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All Journal BULETIN PENELITIAN SISTEM KESEHATAN Jurnal Kebijakan Kesehatan Indonesia Jurnal Kesehatan Reproduksi Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan Proceedings of the International Conference on Applied Science and Health JISIP: Jurnal Ilmu Sosial dan Pendidikan PREPOTIF : Jurnal Kesehatan Masyarakat JOSSAE (Journal of Sport Science and Education) Jurnal Cahaya Mandalika Journal of Social Research Journal of Economics Research and Policy Studies Berita Kedokteran Masyarakat Innovative: Journal Of Social Science Research Jurnal ARSI : Administrasi Rumah Sakit Indonesia Journal of Indonesian Health Policy and Administration Jurnal Ekonomi Kesehatan Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Budi Hidayat
Departemen Administrasi Dan Kebijakan Kesehatan FKM Universitas Indonesia
Arts Humanities Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mechanical Engineering Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Journal : Jurnal Ekonomi Kesehatan Indonesia

 1 
Terapi Sistemik Defisit JKN: Bahan Refleksi Bagi Semua Pihak Hidayat, Budi
Jurnal Ekonomi Kesehatan Indonesia Vol. 1, No. 1
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Abstract

The deficit deserves to be considered a chronic JKN disease. Indications of the deficit are revealed from the claims ratio figures. In 2014 and 2015, the claims ratio was consistently above 100%. This figure results from dividing claim costs (or participant health costs) by contribution income. Thus, the claims ratio describes the absorption of contribution funds for health costs only. However, contribution income must also be allocated for operational expenses and reserves. The JKN deficit will continue to grow if systemic therapy is nil. For 2016, the author's estimation results by referring to the assumed contribution amounts by Presidential Regulation No. 28/2016 (Cabinet Secretariat, 2016) and service rates in Minister of Health Regulation 59/2014 (Minister of Law and Human Rights, 2014) found a claim ratio of 101%. This means that contribution income still needs to be increased, even if only to fund health services. Where do the funds come from to fund operational costs? Does JKN only rely on government funding injections? The label of chronic deficit disease deserves to be carried by JKN. What is the cure?
Kajian Sistematis: Perkembangan Sistem Pembayaran Kapitasi Berbasis Penyesuaian Risiko di Berbagai Negara Agustina, Aulia; Hidayat, Budi
Jurnal Ekonomi Kesehatan Indonesia Vol. 6, No. 2
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Capitation is a payment method to primary health care providers. The application of capitation without considering risk adjustment could have a negative impact. There are several models of risk adjustment capitation payments. This study aims to review the development of the capitation payment system with risk adjustment for primary care in several countries. This study used the PRISMA method and got the articles from three online databases, namely Pubmed, EBSCOhost Medline, and Scopus. A total of 212 articles were collected, and 7 articles meet the criteria for further review. The review focuses on the risk-adjusted capitation payment system model. The results obtained that the risk-adjusted capitation payment system model is vary from simple to complex. The most frequently used risk factors were age and gender. The risk-adjusted capitation payment system model continues to develop, it is important to carry out periodic updates and adjustments. Various benefit from the implementation of the risk-adjusted capitation payment system model can be a reference for countries to get an appropriate risk-adjusted capitation policy formulation to be applied which proper to the conditions of each country
Analisis Praktik Koordinasi Manfaat (Coordination of Benefit) Layanan Rawat Inap di Indonesia Dewi, Fera Mutiara; Hidayat, Budi
Jurnal Ekonomi Kesehatan Indonesia Vol. 2, No. 2
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Nowadays, some people may have double insurance. Besides having compulsory insurance that regulated by government, they also have additional health insurance which is not mandatory. This condition has opened up opportunities for Coordination of Benefit (COB) in Indonesia, especially in JKN era. Unfortunately, in practice COB still not executed according to the principle of general rules of insurance. This research seeks to analyze the practice of the COB and COB fee scale in Indonesia. The method used is the observational study with cross sectional design. The modeling uses an econometric approach that is a two-part model which separates the process between the COB practice and the COB funds. The result of the research states that age covariate, LOS, and circulatory system diseases show significant effects in statistical testing. Lack of coordination between providers and assurer or between assurer and assurer, causes increasing potential moral hazard by both participants and providers so that participants may get double coverage. The suggestions of this research are first the need to create an independent organization that manages COB and second the need to made regulation of COB.
KEMAMPUAN MEMBAYAR IURAN JAMINAN KESEHATAN NASIONAL PESERTA PENERIMA BANTUAN IURAN (JKN PBI) KOTA TANGERANG TAHUN 2023 Darwati, Darwati; Pujiyanto, Pujiyanto; Hidayat, Budi
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 2
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The number of National Health Insurance (JKN) participants receiving Contribution Assistance (PBI) in Tangerang City from regional funding continues to increase by around 8.85% per year. On the other hand, the number of JKN participants who are non-wage earners (PBPU) and non-workers (BP) who pay contributions independently has decreased by around 0.7% per year from 2017-2022. One of the implications of this phenomenon is that the regional budget to finance JKN contributions for PBI participants is much larger than the budget for other programs. In 2020, JKN contribution payments for Tangerang City APBD PBI participants amounted to 57.81%, in 2021 it amounted to 75.32%, and in 2022 it amounted to 77.09% of the total Tangerang City Health Service budget excluding personnel expenditure and government governance. The research aims to analyze the ability to pay JKN contributions for the people of Tangerang City in 2023 and the influencing variables. The research used a cross-sectional design with a sample of 400 JKN PBI segment participants who had been selected by accident. Data was collected at two hospitals in the Tangerang City area in June 2023 using a questionnaire instrument. The average ability to pay JKN contributions is IDR 54,904/person/month. As many as 61.25% of respondents have the ability to pay JKN contributions of IDR 35,000/person/month. There is potential for savings in Tangerang City APBD expenditure of IDR 92.7 billion/year if 61.25% of JKN PBI APBD participants who have the ability to pay IDR 35,000/person/month are excluded from PBI membership. The results of the multivariate analysis found that the dominant variable influencing the ability to pay JKN contributions was non-food expenditure.
Co-Authors Andi Sari Bunga Anggi Srimurdianti Sukamto, Anggi Srimurdianti Aulia Agustina Aulia Agustina, Aulia Ayu Indah Lestari Besral . Darawati, Dayu Darwati Darwati Darwati Darwati Dewi, Fera Mutiara Eniraisa, Fidela Era Renjana Diskamara Fitriah Fitriah Fitriah Fitriah Hartono, Risky Kusuma Hasbullah Thabrany Hasbullah Thabrany Hasbullah Thabrany Hendratno Tuhiman Hendratno Tuhiman Ira Purnamasari Junadi, Purnawan Junaidi, Edi Kassiuw, Jean Francis Melanny Khairun Nisa’il Hulwah Kurnia Sari Kurnia Sari Lavinia, Zhafirah Lena Elfrida Situmeang Listiandi, Arfin Deri Mayangsari, Addinda Intan Michael Ong Michael Ong Misnaniarti Misnaniarti Nadjib, Mardiati Nadjib, Mardiati Novannisa, Nikky Novian, Geraldi Pandujiwo Noormanadi Pujianto Pujianto Pujianto Pujianto Pujiyanto Pujiyanto Pujiyanto Pujiyanto Pujiyanto Pujiyanto Pujiyanto, Pujiyanto Pungky Sumadi Pungky Sumadi Purwoko, Bambang Putri, Yustika Mahayu Rachim, Reisa Rahman, Reza Rini Hariyati Rini Hariyati Rudy Dwi Nyoto, Rudy Dwi Rudy Prawiradinata Rudy Prawiradinata Sjaaf, Amal Chalik Thabrany, Hasbullah Trihono, Trihono Wafda Ramadhan, Jihan Wahyu Pudji Nugraheni Wulansari Wulansari Yulaswati, Vivi Yuni Fitriani