Authors:
Sagar Onkarrao Manjare, Narayan Deka

Addresses:
Department of Commerce and Management, Mahatma Gandhi University, Byrnihat, Meghalaya, India. Department of Business Management, Mahatma Gandhi University, Byrnihat, Meghalaya, India. 

Abstract:

State health schemes such as Ayushman Bharat Pradhan Mantri Jan Arogya Yojana and Atal Amrit Abhiyan mark a serious public commitment to reducing inequality in healthcare. Yet, inside many empaneled private hospitals, everyday administrative practice tells a different story. There is a growing gap between what these schemes set out to do and how care is actually delivered. This study examines that gap through the operations of private hospitals in Guwahati and the Kamrup Metropolitan district. Using a mixed-methods approach, it draws on a purposive sample of 50 hospital administrators to examine how formal governance expectations compare with what patients encounter in practice. Survey findings were read alongside detailed interviews, providing a closer view of scheme use, transparency gaps, delays in claims handling, and concerns about patient dignity. The results point to clear shortcomings. Around 74% of the hospitals studied showed weak compliance with ethical billing standards, while 68% reflected limited attention to patient rights among administrative staff. These are not scattered lapses. Four structural pressures recur: delays in reimbursement, institutional focus on protecting revenue, the burden of documentation requirements, and limited regulatory follow-up. In response, the study sets out a Compassionate Governance Integration Model as a practical guide for administrative reform. Its direction aligns with SDG 3 Good Health and Well-Being and SDG 16 Peace, Justice and Strong Institutions, while adding an evidence base from Northeast India. This region remains underrepresented in existing work.

Keywords: State Health Schemes; Patient Dignity; Northeast India; Atal Amrit Abhiyan; Private Hospitals; Patient Rights; Public Commitment; Administrative Practice; Protecting Revenue.

Received on: 13/05/2025, Revised on: 18/08/2025, Accepted on: 17/10/2025, Published on: 03/06/2026

DOI: 10.69888/FTSSSL.2026.000663

FMDB Transactions on Sustainable Social Sciences Letters , 2026 Vol. 4 No. 2, Pages: 91-99

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