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Keterlambatan Klaim BPJS dan Perlindungan Hukum Rumah Sakit: Suatu Analisis Amalia, Rianca
Jurnal sosial dan sains Vol. 4 No. 7 (2024): Jurnal Sosial dan Sains
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jurnalsosains.v4i7.1476

Abstract

Latar Belakang: Pasca kehadiran BPJS Kesehatan tahun 2014, rumah sakit menjadi pihak subordinat dalam transaksi pelayanan kesehatan, sedangkan BPJS Kesehatan menjadi pihak supraordinat sebagai pemberi pembayaran atas jasa yang diberikan. Tujuan: Hubungan ideal antara rumah sakit dan BPJS seharusnya bersifat setara. Namun, BPJS Kesehatan sebagai pembeli layanan menunjukkan perilaku monopolistik, seperti penentuan tarif secara sepihak dan kurangnya ruang bagi rumah sakit untuk memberikan masukan. Selain itu, klaim rumah sakit yang disetujui dan dibayarkan oleh BPJS Kesehatan rata-rata jarang mencapai 90% dan sering kali tidak dibayarkan tepat waktu. Metode: Penelitian ini menggunakan metode yuridis normatif dengan bahan-bahan hukum sekunder yang didukung oleh data primer dari lapangan. Data diolah dan dianalisis secara kualitatif. Hasil: Perjanjian kerjasama antara RS Islam Jakarta Cempaka Putih dengan BPJS Kesehatan mengatur sistem pembayaran klaim untuk peserta Program Jaminan Kesehatan. Namun, terdapat hambatan berupa keterlambatan pembayaran oleh BPJS Kesehatan. Penyelesaian masalah ini dilakukan sesuai perjanjian kerjasama dan Perpres No. 82 Tahun 2018 tentang Jaminan Kesehatan. Pasal 1320 KUHPerdata menyatakan perlunya kesepakatan dalam perjanjian. Pada tahun 2022, klaim rasio di RS Islam Jakarta Cempaka Putih sebesar 77% dengan waktu pembayaran 22 hari setelah klaim dinyatakan lengkap.
Public Reactions to Indonesia's KRIS Policy: A Textual Network Analysis of Digital Legitimacy Handojo, Pradono; Sudarsono Hardjosoekarto; Lydia Freyani Hayadi; Luayya, Lora; Lestari, Haifa Mayang; Amalia, Rianca
Journal of Public Health and Pharmacy Vol. 6 No. 1: MARCH 2026
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i1.7401

Abstract

ntroduction: Through the Presidential Regulation No. 59 of 2024 issued on May 8, 2024, the Government of Indonesia announced the elimination of the three-class inpatient service (Class 1, Class 2, and Class 3) in Indonesia. The regulation introduces a single standard inpatient service class (KRIS), effective July 1, 2025. This study analyzes the KRIS nursing policy by exploring comments on YouTube news reports during two distinct periods: before and after the policy announcement. It also evaluates the impact of public communication efforts by relevant institutions on public support for the policy. Methodologically, this study introduces a novel approach by integrating Textual Network Analysis (TNA) with digital legitimacy theory, offering a fresh lens to examine the construction of policy legitimacy in digital environments (YouTube). Methods: To address the first research question, TNA was conducted on comments on YouTube, capturing and analyzing public responses to KRIS policy-related news during both pre- and post-policy announcement periods. Data were collected using Communalityc and APIFY and analyzed using Gephi to visualize and generate word networks. To address the second research question, the authors quantified KRIS policy socialization videos and compared them with COVID-19 vaccination campaign videos, followed by a qualitative analysis. Results: The authors discover that public discourse and sentiment remained consistently negative both pre- and post-announcement. However, the focus of the discussion shifted from complaints about service quality and contribution burdens to more direct concerns over increased contributions and reduced benefits. Regarding the second research question, the authors conclude that compared to the COVID-19 vaccination campaign, efforts to promote the benefits of the KRIS policy have been relatively limited, with minimal engagement from the four government institutions involved. Conclusion: This study provides valuable insights into public discourse and sentiment regarding the Standard Inpatient Class (KRIS) policy, which is scheduled to take effect on July 1, 2025. The findings suggest that the government should strengthen its public engagement by adopting a more intensive, structured, and coordinated communication strategy—similar to that employed during the COVID-19 vaccination campaign—to boost public acceptance and enhance policy legitimacy.