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Pujiyanti, Eka
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Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Public Health

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Kajian Literatur Sistematis: Skema Pengendalian Biaya dalam Asuransi Kesehatan Nasional di Beberapa Negara Pujiyanti, Eka; Setiawan, Ery; Sari, Euis Ratna; Suwandi, Indah Pratiwi
Jurnal Ekonomi Kesehatan Indonesia Vol. 4, No. 2
Publisher : UI Scholars Hub

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Cost-containment is one of several strategies to ensure the financial sustainability of the National Health Insurance scheme. Several cost-containment models were commonly globally, such as cost-sharing, capping, and others. This review aims to determine the costs and impacts of implemented policy schemes as cost-containment instruments in various countries. We performed a systematic review from several primary databases (Proquest, Pubmed, and Cochrane Library) with the primary intervention are the cost-sharing methods. The results of our review focused on the cost containment scheme from the government perspective, in which the context of social insurance can be a modification of payment systems, cost-sharing, capping/quota, and waiting period. From one of the studies in Canada, we can see that the result has a significant impact on the health system, reducing the expenditure and the use of drugs that are not essential, and also indirectly improve the technical efficiency of the drug market through the care of participants in drug utilisation. In this research, it can be concluded that the implementation of cost containment schemes can reduce the moral hazard risk from the perspective of participants with additional contributions to the utilisation of healthcare services.
Biaya Satuan dan Pemulihan Biaya (Cost Recovery Rate) Layanan Pasien Acute Coronary Syndrome dengan Rawat Inap di Rumah Sakit X Tahun 2015 Aurelia, Anna; Pujiyanti, Eka
Jurnal Ekonomi Kesehatan Indonesia Vol. 1, No. 3
Publisher : UI Scholars Hub

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X Hospital is a Class C Hospital in South Jakarta, which experiencing a substantial increased number of patients since the BPJS has implemented the referral system. Acute Coronary Syndrome (ACS) patient is a patient with a medical emergency require intensive treatment in the ICU. The purpose of this study was to analyze the cost for hospitalized ACS patients at X Hospital in 2015 using activity based costing. The study revealed that the unit cost of hospitalized ACS patients at X Hospital in 2015 was Rp 6.083.444,-. The Cost Recovery Rate for patients with fee-for-service was 227.98% and for BPJS patient was 71.38%. This study suggested the hospital to develop clinical pathway for ACS guidance, as well as recruiting full time doctors.
Co-Authors Aurelia, Anna Ery setiawan Sari, Euis Ratna Suwandi, Indah Pratiwi