The Ayushman Bharat Digital Mission of India: An Assessment.

India launched the Ayushman Bharat Digital Mission (ABDM) in 2021 to strengthen the digital health ecosystem by developing and integrating health data records and registries. We apply the health system control knob framework to assess the progress of ABDM by analyzing five indicators. Data from the ABDM dashboard reveal notable progress in beneficiary registration (400 million, as of June 3, 2023) and health records linkage (273 million). The registrations of over 208,000 health facilities and 190,000 health care professionals have been verified by ABDM. However, inter-state variation in progress is significant, particularly in health facility and health professional registration. Going forward, ABDM should expand its strategic framework to ensure that more health facilities and health professionals are registered, as registration is important to influence the payment, organization, and regulation control knobs. These actions are related to the achievement of final health system goals: improved health status, financial risk protection, and beneficiary satisfaction.