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All Journal International Journal of Health and Pharmaceutical (IJHP)
Erlina Puspitaloka Mahadewi
Universitas Esa Unggul Jakarta, Indonesia
Nursing Public Health

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Implication of BPJS for Private Health Insurance Marketing and Business Competition in Indonesia Iis Nismawati; Umaruzzaman Umaruzzaman; Erlina Puspitaloka Mahadewi
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 3 (2022): August 2022
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (298.844 KB) | DOI: 10.51601/ijhp.v2i3.96

Abstract

Social security is a constitutional right owned by citizens that must be fulfilled by the state for its citizens in Indonesia. The growth of companies in Indonesia has increased from year to year. One of the service companies that is developing is an insurance company. Lots of private insurance companies are also growing and developing at this time. However, in the midst of competition from insurance companies, there is a new policy from the government. The government policy is one of the state-owned insurance companies, PT. Askes (Persero) changed its name to BPJS which applies to all people. Currently PT. Askes (Persero) changed to BPJS which serves all Indonesian citizens without any difference. The implementation of BPJS in early year 2014, seems to have had an impact on a number of insurance companies. This mandatory program from the government inevitably affects the competitive landscape of the insurance industry in Indonesia, especially private insurance companies that serve health and other private insurance companies. In the end, competition is expected to become a mechanism capable of creating efficiency that functions as a tool to protect consumers and business actors. This study uses a qualitative method, aiming to analyze the development of BPJS, its developments and implications, especially in the world of healthcare insurance business in Indonesia. From healthy insurance business and competition, it is hoped that efficient, effective, and high-quality production will be achieved. So that the ultimate goal of this research is to highlight what are the things that benefit consumers because they are given the opportunity to have a choice of quality products and can buy at competitive prices which tend to be relatively cheap.
Challenges and Implementation of Universal Health Coverage Program in Indonesia Naufal Rizky Perdana; Gayatri Adhasari; Erlina Puspitaloka Mahadewi
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 3 (2022): August 2022
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (317.611 KB) | DOI: 10.51601/ijhp.v2i3.97

Abstract

The existence of Universal Health Coverage (UHC) implementation means that everyone in Indonesia will have access to the health services they need, when and where they need it, without financial hardship. It covers a wide range of essential health services, from health promotion to prevention, treatment, rehabilitation and miscellaneous care. Many countries are already making progress towards UHC, although the ubiquity of the global covid-19 pandemic is impacting the availability of health systems' ability to provide undamaged healthcare. All countries can take action to move more quickly towards UHC despite the setbacks caused by the pandemic, or to maintain the gains they have made. Indonesia continues to strive to realize Universal Health Coverage (UHC) through the implementation of the National Health Insurance-Healthy Indonesia Card (JKN-KIS) program whose program has been implemented by the government since 2014. Since the enactment of the policy on providing health services for the community through the National Health Insurance and the Healthy Indonesia card (JKN-KIS) by the Government, there have been more than 40 million people who have not been registered as participants in the National Health Insurance-Healthy Indonesia Card (JKN-KIS) program. This study uses a qualitative method by making a literature review with the aim of making it affordable for those whose health has not been protected through JKN-KIS services. As a recommendation in efforts to accelerate the achievement of UHC, the government must be committed to reducing the level of inequality between provinces and regions as well as regions in Indonesia, by building better health infrastructure and facilities, including a more even distribution of health workers in provinces with a UHC service coverage index that is still low.
Analysis Of Demand For Health Insurance Business During The Indonesian Covid Pandemic Neni Rosnani; Rini Hastuti; Erlina Puspitaloka Mahadewi
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 3 (2022): August 2022
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (285.52 KB) | DOI: 10.51601/ijhp.v2i3.106

Abstract

The implementation of BPJS in Indonesia nine years ago, seems to have had an impact on a number of insurance companies also demand of the health insurance during pandemic in Indonesia. This mandatory program from the government inevitably affects the competitive landscape of the insurance industry in Indonesia, especially private insurance companies that serve health and other private insurance companies. Healthcare insurance competition is expected to become a mechanism capable of creating efficiency that functions as a tool to protect consumers and business actors. The Indonesia government policy is one of the state-owned insurance companies, PT. Askes (Persero) changed its name to BPJS which applies to all people. Currently PT. Askes (Persero) changed to BPJS which serves all Indonesian citizens without any difference. This study uses a qualitative method, aiming to analyze the development of demand trend in health insurance in Indonesia, its developments and implications, especially in the world of healthcare insurance business in Indonesia. From demand of health insurance business and competition, it is hoped that efficient, effective, and high-quality production will be achieved. The goal of this research is to highlight what are the things that benefit consumers because they are given the opportunity to have a choice of quality products and can buy at competitive prices which tend to be relatively cheap. This study also aims to analyze the demand for health insurance included: utilization of inpatient, utilization of health insurance and comparison literature review of inpatient and outpatient costs based on the type of social health insurance in Indonesia, public and private health facilities.
Co-Authors Gayatri Adhasari Iis Nismawati Naufal Rizky Perdana Neni Rosnani Rini Hastuti Umaruzzaman Umaruzzaman