#Program JKN

[kantorberita]

Pemkab Bengkulu Utara Bahas Optimalisasi Rencana Kerja PBPU 2024 dalam Forum Komunikasi Semester II

Pemkab Bengkulu Utara Bahas Optimalisasi Rencana Kerja PBPU 2024 dalam Forum Komunikasi Semester II KANTOR-BERITA.COM, BENGKULU UTARA|| Pemerintah Kabupaten (Pemkab) Bengkulu Utara, melalui Sekretaris Daerah H Fitriyansyah, S.STP., MM., memimpin rapat Forum Komunikasi Semester II tahun 2024 yang membahas anggaran dan Rencana Kerja (RK) Pekerja Bukan Penerima Upah (PBPU) Pemda tahun 2024, Rapat…

[bantennews]

Cahyani Dwi Rahayu, Raih Manfaat Luar Biasa dari Program JKN

SERANG – Cahyani Dwi Rahayu, seorang Aparatur Sipil Negara (ASN) berusia 47 tahun, telah menjadi saksi nyata akan manfaat luar biasa dari program Jaminan Kesehatan Nasional (JKN) yang diselenggarakan oleh BPJS Kesehatan. Warga Rajeg Mulya Residen Tangerang, Provinsi Banten itu memiliki riwayat Unstable Angina Pectoris (UAP) dan Dyspesia. Ia telah merasakan dampak positif dari program ini sejak…

[kebumen24-com]

Tingkatkan Kepatuhan Badan Usaha terhadap Program JKN, BPJS Kesehatan Kebumen Optimalkan Forum Koordinasi

KEBUMEN, Kebumen24.com – Dalam rangka meningkatkan kepatuhan Badan Usaha (BU) terhadap Program Jaminan Kesehatan Nasional (JKN), BPJS Kesehatan Cabang Kebumen menggelar kegiatan Forum Koordinasi Pengawasan dan Pemeriksaan Kepatuhan Badan Usaha Kabupaten Kebumen Tahun 2025. Kegiatan ini berlangsung pada Senin (16/06) dan melibatkan berbagai pihak strategis seperti Kejaksaan Negeri Kebumen, Dinas…

[bobbynus]

HAMPIR 1,1 juta Penerima Bantuan Iuran (PBI) Jaminan Kesehatan Nasional (JKN) di Jawa Tengah telah berstatus nonaktif.

Sekda Provinsi Jawa Tengah, Sumarno, mengapresiasi informasi bahwa hampir 1,1 juta peserta Penerima Bantuan Iuran (PBI) Jaminan Kesehatan Nasional (JKN) di Jawa Tengah telah berstatus nonaktif.

Ia berharap, kondisi tersebut mencerminkan bahwa peserta yang bersangkutan telah terentaskan dari kemiskinan.

“Alhamdulillah, kalau sudah nonaktif dari PBI artinya mereka sudah naik kelas,” ujar Sumarno usai menghadiri acara Apresiasi Kontribusi terhadap Program JKN Tahun 2024 di Semarang, Rabu (11/6).

Namun demikian, Sumarno menekankan pentingnya verifikasi terhadap data peserta tersebut.

[hargo-news]

Cegah Kecurangan Pelaksanaan Program JKN, Pemprov Gorontalo Bentuk Timsus

Hargo.co.id, GORONTALO – Pemerintah Provinsi Gorontalo mengambil langkah tegas untuk memerangi kecurangan dalam pelaksanaan program jaminan kesehatan nasional (JKN). Pemprov Gorontalo bahkan membentuk tim khusus (Timsus) pencegahan dan penanganan fraud yang melibatkan berbagai instansi terkait, termasuk perwakilan dari Badan Pengawasan Keuangan dan Pembangunan (BPKP) Provinsi Gorontalo. Gubernur…

[artasarimediagroup]

Manggar | Belitung Timur | Bangka Belitung | BeltimNyamanBekawan.Com | ArtaSariMediaGroup ~ Seperti kita ketahui, seluruh program kerja yang disampaikan kepada masyarakat Belitung Timur oleh Bupati Belitung Timur Kamarudin Muten dan Wakil Bupati Belitung Timur Khairil Anwar semuanya ber-orientasi kepada masyarakat luas khususnya masyarakat Belitung Timur yang tentunya diselaraskan dengan berbagai program dari Pemerintah Pusat, salahsatunya adalah Program Jaminan Kesehatan..

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[ad_1] The Jaminan Kesehatan Nasional (JKN), Indonesia’s single-payer health insurance, faces a looming deficit potentially amounting to 25 trillion rupiah (US$1.54 billion) as of 2025, the largest since BPJS Kesehatan (or BPJSK) began managing JKN in 2014. This alarming deficit has sparked public turmoil, with stakeholders suggesting solutions ranging from increasing monthly premiums to reducing coverage for smoking-related diseases. BPJS operates under mandates of UU 40/2004 and UU 24/2011, to administer JKN, Indonesia’s universal health coverage program. JKN is financed through premiums: formal workers contribute 5% of their salaries, while informal workers pay according to one of three classes outlined in Perpres 64/2020. The government subsidizes premiums for the impoverished through the Minister of Health. When JKN users receive healthcare, facilities provide care and submit proof to BPJS for reimbursement. Additionally, primary health centers (Puskesmas) and clinics receive a per-person payment for each registered user, known as capitation payment. The models of Indonesia’s national health insurance incorporate elements from two globally recognized health insurance models: the Beveridge model from England and the Bismarck model from Germany. The Beveridge model is seen in the National Health Service (NHS), which funds health insurance through government-owned services financed by tax. Conversely, the Bismarck model involves tax contributions deducted from salaries as part of the employee-employer contribution, applicable in both public or private sectors. JKN combines these approaches by collecting premiums through salary contributions and offering services to both the public and private sectors. Among the various factors driving the deficit, fraudulent activities within hospitals are particularly alarming. Several hospitals have been accused of creating false billing or shadow claims –  a scheme often coordinated between the director and doctors in the hospital. However, these instances of misconduct represent more than isolated incidents; they are indicative of a deeper systemic issue characterized by an imbalance between funding and utilization of services. The tariffs set for hospitals providing JKN service, as determined by regulators, were considered insufficient by the hospitals themselves. Despite a revision in 2023, as indicated by the Ministry of Health Decree 3/2023, the updated tariffs were still perceived as inadequate.  In response, the government increased the tariff in 2024, but only for Class A hospitals. This chronically underestimated tariff compels hospitals to adjust their practices. Some facilities discharged patients while still in compromised health—a practice that was eventually prohibited by BPJS. Moreover, certain hospitals engaged in patient “cherry-picking” by selecting individuals with less severe conditions to reduce the length of stays and associated costs. Some seemingly unfortunate circumstances initially yielded positive outcomes for JKN and BPJSK, albeit briefly. During the Covid-19 pandemic, patients were compelled to stay at home to minimize the risk of contracting the virus. As a result, many refrained from using JKN services, which in turn relieved BPJS of the financial burden of hospital payments, ultimately leading to a surplus during the pandemic. However, as the pandemic subsided and service resumed, the usage of healthcare services rebounded. This resurgence increased BPJS’s payments to hospitals, surpassing the expenditure levels during the pandemic. This complex phenomenon ultimately necessitates a comprehensive evaluation of the service provided under JKN by health facilities. It is essential to establish a transparent and timely surveillance and monitoring system focused on detecting fraudulent activities. Additionally, the formalization of entities responsible for managing fraud risks should be a priority. JKN has already set up a dedicated JKN Fraud Prevention team (Tim Pencegahan Kecurangan Jaminan Kesehatan Nasional), and it is essential to ensure both its operational capacity and robust governance to mitigate any potential conflict of interest. Beyond internal measures, external sanctions can also deter fraudulent activities. Current regulations allow for the revocation of medical permits for ethical violations. However, these primarily target individuals. Instituting broader institutional sanctions once fraud is proven can enhance accountability across the healthcare system.  Indonesia’s approach to managing its healthcare system must evolve to address both current inefficiencies and emerging challenges. This involves not only enhancing the integrity of financial transactions and service delivery within JKN but also fostering a healthcare ecosystem that supports ethical practices and robust financial management. As Indonesia navigates its path towards sustainable healthcare, the integration of stringent financial controls, coupled with an ethical healthcare delivery system, will be paramount. By reinforcing the structural and ethical foundations of its national insurance system, Indonesia can ensure that JKN not only survives but thrives, providing comprehensive and equitable healthcare coverage to all its citizens. The journey ahead is complex, but with concerted effort and strategic reforms, Indonesia can hopefully transform its healthcare landscape into a model for other developing nations and ultimately achieve universal health coverage amidst financial constraints and operational challenges. Ryan Rachmad Nugraha is an assistant professor at the Department of Family and Community Medicine, Universitas Gadjah Mada, specializing in primary care management. Ahmad Novindri Aji Sukma is an Indonesian Lawyer and PhD researcher at the University of Cambridge, specializing in Law & Criminology. [ad_2] Source link

[topikberitaco]

BPJS Kesehatan Dorong Edukasi JKN Lewat Media Gathering

LAMPUNG,TOPIBERITA.CO – Untuk memperkuat peran media dalam menyebarkan informasi seputar Program Jaminan Kesehatan Nasional (JKN), BPJS Kesehatan menggelar Media Gathering yang melibatkan pimpinan redaksi dari berbagai media di Sumatera Selatan, Lampung, Bengkulu, dan Bangka Belitung. Rabu, 11 Juni 2025. Kegiatan ini bertujuan mendorong sinergi serta meningkatkan pemahaman masyarakat tentang…

[spermarket]

Indonesia Clinical Laboratory Market Revenue, Growth Driver, Business Scope and Future Challenges 2034: SPER Market Research

A clinical laboratory is a specialized establishment that performs tests on clinical specimens, including tissue, blood, urine, and other body fluids, in order to gather data regarding a patient's health. Since they provide vital information that helps medical practitioners make well-informed decisions, these labs are essential to the diagnosis, treatment, and prevention of diseases. Clinical laboratories, which can be found in hospitals, outpatient clinics, research facilities, and private diagnostic centers, are essential to modern medicine. Hematology (the study of blood), microbiology (the study of infectious organisms), clinical chemistry (the analysis of bodily fluids), immunology (the study of immunological responses), and molecular diagnostics (genetic testing) are some of the specializations into which tests conducted in clinical labs fall. 

According to SPER market research, ‘Indonesia Clinical Laboratory Market Size- By Type of Labs, By Ownership, By Type of Payer, By Type of Customer, By Type of Tests - Regional Outlook, Competitive Strategies and Segment Forecast to 2034’ state that the Indonesia clinical laboratory market is predicted to reach XX billion by 2034 with a CAGR of 12.76%. 

Drivers: 

A number of important reasons are driving the clinical laboratory market's expansion in Indonesia. The introduction of Indonesia's national health insurance program, Jaminan Kesehatan Nasional (JKN), has increased access to diagnostic services and is a complement to this investment. Also, the need for clinical testing has increased due to the rising incidence of non-communicable diseases like diabetes, cancer, and cardiovascular disorders. The efficiency and capability of testing have been improved by technological developments, such as the use of digital pathology and quick diagnostic instruments. Moreover, market accessibility and reach have increased as a result of private laboratory chains' development into less developed areas. All of these elements work together to support the clinical laboratory market's strong expansion in Indonesia. 

Request a Free Sample Report: http://sperresearch.com/report-store/indonesia-clinical-laboratory-market.aspx?sample=1

Restraints: 

The growth and efficiency of the clinical laboratory market in Indonesia are impacted by a number of issues. One major problem is the lack of qualified workers, such as pathologists and laboratory technicians, which makes it more difficult to perform and evaluate diagnostic tests quickly. Due to this shortage, test findings are sent later than expected, which may have an impact on prompt medical treatments and patient care results. Also, many diagnostic labs face constraints because of inadequate equipment and antiquated infrastructure, especially in underprivileged and rural locations. These limitations impair the accuracy and dependability of test results by making it more difficult to perform sophisticated diagnostic procedures and provide results on time. 

Jakarta dominates the Indonesia's clinical laboratory market due to its dense population, central role in national economic activities, and well-established healthcare infrastructure. Some of the key market players are ABC Labs, Bio Medika, Cito, Diagnos, Kimia Farma, Parahita and others.

For More Information, refer to below link: –  

Indonesia Clinical Laboratory Market Growth

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[lampung7com]

Dewan Pengawas BPJS Kesehatan Tinjau RSUPMH, Dorong Peningkatan Kualitas dan Integritas Layanan JKN

Palembang – Ketua Dewan Pengawas BPJS Kesehatan, Abdul Kadir, melakukan kunjungan kerja ke Rumah Sakit Umum Pusat (RSUP) Dr. Mohammad Hoesin Palembang pada Kamis, 17 April 2025. Kunjungan ini bertujuan untuk meninjau secara langsung mutu pelayanan kesehatan, upaya pencegahan kecurangan (fraud), serta efektivitas implementasi digitalisasi dalam Program Jaminan Kesehatan Nasional (JKN). Dalam…

[kantorberita]

Bengkulu Tengah Raih Penghargaan UHC Kategori Madya

Bengkulu Tengah Raih Penghargaan UHC Kategori Madya KANTOR-BERITA.COM, BENGKULU TENGAH|| Pada Kamis, 8 Agustus 2024, Pemerintah Kabupaten Bengkulu Tengah meraih penghargaan Universal Health Coverage (UHC) Kategori Madya, Penghargaan ini diserahkan langsung oleh Wakil Presiden Republik Indonesia, KH. Ma’aruf Amin, dalam acara yang berlangsung di Ballroom Krakatau TMII, Jakarta Timur, Acara ini…

[bantennews]

Masyarakat Suku Baduy Resmi Bergabung dalam Program JKN

LEBAK – Kolaborasi yang melibatkan berbagai pihak telah sukses mendaftarkan Masyarakat Suku Baduy sebagai peserta Program Jaminan Kesehatan Nasional (JKN). Dalam upaya ini, BPJS Kesehatan dan Kementerian Kesehatan Republik Indonesia bekerjasama dengan berbagai pemangku kepentingan terkait, turut serta dalam penyerahan Kartu JKN kepada Masyarakat Suku Baduy pada 26 September 2023. David Bangun,…

[kebumen24-com]

Program JKN, Warga Kebumen Tak Lagi Cemas Biaya Pengobatan

KEBUMEN, Kebumen24.com – Program Jaminan Kesehatan Nasional (JKN) semakin dirasakan manfaatnya oleh masyarakat, terutama bagi warga kurang mampu. Maksudi (61), seorang buruh harian di Kebumen, mengaku lega karena program ini telah meringankan beban keluarganya dalam mengakses layanan kesehatan tanpa harus mengkhawatirkan biaya pengobatan. Continue reading Program JKN, Warga Kebumen Tak Lagi Cemas…

[buletinnews]

Anggota Komisi IX DPR dan BPJS Kesehatan Gelar Sosialisasi JKN-KIS di Kolaka Timur

Koltim, BuletinNews.com – BPJS Kesehatan Kantor Cabang Kendari bersama Anggota Komisi IX DPR-RI, H. Ahmad Safei, S.H., M.H., menggelar sosialisasi Program Jaminan Kesehatan Nasional-Kartu Indonesia Sehat (JKN-KIS) pada Selasa (25/02/2025). Acara ini berlangsung di Aula Pemda Kolaka Timur dan dihadiri oleh berbagai pejabat daerah serta tamu undangan.Turut hadir dalam kegiatan ini Sekretaris Daerah…

[unissula]

Edukasi Kesehatan Gigi di Kaligawe: Akses Layanan JKN & SDGs 🦷✨

Kelurahan Kaligawe, Semarang – Tim Fakultas Kedokteran Gigi Unissula mengadakan program edukasi masyarakat tentang layanan Jaminan Kesehatan Nasional (JKN) dan pentingnya kesehatan gigi & mulut.

💡 Kenapa ini penting? 📌 Banyak masyarakat belum paham layanan dokter gigi yang ditanggung BPJS. 📌 Kesadaran akan pentingnya pemeriksaan gigi masih rendah. 📌 Edukasi dapat mencegah masalah gigi serius & meningkatkan kualitas hidup.

📢 Program ini mendukung SDGs! 1️⃣ SDG 3: Kesehatan & Kesejahteraan – Meningkatkan pemahaman masyarakat tentang perawatan gigi melalui JKN. 2️⃣ SDG 4: Pendidikan Berkualitas – Literasi kesehatan meningkat, masyarakat lebih sadar pentingnya pemeriksaan rutin. 3️⃣ SDG 10: Mengurangi Ketimpangan – Sosialisasi JKN membantu akses layanan kesehatan bagi kelompok ekonomi terbatas. 4️⃣ SDG 17: Kemitraan – Unissula & Kelurahan Kaligawe berkolaborasi dalam mendukung kesehatan masyarakat.

📍 Manfaat yang Dirasakan Masyarakat ✅ Pemahaman lebih baik tentang layanan BPJS untuk perawatan gigi. ✅ Informasi jelas tentang pencabutan gigi, tambal gigi, scaling, hingga pembuatan gigi palsu. ✅ Partisipasi aktif masyarakat dalam menjaga kesehatan gigi & mulut.

⚡ Tantangan & Solusi ⏳ Kendala utama: keterlambatan peserta & penyesuaian jadwal. 💡 Solusi: Pengulangan materi bagi peserta yang terlambat, memastikan semua mendapatkan informasi yang sama.

🔮 Harapan ke Depan 🌟 Edukasi berkelanjutan agar lebih banyak masyarakat memahami & memanfaatkan layanan kesehatan gigi melalui BPJS. 🌟 Publikasi hasil program dalam jurnal nasional SINTA 4 untuk dampak lebih luas. 🌟 Kesehatan gigi yang lebih baik untuk semua!

✨ Kesehatan gigi = investasi jangka panjang! Mari manfaatkan layanan JKN & jaga senyum sehatmu! 🦷😊 #KesehatanGigi #JKN #SDGs #EdukasiMasyarakat

[ebirimars]

Still on my Indonesia trip that I promised to share my experience with you

Wednesday and Thursday were as fruitful as Monday and Tuesday. My first meeting was with Indonesia’s Minister of Health, Mr. Budi Gunadi Sadikin. The object was to discuss the country’s advancements in universal health coverage. Indonesia’s National Health Insurance Program (JKN) now covers about 98% of the population, ensuring accessible healthcare, especially for the poor and…