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All Journal KRTHA BHAYANGKARA Jurnal As-Syar’i: Jurnal Bimbingan & Konseling Keluarga
Agus Suswantoro, Tri
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Religion Humanities Education Law, Crime, Criminology & Criminal Justice Social Sciences

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Penyusunan Regulasi Badan Penyelenggara Jaminan Sosial Kesehatan Atas Penjaminan Skrining Penyakit Kanker Serviks Berbasis Nilai Keadilan Bermartabat Ingot Netron Sihaloho, Boy; Agung Widi Wandono, Aloysius; Agus Suswantoro, Tri
As-Syar i: Jurnal Bimbingan & Konseling Keluarga  Vol. 7 No. 3 (2025): As-Syar’i: Jurnal Bimbingan & Konseling Keluarga
Publisher : Institut Agama Islam Nasional Laa Roiba Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47467/as.v7i3.8417

Abstract

Cervical cancer screening is categorized as a public health effort within the minimum service standards and as an individual health effort for participants in the national health insurance program. Cervical cancer screening is regulated under legislation set forth by the Presidential Regulation, the Minister of Health Regulation, and the BPJS Kesehatan Regulation. However, there are challenges regarding the guarantee of cervical cancer screening, which falls under the minimum service standards and individual health efforts. The guarantee for cervical cancer screening requires coordination between the Minister of Health, the Minister of Home Affairs, and BPJS Kesehatan, as stipulated in the regulations concerning the guarantee of cervical cancer screening. If government funding is unavailable or insufficient, BPJS Kesehatan acts as the guarantor for individual health efforts. This provides dignified fairness for participants in accessing health services. This study will analyze and discuss the regulation of cervical cancer screening guarantees within the regulatory framework, and subsequently how the regulation of cervical cancer screening guarantees is managed within BPJS Kesehatan regulations to ensure dignified fairness
Fraud in BPJS According to Ethics and Health Law No. 17 Of 2023 Kartika, Ronald Winardi; Nasser, M; Agus Suswantoro, Tri
KRTHA BHAYANGKARA Vol. 19 No. 2 (2025): KRTHA BHAYANGKARA: AUGUST 2025
Publisher : Fakultas Hukum Universitas Bhayangkara Jakarta Raya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31599/krtha.v19i2.3875

Abstract

Background: Fraud in the National Health Insurance (JKN) program managed by BPJS Kesehatan poses a serious challenge to maintaining the sustainability of healthcare services in Indonesia. This study aims to analyze the forms of fraud, their impact on the healthcare system, and prevention strategies based on ethical and regulatory perspectives, specifically Health Law No. 17 of 2023 and Minister of Health Regulation No. 16 of 2019. Methodology: This study uses a normative legal approach with a descriptive-qualitative analysis method. Data were obtained through a literature review of applicable regulations, academic literature, and document analysis related to fraud in BPJS health. Primary legal sources include Health Law No. 17 of 2023 and various related regulations, while secondary sources consist of journal articles and research reports. The analysis was conducted by identifying fraud patterns, evaluating the effectiveness of supervision and administrative sanctions, and reviewing the role of technology in fraud mitigation. Results: Research shows that BPJS health fraud occurs due to weak supervision, minimal participant literacy regarding rights and obligations, and gaps in the claims and verification system. Implementing an information technology-based anti-fraud system, participant education, and increased oversight are strategic steps to minimize fraud. With a multidisciplinary approach, it is hoped that the JKN system can function optimally, ensure transparency, and increase the accountability of healthcare providers
Co-Authors Agung Widi Wandono, Aloysius Ingot Netron Sihaloho, Boy Kartika, Ronald Winardi Nasser, M