Overcoming the Budget Deficit of the National Health Insurance Implementing Agency to Improve Service, Management and Financial Efficiency

Diana, Anis Eliyana, Mukhtadi

2019

Abstract

Indonesia has established a universal insurance scheme, known as the National Health Insurance (JKN) since January 2014 under the name BPJS (Social Security Administering Agency). JKN is a merger of four pre-existing public insurance schemes (Askes insurance for civil servants, Jamkesmas insurance for the poor, Jamsostek as insurance for private sector workers and Asabri as Insurance for the armed forces). JKN was designed under the National Social Security law to meet the basic needs of the people and contribute to the realization of a prosperous and just Indonesia. With this insurance, it is hoped that people will not face financial barriers to access health care and hence increase the use of their health services. After running for 5 years the JKN program faces many obstacles that need to be corrected from various aspects, ranging from service procedures, patient handling and payment from the JKN to the Hospital facing obstacles, JKN's debt to the hospital reaches a very large amount that affects the performance of the Hospital, both for the procurement of consumables / medicines and payment for medical services to doctors and other workers in the hospital. The current problems with the existence of JKN are: the flow of referrals from health facilities 1 to the referral hospitals requires quite a long time with a long queue because it is constrained by the administrative readiness needed to be able to receive JKN services. Medical personnel who provide services seem slow in providing action, because doctors do not come or there are activities elsewhere. In addition, patients get drugs that are not according to the control schedule, for example, a monthly control schedule, the drugs that are obtained are only for 10 days due to the limited available drugs. Less optimal services provided to service recipients due to unbalanced incentives received by service providers / medical personnel also make their performance diminished. For health service providers (Hospitals) in collaboration with JKN, it is expected to improve the quality of JKN participant services by increasing the performance of medical personnel working at the Hospital, so that medical staff can provide good services to JKN patients by being given incentives in accordance with their performance. For JKN itself, they must be able to keep the payment time to hospital partners so that they can provide services to JKN participants better, JKN is expected to be able to cover the current deficit by increasing the number of JKN participants, increasing JKN contributions and inviting JKN participants to pay their contributions on time.

Paper Citation

in Harvard Style

Diana., Eliyana A. and Mukhtadi. (2019). Overcoming the Budget Deficit of the National Health Insurance Implementing Agency to Improve Service, Management and Financial Efficiency. In Proceedings of the 20th Malaysia Indonesia International Conference on Economics, Management and Accounting - Volume 1: MIICEMA, ISBN 978-989-758-582-1, pages 838-846. DOI: 10.5220/0010598900002900

in Bibtex Style

@conference{miicema19,
author={Diana and Anis Eliyana and Mukhtadi},
title={Overcoming the Budget Deficit of the National Health Insurance Implementing Agency to Improve Service, Management and Financial Efficiency},
booktitle={Proceedings of the 20th Malaysia Indonesia International Conference on Economics, Management and Accounting - Volume 1: MIICEMA,},
year={2019},
pages={838-846},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0010598900002900},
isbn={978-989-758-582-1},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 20th Malaysia Indonesia International Conference on Economics, Management and Accounting - Volume 1: MIICEMA,
TI - Overcoming the Budget Deficit of the National Health Insurance Implementing Agency to Improve Service, Management and Financial Efficiency
SN - 978-989-758-582-1
AU - Diana.
AU - Eliyana A.
AU - Mukhtadi.
PY - 2019
SP - 838
EP - 846
DO - 10.5220/0010598900002900