What we're publishing first.
Policy notes and technical briefings, not company news — written for the people who actually run these programmes. Each one is sourced from public government data and independent reporting, cited throughout, and each now has its own page for anyone who wants to link straight to it.
The Uttar Pradesh gap: what 15.3 crore ABHA accounts in one state reveals about the other twenty-seven
India's Ayushman Bharat Digital Mission crossed 90 crore ABHA health accounts in mid-2026. Uttar Pradesh alone accounts for over 15.3 crore of them — more than double Rajasthan or Maharashtra's share. A national mandate produced wildly different state-level outcomes, and closing that gap is an implementation problem, not a policy one.
₹6.97 crore, one dead-patient roster, and the case for an audit trail that runs in real time
The CAG's audit of Ayushman Bharat–PM-JAY found ₹6.97 crore paid for treatment of patients the scheme's own database had already recorded as deceased, and 7.5 lakh beneficiaries registered against a single placeholder mobile number. A yearly audit finds these patterns after the money moves. A live accountability layer finds them before it does.
Two days to enter 200 patients: what a district health office needs from a system built without it
Frontline health workers report entering the same patient's data into as many as ten separate registers and apps, on systems built at the state or national level without a feedback loop showing them what any of it is used for.
Thirty-three years after the 74th Amendment, why a city health officer still runs on a state's IT budget
India's 74th Constitutional Amendment gave urban local bodies constitutional standing over public health in 1992. What it didn't reliably give them was the financing or technical capacity to match that mandate — a gap that has persisted for three decades.
The registries beneath ABHA: what Health Facility & Health Professional adoption actually measures
ABHA — the patient-side ID — is closing in on 100 crore accounts. The two registries that make it operationally meaningful, recording which facilities and professionals are actually wired into the network, remain two orders of magnitude smaller, and under half of registered facilities run the software that would make registration count.
The DPDP compliance clock: what actually changes for a state health system, and by when
India's Digital Personal Data Protection Rules 2025 started an 18-month phased clock toward full compliance in mid-2027. Every state health system processing ABHA-linked or scheme data is a data fiduciary under it — starting now, not in 2027.
These six briefs are a starting point, not an archive. Future notes will track state-by-state ABDM adoption as it shifts, examine specific scheme architectures as they're published, and follow up on the CAG's audit findings as PM-JAY's own integrity controls evolve. Unfamiliar with a term used across these briefs? The Glossary defines ABDM, PM-JAY, HMIS, PFMS, and the rest of the acronym stack in one place. If there's a specific programme or policy question worth a brief, tell us.
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