STATE NODAL AGENCY, MHIS_AB-PMJAY

What STATE NODAL AGENCY, MHIS_AB-PMJAY does

STATE NODAL AGENCY, MHIS_AB-PMJAY is a government-designated state-level nodal agency in India responsible for implementing the Modular Health Insurance Software (MHIS) that operationalizes the Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), the central government's flagship publicly funded health insurance scheme. Its functional role is to serve as the administrative and technical intermediary between the National Health Authority, state health authorities, empanelled hospitals, and scheme beneficiaries — managing beneficiary enrollment, claim processing, hospital empanelment, and scheme reporting within its state jurisdiction.

The agency operates with a reported headcount of 8 personnel and uses the web domain mhis.org.in. No specific product features, underlying technology stack, proprietary modules, or platform architecture are disclosed in the available source data; the website load state suggests limited public-facing transparency. There are no disclosed integrations, APIs, SDKs, apps, or certifications.

As a government entity, the agency does not operate a commercial revenue model. It is funded through central and state government budget allocations earmarked for AB-PMJAY implementation rather than through market-priced products or services. No pricing model, customer segments in the commercial sense, or marketing/distribution channels are applicable. Its "customers" in a service-delivery sense are scheme beneficiaries and empanelled healthcare providers, both accessed through administrative mandate rather than market transactions.

Name

STATE NODAL AGENCY, MHIS_AB-PMJAY

Legal name

STATE NODAL AGENCY, MHIS_AB-PMJAY

Website

https://mhis.org.in

Company type

Private

Operating status

Operating

Headcount range

1–10 employees

Short description

STATE NODAL AGENCY, MHIS_AB-PMJAY is an Indian government nodal agency operating the Modular Health Insurance Software (MHIS) to implement the Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) health insurance scheme at the state level, serving scheme beneficiaries and empanelled hospitals.

Ownership category

akta.pro rank

Product category

Government Health Insurance Administration

NAICS

Administration of Public Health Programs (92312), Health and Welfare Funds (525120), Public Administration (92)

SIC

Hospital & Medical Service Plans (6324), Services-Health Services (8000)

akta.pro industry

PRIMARYHLAEALAO

Government Program Administrative Services (Medicare/Medicaid ASO/TPA)

Healthcare & Life Sciences/Health Insurance & Managed Care/Third-Party Administration (TPA) & Administrative Services Only (ASO)

SECONDARYBPAIAJAB

Public Health Policy, Planning & Governance

Business & Public Services/Public Sector & Government Administration/Public Health Administration & Regulation

SECONDARYBPAIAKAH

Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage)

Business & Public Services/Public Sector & Government Administration/Social Security, Benefits & Welfare Administration

SECONDARYHLAJACAF

Health Technology Assessment (HTA) & Reimbursement Policy Bodies

Healthcare & Life Sciences/Public Health, Government & Regulators/Health Policy, Regulation & Compliance Authorities

Keywords

• Government health insurance
• Health scheme administration
• Insurance claims software
• Public health coverage
• Beneficiary enrollment system

GTM type

B2C

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations

Core offering

State-level government nodal agency implementing and administering the Modular Health Insurance Software (MHIS) that operationalizes the Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) health insurance scheme. The agency manages beneficiary enrollment, claims processing, and empaneled hospital coordination for eligible citizens as a public-sector service.

Differentiator

Problem solved

Functional benefit

Products and services

• Modular Health Insurance Software (MHIS) for AB-PMJAY

Ideal customer profiles1 record

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Recent moves1 record

Direct peers

• Central Government Health Scheme (CGHS): Government-administered health scheme providing inpatient/outpatient care to central government employees and dependents. Comparable as a state-/central-government-run health benefits administrator operating empaneled hospital networks and claims workflows.
• Employees' State Insurance Corporation (ESIC): India's other large statutory social health insurance scheme, providing health benefits to formal-sector workers and dependents. Comparably structured as a government-run health insurance administrator in India with parallel operational and stewardship roles.
• State Health Authority - Gujarat (PMJAY): Peer state nodal agency implementing AB-PMJAY in another Indian state. Direct functional peer operating the same MHIS-style scheme administration responsibilities at state level for a different beneficiary population.
• State Health Authority - Tamil Nadu (PMJAY / CMCHIS): State-level nodal body implementing AB-PMJAY alongside the Chief Minister's Comprehensive Health Insurance Scheme. Same product category (state government health insurance scheme administration) and comparable beneficiary-serving mandate.
• Rashtriya Swasthya Bima Yojana (RSBY): Predecessor government health insurance scheme to AB-PMJAY for below-poverty-line families. Comparable as a state-implemented, government-funded health insurance scheme with similar eligibility, empanelment, and claims-administration model.

Broad incumbents

• Centers for Medicare & Medicaid Services (CMS): U.S. federal agency administering Medicare and Medicaid — the global benchmark for government-administered means-tested health insurance. Comparable as a large-scale public health insurance administrator with parallel policy, oversight, and state-coordination functions.
• National Health Service (NHS) England: Public-sector health system administrator for England. Comparable as a large, government-run health services and insurance administration body, with state-equivalent oversight and provider network management.
• National Health Authority (NHA), India: The apex body responsible for designing, implementing, and overseeing AB-PMJAY nationally. It is the parent policy/operational umbrella under which this state nodal agency functions, making it the most directly comparable public-sector peer.

Emerging players

• Ayushman Bharat Digital Mission (ABDM): National digital health infrastructure mission under the same Ayushman Bharat umbrella. Adjacent/overlapping because ABDM provides the digital health ID and interoperability layer that MHIS-based state nodal agencies like this one integrate with for beneficiary and provider workflows.

Others

• World Health Organization (WHO) Country Office India: International public health body that advises and partners with Indian government health schemes. Adjacent peer as a public-sector actor coordinating with state nodal agencies on policy, monitoring, and capacity building for health coverage programs.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat2 records

Key risks5 records

Key highlights5 records

Customer concentration

• LinkedInlinkedin.com/company/state-nodal-agency-mhis

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about STATE NODAL AGENCY, MHIS_AB-PMJAY