Already, over 650 private hospitals in Haryana, out of 774 empanelled under the scheme, have opted out citing non-payment of dues. This funnelled poor and middle-class patients into small and medium private hospitals, such as doctor-owned multispecialities or individual/couple-run hospitals. “The problem is compounded because government and private hospitals are paid identical package rates, and private hospitals are unable to bear the cost.”Firefighting through supplementary allocationsThe government has been trying to firefight through supplementary allocations. At present, under the trust model, an Implementation Support Agency—responsible for processing claims—is to be appointed by the State or the State Health Agency. In February, the Chhattisgarh government carried out its biggest-ever crackdown on 28 private hospitals in three of the largest districts.