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All Journal Eduvest - Journal of Universal Studies Multidisciplinary Research Studies in Social Sciences
Bobi Kurniawan
Universitas Komputer Indonesia, Bandung
Aerospace Engineering Computer Science & IT Health Professions Neuroscience Social Sciences

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THE ROLE OF HOSPITAL MANAGEMENT IN PRODUCTIVITY, REVENUE, EFFICIENCY, AND EFFECTIVENESS OF JKN PATIENT SERVICES: A CASE STUDY OF A PRIVATE HOSPITAL (XYZ) IN INDONESIA, 2023–2024 Mulyadi Muchtiar; Umi Narimawati; Bobi Kurniawan
Multidisciplinary Research Studies in Social Sciences Vol 2, No 1 (2026): Multidisciplinary Research Studies in Social Sciences
Publisher : Taksasila Edukasi Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71312/mrscholar.v2i1.811

Abstract

This study examines how the management of XYZ Private Hospital governs the productivity, efficiency, and revenue of health services delivered to patients covered by the National Health Insurance (JKN) scheme under the INA-CBGs' prospective payment system. A case study design with a mixed-methods approach was employed, combining quantitative data from INA-CBGs' claim reports and JKN revenue (inpatient and outpatient) for 2023–2024 with qualitative data from in-depth interviews, focus group discussions, and a review of managerial documents. The findings indicate a sharp increase in JKN patient volume across almost all CMG and CBG groups, both inpatient and outpatient, accompanied by substantial growth in hospital revenue, positioning JKN as the primary revenue source. However, the casemix is dominated by medical cases at severity level 1, resulting in a high–volume–low–yield performance pattern that relies heavily on volume expansion rather than higher revenue per case. The analysis further reveals a persistent gap between actual care costs and INA-CBGs tariffs, especially for chronic and catastrophic conditions, exacerbated by undercoding, incomplete clinical documentation, and pending or lost claims, resulting in significant revenue leakage. Managerial interventions such as clinical pathway implementation, adherence to the National Formulary, quality and cost control programs, and strategic purchasing have improved operational efficiency but have not yet been fully integrated into a casemix-based revenue strategy that aligns productivity and efficiency with optimized reimbursement. The study concludes that the financial sustainability of JKN-dependent private hospitals crucially depends on the quality of casemix and claims governance, the alignment of operational efficiency with INA-CBGs algorithms, and business model innovation that balances social commitments with economic viability.Keywords: National Health Insurance (JKN); INA-CBGs; hospital management; casemix (CBG, CMG, severity), productivity, cost efficiency, and hospital revenue.
Digital Transformation Model for Strengthening Brand Equity and Competitiveness of Printing MSMEs Linda Norhan; Umi Narimawati; Bobi Kurniawan
Eduvest - Journal of Universal Studies Vol. 6 No. 6 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i6.52927

Abstract

The rapid advancement of digital technology has transformed the business environment and compelled Micro, Small, and Medium Enterprises (MSMEs) to adopt digital strategies to maintain competitiveness. In the printing industry, many MSMEs still rely on conventional business processes despite having limited digital presence, resulting in suboptimal customer engagement and brand development. This study aims to develop and validate a digital transformation model that strengthens brand equity and competitiveness through website quality in printing MSMEs. A sequential mixed-method approach was employed, consisting of website system development and quantitative evaluation. Data were collected from 100 customers of Buana Jaya Printing who had interacted with the newly developed digital platform. Respondents were selected using purposive sampling, and the data were analysed using Partial Least Squares Structural Equation Modelling (PLS-SEM) with SmartPLS 4.0. The findings reveal that digital transformation has a significant positive effect on website quality and brand equity. Website quality also significantly enhances brand equity by improving user experience, trust, and customer satisfaction. Furthermore, brand equity was found to positively influence competitiveness, indicating that stronger brand value contributes to sustainable market advantage. The mediation analysis confirms that website quality serves as an important mechanism through which digital transformation strengthens brand equity. In conclusion, digital transformation supported by high-quality websites can significantly improve brand equity and competitiveness, providing a strategic pathway for printing MSMEs to achieve sustainable growth in the digital era.
Co-Authors Linda Norhan Mulyadi Muchtiar Umi Narimawati