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All Journal Jurnal EduHealth Journal of Educational Innovation and Public Health
Nabila Wulandari
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Faktor-Faktor Yang Mempengaruhi Penundaan Proses Klaim JHT BPJS Ketenagakerjaan Cabang Medan Oktapianti, Wanda Aulia; Dwi Melisa Putri; Nabila Wulandari; Restu Amalia Mazid; Sri Hajijah Purba
Journal of Educational Innovation and Public Health Vol. 2 No. 3 (2024): Juli : Journal of Educational Innovation and Public Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v2i3.3026

Abstract

This study aims to identify the factors influencing delays in the claim process of theRetirement Savings Scheme (JHT) at the BPJS Employment Branch Office in Medan. Aqualitative approach was employed through in-depth interviews with BPJS employees,rticipants,andbranch managers.The findingsrevealthatinternalfactorssuch asincomplete documentation, human resource limitations, and technological system disruptionsplay a significant role in causing claim delays. Additionally, external factors includingsuddengovernmentregulatorychangesand inadequateparticipantinformation alsocontribute to these delays. The impact of claim delays on participant satisfaction is profound,necessitating improvements in claim management administration. Based on these findings, itis recommended to enhanceparticipant education and awareness, strengthen humanresources, improve technological system reliability, and develop adaptive mechanisms forregulatory changes to enhance efficiency and participant satisfaction in the JHT claimprocessattheBPJS EmploymentBranchOfficein Medan
Analysis Of The Management And Utilization Of The National Health Insurance Capitation Fund (JKN) Puskesmas In Deli Serdang Regency Oktapianti, Wanda Aulia; Dwi Melisa Putri; Indah Doanita Hasibuan; Restu Malia Mazid; Nabila Wulandari
Jurnal EduHealth Vol. 15 No. 02 (2024): Jurnal eduHealt, Edition April - June , 2024
Publisher : Sean Institute

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Abstract

This study discusses the analysis of the management and utilization of the National Health Insurance (JKN) capitation fund at the Puskesmas in Deli Serdang Regency. The research method used was an in-depth interview and qualitative approach at 3 puskesmas in Deli Serdang Regency, namely Gunung Tinggi Health Center, Kutalimbaru Health Center and Bandar Baru Health Center. The results show the effectiveness and efficiency of capitation fund management practices at the puskesmas, with strict supervision in accordance with applicable regulations. Capitation funds are used to pay for health care services and operational costs. The Puskesmas studied has also used JKN capitation funds in accordance with the specified percentage, but several aspects need to be considered to ensure better compliance. Suggestions for improving the effectiveness of the use of capitation funds include capacity building and training related to capitation fund management.
Co-Authors Dwi Melisa Putri Indah Doanita Hasibuan Oktapianti, Wanda Aulia Restu Amalia Mazid Restu Malia Mazid Sri Hajijah Purba