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The PPP model has been tried out in a few states. Odisha, Andhra Pradesh and Uttarakhand attempted to use the PPP framework to set up secondary and tertiary care facilities. Uttar Pradesh has also recently announced that it will establish more than 1,000 hospitals under the PPP model. The Haryana government, in July, entered into a PPP agreement with the Kerala based Meditrina Group of hospitals for cardiac care. So, private sector participation is key to the success of the scheme, and therein lies the rub.

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