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All Journal Jurnal Syntax Imperatif : Jurnal Ilmu Sosial dan Pendidikan Journal of Community Health Provision
Priscilia, Viona
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Religion Humanities Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Analisis Yuridis Penerapan Sanksi Peserta JKN Fraud dalam Pelaksanaan Program JKN di Indonesia Priscilia, Viona; Kantikha, I Made; Prasetyo, Boedi
JURNAL SYNTAX IMPERATIF : Jurnal Ilmu Sosial dan Pendidikan Vol. 5 No. 5 (2024): Jurnal Syntax Imperatif: Jurnal Ilmu Sosial dan Pendidikan
Publisher : CV RIFAINSTITUT

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntaximperatif.v5i5.521

Abstract

Program Jaminan Kesehatan Nasional (JKN) merupakan inisiatif pemerintah untuk meringankan biaya pelayanan kesehatan bagi masyarakat kurang mampu di Indonesia. JKN bertujuan memberikan akses pelayanan kesehatan yang komprehensif untuk seluruh warga negara. Namun, sejak peluncurannya, program ini menghadapi berbagai tantangan, salah satunya adalah maraknya tindakan kecurangan (fraud) yang banyak dilakukan oleh peserta JKN itu sendiri. Penelitian ini bertujuan untuk mengidentifikasi langkah-langkah pencegahan yang telah dilakukan, penerapan sanksi yang ada saat ini, serta usulan pembaruan sanksi bagi peserta JKN yang terlibat dalam kecurangan. Penelitian ini menggunakan metode hukum normatif dengan merujuk pada sumber hukum, terutama peraturan perundang-undangan terkait kecurangan dalam layanan kesehatan. Data dikumpulkan melalui studi pustaka, dan analisis dilakukan secara kualitatif. Hasil penelitian menunjukkan bahwa upaya pencegahan yang telah dilakukan pemerintah meliputi pelaporan dugaan kecurangan ke Tim Pencegahan dan Penanganan Kecurangan, perlindungan identitas kependudukan dan kartu JKN KIS, serta kepatuhan terhadap peraturan. Saat ini, sanksi terhadap kecurangan bersifat administratif. Oleh karena itu, diperlukan pembaruan dengan mengusulkan kriminalisasi, termasuk penerapan pidana penjara untuk menanggulangi tindakan kecurangan dalam JKN di Indonesia.
Law Enforcement Against Medical Personnel as Perpetrators of Fraud in the National Health Insurance Program Priscilia, Viona; Kantikha, I Made; Prasetyo, Boedi
Journal of Community Health Provision Vol. 5 No. 1 (2025): Journal of Community Health Provision
Publisher : PSPP JOURNALS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55885/jchp.v5i1.418

Abstract

JKN is program issued by the government aimed providing certainty in providing comprehensive health services for all Indonesian citizens. However, since JKN was first implemented until now, many challenges have been experienced, one of which is the large number of fraudulent acts in its implementation dominated by JKN participants themselves. Therefore, this research aims to find out. what prevention efforts have been carried out, the application of current sanctions, and how to update the application of sanctions for JKN participants who commit fraud in the implementation of JKN in Indonesia. This research is normative legal research referring to legal sources, especially statutory regulations relating to acts of fraud in healthservice programs. Legal sources in this writing consist of primary legal materials and secondary legal materials. The data collection technique used is library research. The data analysis techniques carried out in this research will go through a qualitative processing and analysis stage. The results of this research show that prevention efforts that have been carriedout by the government include reporting suspected fraud to the Fraud Prevention and Handling Team, maintaining the confidentiality of residence identity and JKN KIS cards so that they are not misused, and complying with all existing regulations, then implementing sanctions against Currently, acts of fraud only take the form of administrative sanctions,therefore the effort to reform the application of sanctions is to include the concept of criminalization in the form of imprisonment in order to catch fraudsters in the implementation of JKN in Indonesia.
Co-Authors Kantikha, I Made Prasetyo, Boedi