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Perbandingan Klaim Penyakit Katastropik Peserta Jaminan Kesehatan Nasional di Provinsi DKI Jakarta dan Nusa Tenggara Timur Heniwati, Heniwati; Thabrany, Hasbullah
Jurnal Ekonomi Kesehatan Indonesia Vol. 1, No. 2
Publisher : UI Scholars Hub

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Abstract

Several diseases that become catastrophic at the household level include end-stage renal disease, cardiovascular diseases, cancer, thalassemia, and hemophilia. Patients with these diseases benefit significantly from the National Health Insurance (JKN), and these conditions absorb high claim costs from JKN. Special attention is needed to manage these diseases effectively. Disparities in healthcare facilities, specialists, and variations in Case Mix Group (CMG) payment are suspected to be important contributing factors to the variation in JKN fund absorption across provinces. This study uses 2014 claim data from BPJS Kesehatan in Jakarta and East Nusa Tenggara (NTT) provinces to explore the extent of these differences. The total number of claims analyzed was 309,301. The results show statistically significant differences in claim payments per case, per admission, and per hospital day. These differences are primarily due to variations in CMG prices, which do not provide adequate incentives for specialists to work in smaller hospitals of classes B, C, and D in lower-income provinces. This study does not prove the transfer of JKN funds from NTT to Jakarta.
Redistricting and Electoral Integrity: Institutional Dynamics and Political Inequality in Banyuwangi Heniwati, Heniwati; Nugroho, Kris
Journal of Social and Policy Issues Volume 5, No 4 (2025) October - December
Publisher : Pencerah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58835/jspi.v5i4.570

Abstract

This study aims to analyze the institutional design for delineating electoral districts (daerah pemilihan) in elections and its implications for achieving electoral integrity in Banyuwangi Regency. It focuses on examining the extent to which the principles of electoral districting and seat allocation are fulfilled during redistricting processes, and identifying the appropriate institutional framework to ensure fair and sustainable electoral arrangements. Employing a qualitative method with a field research approach, this study was conducted in Banyuwangi Regency, Indonesia. The findings reveal that the redistricting process, which resulted in the addition of new electoral districts, disproportionately benefits larger and institutionally entrenched political parties. These parties are more capable of adapting to changes in seat allocation and capitalizing on newly formed districts, leading to increased electoral advantages. Moreover, redistricting introduces uncertainties in vote distribution, influences candidate recruitment mechanisms, and impacts the consolidation of party systems. The study also found that the decision of the national electoral commission (KPU) to adopt the third districting proposal, despite public preference for the 2019 configuration, lacked transparency and reflected political lobbying. This undermines the principle of continuity in electoral design. Consequently, this research underscores the need for a reformed institutional structure that ensures participatory, consistent, and integrity-driven electoral districting processes.