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Contact Name
Budi Hidayat
Contact Email
jurnal.eki@cheps.or.id
Phone
+6281779151002
Journal Mail Official
jurnal.eki@cheps.or.id
Editorial Address
Department of Health and Policy, Building F Floor 1, Faculty of Public Health Universitas Indonesia, Kampus Baru UI Depok 16424, Depok City, West Java Province, Indonesia
Location
Kota depok,
Jawa barat
INDONESIA
Jurnal Ekonomi Kesehatan Indonesia
Published by Universitas Indonesia
ISSN : 25278878     EISSN : 25983849     DOI : https://doi.org/10.7454/eki
This journal encompasses original research articles, case studies, conceptual fields, review-based studies (very limited, it will be strictly selected), and protocols. The journal publishes research from various topics in health economics, including but is not limited to the following topics: Economic Evaluation Health Financing Health Policy Health Insurance Pharmacoeconomics Health Technology Assessment (HTA) Tobacco Control Jaminan Kesehatan Nasional (JKN) Health and Econometric Article published in Jurnal Ekonomi Kesehatan Indonesia are determined through the blind review process conducted by the editor and reviewers. They provide evaluation and constructive suggestions for the authors. Prior to be accepted, they considers several factors such as whether the manuscript format is in accordance with the manuscript template and writing guidelines for authors, the relevance of the article with scopes, and its contribution to the development of health economics evaluation and accounting practices as well as the health policy.
Articles 6 Documents
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Kebijakan Penetapan Tarif Seksio Sesarea Tanpa Penyulit dengan Metode Activity Based Costing Berdasarkan ICD-9CM pada Jaminan Kesehatan Nasional di Rumah Sakit XY Kabupaten Kudus Tahun 2016 Widjayanto, Amirati Dwishinta W
Jurnal Ekonomi Kesehatan Indonesia Vol. 1, No. 4
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Abstract

Tariff of the Caesarean Section (CS) in JKN Program is much different with the CS tariff applicable in hospital. Therefore it needs to be done the research of tariff assignment policy of CS without complications with the method of Activity-Based Costing (ABC) based on ICD-9CM in the implementation of JKN Program in XY hospital Kudus.This is an analytical case studies which has three stages. First, the preparation of Clinical Pathway (CP) CS without complications with a descriptive qualitative approach and methods of FGD and Brainstorming in data collection. Second, the implementation of CP and the calculation of unit cost of the CS without complications with the quantitative approach and methods of observation ctivity Based Costing. Third, analysis of the results and follow-up of the internal hospital policy to face JKN program by qualitative approach and FGD method.Research results generate CP CS without complication adn CP handling New Healthy Baby Born through CS without Complication . The calculation results of the CS without complications unit cost class II is Rp5,320,957 and Rp5,484,564 for class I. When added with the services then cost of CS without complications class II become Rp7,485,745. and Rp8,380,564 for class I. This figureis still above the applicable standard price of JKN which Rp5.306.800 for class II and Rp6.191.300 for class I. All this time, the hospital policy on tariff setting the priority component competitors as a consideration factor
Analisis Hasil Koding yang Dihasilkan oleh Coder di Rumah Sakit Pemerintah X di Kota Semarang Tahun 2012 Yuniati, Dewi Indah
Jurnal Ekonomi Kesehatan Indonesia Vol. 1, No. 4
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Coders affect hospital revenue due to their ability to determine specific code using ICD for diagnoses and procedures stated in medical record. This study aimed to determine the competence of coder in X Hospital and potential losses that may occur. Quantitative method was used in this study, involving 6 coders who were divided into 2 groups: standard and test groups, based on years of experience and followed trainings. Coding results and the amount of the claim were compared between groups. The study showed coder‘s competence still needs to be improved. This was characterized by a high average under coding result that reached 32.6% and potentially lowering hospital revenue by an average of 4.2% of claims that should be obtained by the hospital.
Analisis Penerapan Cost Containment pada Kasus Sectio Caesarea dengan Jaminan BPJS di RS Pemerintah XY di Kota Bogor Tahun 2016 Nazirah Istianisa, Nazirah Nazirah Istianisa; Oktamianti, Puput
Jurnal Ekonomi Kesehatan Indonesia Vol. 1, No. 4
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Prospective payment system with INA-CBG’s fare for cases using BPJS Insurance demands hospital to control their cost. This study aims to see the cost containment in XY Hospital through the implementation of clinical pathway, drug formulary, and incentive structure. The study looked into Sectio Caesarea cases from January to March 2016, using quantitative method, comparing BPJS claim with hospital billing and assesst the implementation of clinical pathway using qualitative method through in depth interview. Result shows there is deficit amount of Rp.1.014.125.684,00 and the average of deficit per case is Rp.4.899.157,89. Eighty four percent of cases have length of stay in accordance with clinical pathway. From those cases, 96% has concordant doctors visit, 21% has concordant drug usage, and 48% has concordant laboratory diagnostic test. The hospital formulary uses the national formulary. It is found that XY Hospital does not have an evaluation system for clinical pathway implementation and drug usage. The incentive structure that is used is fee-for-service system which is not suitable for prospective payment method.
Analisis Upaya Rumah Sakit dalam Menutupi Kekurangan Biaya Klaim Indonesia Case Base Group (INA-CBGs) Yang Dihitung dengan Metode Activities Base Costing pada Rumah Sakit Swasta Kelas C di Kota Medan Tahun 2017 Aulia, Destanul; Ayu, Sri Fajar, Universitas Sumatera Utara
Jurnal Ekonomi Kesehatan Indonesia Vol. 1, No. 4
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Indonesia has developed the National Social Insurance System with the establishment of the National Health Insurance program and organized by BPJS Kesehatan. One of payment way of health services for the hospital in the era of JKN is Indonesian Case Base Group (INA-CBG’s), that is the payment of claims from BPJS to hospital on a package of services based on the packet of disease diagnosis and procedure.This study aims to analyze efforts by hospitals to cover the cost deficiency of INA CBG’s claims in Privat Hospital in Medan. This research type is descriptive with qualitative and quantitative. Qualitative is done by in-depth interview, and quantitative is done by calculating real cost and cost of INA-CBG’s claim and by Activity Based Cost method. The counting result with ABC system,The results showed that the efforts made by hospitals to cover INA-CBG’s claim cost deficits are utilizing the help of health professionals from students from private hospital schools / academies, length of service delivery, setting out service packages for general patients, and providing patient pickup facilities. Suggested to to the Hospital to evaluate the financial risks the hospital receives from services, practice student performance, and distribute the cost of INA CBG’s claims well in order to improve the quality of health services in accordance with the standards.
Cost Recovery Rate Tarif Rumah Sakit dan Tarif INA-CBG’s Berdasarkan Clinical Pathway pada Penyakit Arteri Koroner di RS Pemerintah A di Palembang Tahun 2015 Mardiah, Mardiah; Rivany, Ronnie
Jurnal Ekonomi Kesehatan Indonesia Vol. 1, No. 4
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The difference of cost negative in the case of Coronary Artery Disease (CAD) with Percutaneous Coronary Intervention (PCI), indicate health financing gap between of hospital rates and INA-CBG’s rates. This study aimed to see the difference between the cost recovery rate (CRR) of hospital rates and INA-CBG’s rates for CAD with PCI at A Hospital. The results showed that the cost of treatment based on clinical pathways at the severity level I had a higher CRR Hospital rates compared to INA-CBG’s CRR, whereas at the severity level II, Hospital CRR rate was lower than INA-CBG’s CRR for the utility of less than 2 stents. At severity level III, CRR INA-CBGs’ rates with utilization of 1 and 2 stents performed higher rates than the hospitals CRR. This was related to INA-CBG’s rate that did not take the magnitude of the stentulitizationinto account. It is necessary to improve INA-CBG’s tarif development method from hospital base rate to clinical pathway-based cost of treatment in order to meet hospital operational cost and ensure the best quality of service
Analisis Minimalisasi Biaya Obat Antihipertensi antara Kombinasi Ramipril-Spironolakton dengan Valsartan pada Pasien Gagal Jantung Kongestif di Rumah Sakit Pemerintah XY di Jakarta Tahun 2014 Rahmawati, Cyntiya; Nurwahyuni, Atik
Jurnal Ekonomi Kesehatan Indonesia Vol. 1, No. 4
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Hypertension is one of risk factors for congestive heart failure as the top 10 most prevalent diseases in XY Public Hospital in 2014. It has a large number of total cost and cost deviation between hospital and JKN rate. This study aimed to choose an alternative that is more cost-effective to treat congestive heart failure at XY Hospital in 2014. This was a quantitative research using retrospective cross-sectional analysis. The study compared the average value of total cost of two alternative treatments, ramipril-spironolactone with valsartan by using Hospital’s perspective. Direct medical cost components were cost of drugs, cost of physicians’ services and cost of hospitalizations. This study found that: (1) The average total cost of ramipril-spironolactone was Rp.2.527.743; whereas the average total cost of valsartan was Rp.2.430.923; (2) Ramipril-spironolactone’s effectiveness was not significantly different from valsartan; (3) There was cost saving on the average of total cost using valsartan’s drug as many as Rp96.820 per patient; (4) There was cost saving on hospitalization cost using valsartan’s drug for Rp299.031 per patient. Valsartan provided the lowest value and more cost-effective than ramipril-spironolactone for patient with congestive heart failure.

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