Achieving Universal health coverage (UHC) is a defined goal for India and steps are being taken by all states to move towards this goal. India with its diverse states &Union Territories has a unique implementation process to achieve this objective. Some states have gone ahead with an insurance model, others in an assurance/trust model and few have taken a path of hybrid model.

Most of the states have integrated their state schemes and previous Rashtriya Swasthya Bima Yojana with the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY). Four states namely Telangana, Delhi, West Bengal, and Odisha have still not joined the national scheme and are implementing and expanding their state schemes.

Odisha allows government and private facilities to empanel as service providers. This would require government facilities to be upgraded to compete with private providers and also provide an additional source of revenue. Odisha has taken significant measures to improve the public facilities improving services to the people as they are the major providers of health care in the state.

This paper discusses the changing trends in the utilization of services from public facilities after the launch of the UHC scheme and other health initiatives