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All Journal Journal of Economics and Public Health Growth: Journal Management and Business
Yuni Kusuma Arumsari
Universitas Gajayana
Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Public Health

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Analysis of the Difference Between Actual Costs and Indonesian Case-Based Group (INA-CBG) Rates for Inpatients with Stroke Muhammad Kahfiyansyah; Ernani Hadiyati; Umi Muawanah; Yuni Kusuma Arumsari
Journal of Economics and Public Health Vol 5 No 2 (2026): Journal of Economics and Public Health: June 2026
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jeph.v5i2.7698

Abstract

The implementation of the INA-CBGs prospective payment system requires hospitals to ensure that reimbursement tariffs adequately cover actual treatment costs, particularly for stroke, which is a high-cost catastrophic disease. Differences between INA-CBGs tariffs and actual hospital costs may affect hospital financial sustainability. This study aimed to analyse the differences between actual hospital costs and INA-CBGs tariffs in inpatient stroke cases and to identify the effects of length of stay, stroke severity, stroke type, complications, and Cost Recovery Rate (CRR) on these cost differences. This quantitative retrospective study used secondary data from medical records and BPJS claims of 101 inpatient stroke cases selected using total sampling, including all eligible stroke inpatients treated at RSUD dr. Abdul Aziz Singkawang in 2024. Data were analysed using descriptive analysis, t-tests, logistic regression, and CRR calculations. Total actual hospital costs exceeded INA-CBGs reimbursement, resulting in a financial deficit and an overall CRR of 93%. Stroke severity and stroke type significantly influenced cost differences, while length of stay and complications showed indirect effects through increased resource utilisation and prolonged hospitalisation. Severe haemorrhagic stroke cases generated the largest financial losses. Differences between actual costs and INA-CBGs tariffs are influenced by multiple interrelated factors. Severe stroke cases, particularly haemorrhagic stroke, create the greatest financial burden. Tariff evaluation and improved hospital cost management are required to enhance financial efficiency.
The Effect of Flash Sales and Urgency Marketing on Impulse Buying Through FOMO as a Mediating Variable Among E-Commerce Users in Indonesia Wahyudi Wahyudi; Ferdian Hendrasto; Yuni Kusuma Arumsari; I Nyoman Susipta
Growth: Journal Management and Business Vol. 4 No. 01 (2026): June 2026
Publisher : Lentera Ilmu Nusantara

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Abstract

This study aims to analyze the effects of flash sales and urgency marketing on impulse buying, both directly and indirectly through Fear of Missing Out (FOMO) as a mediating variable among e-commerce users in Indonesia. This study employed a quantitative approach with an explanatory research design. Data were collected through a survey of 92 e-commerce users selected using purposive sampling, with the inclusion criteria of being at least 17 years old, actively using e-commerce platforms, and having made purchases during flash sale events. Data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) with SmartPLS 4. The results indicate that flash sales have no significant effect on either impulse buying or FOMO. In contrast, urgency marketing has a positive and significant effect on FOMO but does not have a significant direct effect on impulse buying. FOMO has a positive and significant effect on impulse buying. The mediation analysis shows that FOMO does not mediate the relationship between flash sales and impulse buying, whereas FOMO mediates the relationship between urgency marketing and impulse buying while its direct effect on impulse buying is not significant. These findings indicate that impulsive purchasing behavior is more strongly influenced by the psychological mechanism of FOMO triggered by urgency marketing. Theoretically, these findings extend the Stimulus-Organism-Response (S-O-R) framework by distinguishing promotional stimuli that primarily provide economic incentives, such as flash sales, from urgency cues that more directly activate an internal psychological response in the form of FOMO, which subsequently drives impulse buying. The study highlights the importance of urgency-based marketing strategies in e-commerce.
Co-Authors Ernani Hadiyati Ferdian Hendrasto I Nyoman Susipta Muhammad Kahfiyansyah Umi Muawanah Wahyudi Wahyudi