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All Journal AKSIOLOGIYA : Jurnal Pengabdian Kepada Masyarakat Syntax Literate: Jurnal Ilmiah Indonesia ARKESMAS [Arsip Kesehatan Masyarakat] Jurnal SOLMA PubHealth Jurnal Kesehatan Masyarakat Jurnal Pendidikan Kesehatan Jurnal Pustaka Medika (Pusat Akses Kajian Medis dan Kesehatan Masyarakat) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Alnur, Rony Darmawansyah
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Humanities Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Does It Still Show a Deficit? Arguing Post-COVID-19 Health Financing System in Bogor, Indonesia Veruswati, Meita; Asyary, Al; Alnur, Rony Darmawansyah; Sagala, La Ode Hasnuddin S; Guspianto, Guspianto; Herawati, Maria Holy
Kesmas Vol. 17, No. 5
Publisher : UI Scholars Hub

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Abstract

Before the COVID-19 pandemic, the Bogor City Government regulated to cover the health financing claim during the Indonesian National Health Insurance (NHI) integration period due to the lower amount of health care claim per episode in regional hospitals compared to ones that NHI paid. This study aimed to address post-COVID-19 health financing at two hospitals in Bogor City, West Java Province, Indonesia. Descriptive analysis using the aggregate statistical summaries was taken to explore the medical care episodes of the data series at two hospitals for the last two years. Of the 890 checked medical records data, the deficit occurred in 197 (22.1%) medical care episodes, while five (0.6%) exceeded the hospitals' tariffs. The remaining 688 (77.3%) medical care episodes had suits with the Indonesian-Case Based Groups. Almost a quarter of medical care episodes in aggregate experienced a deficit in the two years before the pandemic. This study is the first to provide new insight into the discussion on medical care financing in a developing country's post-pandemic era in a newly implemented NHI system.
Co-Authors Aan Sutandi Agma, Syauqi Muzhaffar Al Asyary Arsita, Sabila Pinka A’yuni, Elia Nur A’yunin, Elia Nur Damayanti, Annisha Putri Dewi, Aliana Fadli, Rina Khairunnisa Guspianto Guspianto Herawati, Maria Holy Karim, Ulfah Nuraini La Ode Hasnuddin S. Sagala Mujadillah, Saddam Aufa Raditya, Muhammad Nurul Rizaldy, Pingkan Imelliana Salastianour, Alda Lena Siti Nuraini Veruswati, Meita Zakiyah Zakiyah