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The 5th StateXchange webinar explored how States are operationalising digital health and health insurance reforms through systems and governance. Meghalaya presented its implementation of ABDM at the Meghalaya Institute of Mental Health and Neurological Sciences, highlighting EHR adoption in specialised care and a dedicated PMU structure. The discussion also covered capacity building, training, system integration, Scan & Share deployment, and coordination with NIC. Uttar Pradesh shared learnings from a PM-JAY ICU fraud detection pilot, highlighting issues such as non-indicative admissions and long lengths of stay, and outlined reforms including a critical care speciality in the TMS and auto-approval policies to strengthen oversight. The session underscored how digital architecture and governance reforms can jointly improve quality, efficiency, and accountability in public health programmes. #StateXchange #ABDM #PMJAY #DigitalHealth #HealthSystems #Meghalaya #UttarPradesh #HealthGovernance #HealthInnovation #AIinHealthcare #HealthPolicy #India #TransformingHealthcare #GoodGovernance