A total 171 hospitals have been de-empanelled and penalties to the tune of Rs 4.5 crore have been imposed on hospitals for allegedly committed fraud and indulging in malcpractices under the Ayushman Bharat health insurance scheme, the apex body implementing it said on January 3. FIRs have been lodged against six hospitals in Uttarakhand and Jharkhand, the National Health Authority said.