<![CDATA[The Standard Inpatient Class (KRIS) policy, which replaces the BPJS Kesehatan class 1, 2, and 3 system, poses financial implications for regional public hospitals, particularly regarding conformity of INA-CBGs tariffs to real service costs. This tariff gap can suppress hospital cash flow, leaving Padang Panjang Hospital, a Regional Referral Hospital, with uncertain revenue projections following KRIS implementation. Purpose: This study aims to analyze the projected revenue of Padang Panjang Hospital based on INA-CBGs tariff simulation under the KRIS scheme. Methods: The study used a quantitative descriptive design using a retrospective approach on secondary data, conducted at Padang Panjang Hospital, West Sumatra. The sample comprised all inpatient claims from January–December 2025, totaling 1,240 episodes, selected through total sampling. Data were collected via documentation study of medical record and INA-CBGs claim data. Univariate analysis described the distribution of tariffs and case volumes, while bivariate analysis used the Paired t-test/Wilcoxon test to examine tariff differences and Pearson correlation to examine the relationship between case severity and tariff differences. Results: Results showed a mean difference between real and INA-CBGs tariffs of IDR 387,500 per episode (SD = 112,300), with a projected revenue decrease of 8.7% following KRIS implementation. Bivariate analysis showed a significant relationship between case severity and tariff difference magnitude (p = 0.012; r = 0.341). Implications: These findings imply the need to strengthen clinical pathways and improve operational cost efficiency. Conclusion: Padang Panjang Hospital needs to develop a case-mix strategy and a real-time claims monitoring system to maintain financial sustainability in the KRIS era]]>
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