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Kerala Extends Ayushman Bharat-KASP to 38.9 Lakh 'Missing Middle' Families, May Cost ₹1,200-1,500 Cr Annually

Target:UPSC GS-IMPSCSSC GATeachingPrelims HighMains MediumStatic GK Link
19 Mar 2026
~2 min
Source: The Hindu
Key Data:38.9 lakh families₹1,200-1,500 crore₹2,618-₹3,0212021
Bodies:NITI AayogKerala State Health AgencyKerala State Planning Board
Practice MCQs from today's news ▸
What This Article Covers

1.Kerala government plans to extend the Ayushman Bharat-Karunya Arogya Suraksha Padhati (KASP) to an estimated 38.9 lakh APL families, termed the 'missing middle', who are currently excluded.

2.The extension could involve a nominal premium of ₹2,618-₹3,021 per family or be fully state-funded, with an estimated annual financial commitment of ₹1,200-1,500 crore.

3.The decision operationalizes NITI Aayog's 2021 recommendations but faces challenges due to the existing financial strain on KASP and lack of actuarial studies for premium calculation.

The Big Picture
Prelims · HighMains · Medium

Kerala's policy decision to cover the 'missing middle' under its health insurance scheme is a critical test case for achieving Universal Health Coverage (UHC) in India. This move targets families who are above the poverty line (APL) but lack financial security, addressing a major gap identified in NITI Aayog's 2021 report and holding significant lessons for national policy.

Exam Lens

Quick Exam Facts From News

Estimated 'Missing Middle' Families38.9 lakh
Potential Annual Financial Commitment₹1,200-1,500 crore
Proposed Nominal Premium Range₹2,618 - ₹3,021
Key Report on 'Missing Middle'NITI Aayog's 2021 Report

1-Minute Revision

  • ›Estimated 'Missing Middle' Families: 38.9 lakh
  • ›Potential Annual Financial Commitment: ₹1,200-1,500 crore
  • ›Target this Data: 38.9 lakh families (Kerala's 'missing middle' estimate)
  • ›Target this Nodal Body: NITI Aayog (2021 report on 'Health Insurance for India's Missing Middle')
  • ›Target this Scheme: Ayushman Bharat-Karunya Arogya Suraksha Padhati (KASP)

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Practice exam-style questions, track your score, and strengthen your recall.

Q1Static LinkageEasy

Which government think tank published the 2021 report titled 'Health Insurance for India's Missing Middle', which is referenced in the news article?

Q2Statement-basedHard

Consider the following statements regarding the news about extending health insurance in Kerala:

1. The 'missing middle' refers to families who are Above Poverty Line (APL) but cannot afford private health insurance.

2. The extension of KASP to these families is estimated to bring an additional 18 lakh families under coverage.

3. NITI Aayog's 2021 report suggested that the government could partly or fully finance insurance for the 'missing middle'.

Which of the statements given above is/are correct?

Q3Data-centricMedium

According to the official documents mentioned in the article, what is the proposed range for the 'nominal premium' for the 'missing middle' under a limited version of KASP?

Q4Application/ImpactMedium

What is a primary concern raised by public health experts regarding Kerala's plan to extend KASP to the 'missing middle'?

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