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All Journal Unram Law Review Pena Justisia: Media Komunikasi dan Kajian Hukum Jurnal Suara Hukum Commerce Law
Wulandari, Anggi Yudistia
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Humanities Environmental Science Law, Crime, Criminology & Criminal Justice Social Sciences

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Journal : Unram Law Review

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Analisis Yuridis Tanggung Jawab Hukum Atas Kebijakan Penerapan KRIS Di Wilayah NTT Wulandari, Anggi Yudistia; Gorda, A.A.A Ngr. Sri Rahayu
Unram Law Review Vol 8 No 2 (2024): Unram Law Review(ULREV)
Publisher : Faculty of Law, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/ulrev.v8i2.378

Abstract

Data on the availability of beds, especially for class three in healthcare facilities, particularly in NTT, shows the unpreparedness of hospitals to implement KRIS until June 30, 2025. Various controversies that may arise after the implementation of KRIS, especially if Healthcare Facilities are unable to meet KRIS standards by June 30, 2025. This research aims to analyze the implementation of KRIS provisions and the legal consequences for hospitals collaborating with BPJS Kesehatan. This research is normative in nature. The enactment of Presidential Regulation No. 59 of 2024 regarding KRIS. The policy related to the implementation of KRIS has not yet provided protection and legal certainty for the parties involved, including the payment system, so the Ministry of Health must review the rules and sanctions that will be imposed if healthcare providers are unable to meet the criteria outlined in the Presidential Regulation. There has not yet been a more in-depth explanation regarding the sanctions and legal consequences that will arise if, by June 30, 2025, healthcare facilities are unable to meet KRIS standards. The government must provide an explanation of the legal consequences if healthcare facilities are unable to meet the criteria outlined in the Presidential Regulation. BPJS Kesehatan must also prepare the derivative regulations from the Presidential Decree and review the Cooperation Agreement with hospitals to minimize the risk of legal consequences in the implementation of KRIS.
Legal Analysis of the Impact of Law Enforcement on Fraud Perpetrators in the JKN Program Wulandari, Anggi Yudistia
Unram Law Review Vol 9 No 2 (2025): Unram Law Review (ULREV)
Publisher : Faculty of Law, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/ulrev.v9i2.451

Abstract

BPJS Kesehatan, which runs the JKN programme, has the largest number of participants in Indonesia, with 98.21% of the Indonesian population enrolled as of 1 June 2025. The objective of the JKN programme is to provide the public with access to affordable and quality health services. There are many debates and issues faced in maintaining the sustainability of the JKN programme, one of which is fraud committed by health facilities. The absence of sanctions or firm action against perpetrators of fraud encourages them to repeat their actions. This study aims to analyse the effect of law enforcement on perpetrators of fraud. This study uses a normative juridical method with a statute approach and a conceptual approach. The research approach was conducted by examining various legal reference materials (secondary data). The results of the study show that law enforcement against fraud perpetrators as stipulated in Minister of Health Regulation (Permenkes) No. 16 of 2019 has not had a deterrent effect and taken firm action against perpetrators because the sanctions imposed are only administrative in nature, such as verbal and written warnings, compensation and revocation of licences, and the types of fraud that need to be updated. Based on legal analysis, efforts are needed to reform sanctions against fraud perpetrators and to clearly divide tasks among PK JKN team members. Support from the entire JKN ecosystem is also needed in enforcing sanctions against fraud perpetrators. Stronger regulations will reduce the desire to commit fraud in JKN and combat fraud.
Co-Authors Gorda , A.A.A Ngurah Tini Rusmini Gorda, A.A.A Ngurah Tini Rusmini Gorda, A.A.A. Ngr Sri Rahayu Harminsyah, Agus I Gede Agus Kurniawan Kurniawan , I Gede Agus Mulyana, Septira Putri