined by district in several states. Confirm yours against the Council for Insurance Ombudsmen’s list before filing.
The scheme you actually bill
Rajasthan| State scheme | Mukhyamantri Chiranjeevi Swasthya Bima Yojana |
| Alongside | Ayushman Bharat PM-JAY, private insurers and TPAs |
| Why it matters here | Universal in intent. Cover levels have been revised more than once. |
Tariffs are held per payer and per contract in Drapto, so a claim is never priced under the wrong one.
Verify before you rely on this. State schemes are renamed and revised with budgets and governments. Check the current position with the state health agency.
See it on your own claims.
The payer mix is local. The mechanism is not — and it is the mechanism we show you.