Administration delays mandate for larger employers to provide health insurance

BMJ ◽  
2013 ◽  
Vol 347 (jul05 2) ◽  
pp. f4369-f4369
Author(s):  
M. McCarthy
Keyword(s):  
Health Insurance ◽  
Provide Health Insurance

BPJS Kesehatan Memberikan Jaminan Kesehatan Terhadap Pasien Atau Masyarakat

2021 ◽  
Vol 7 (2) ◽  
pp. 146-154
Author(s):  
Aidha Puteri Mustikasari
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Services ◽  
Social Security ◽  
The State ◽  
Universal Health Care ◽  
Universal Health Insurance ◽  
Universal Health ◽  
Provide Health Insurance

Abstrak. Kepesertaan BPJS Kesehatan pada tahun 2020 tidak akan mencakup 90% penduduk Indonesia, namun rencana Universal Health Care Implementation (UHC) telah direncanakan sejak tahun sebelumnya. Di masa pandemi Covid, sejumlah besar status kepesertaan BPJS Kesehatan  dicabut karena terlambat, padahal masyarakat membutuhkan layanan kesehatan dan asuransi dengan kondisi yang ada. Kajian ini bersifat norma deskriptif , dibahas dalam konteks kepesertaan BPJS kesehatan, dan cukup  menggunakan prinsip asuransi dengan hanya memberikan jaminan kepada peserta, tetapi negara mengikuti kewajiban UUD 1945 yaitu memberikan jaminan kesehatan dan pelayanan kepada warga negara. Untuk mendukung keberadaan jaminan kesehatan universal, Indonesia perlu menerapkan formulir kepesertaan dan  sanksi untuk ketentuan wajib  peserta jaminan sosial yang efektif dan efisien. Abstract. BPJS Health membership in 2020 will not cover 90% of Indonesia's population, but the Universal Health Care Implementation (UHC) plan has been planned since the previous year. During the Covid pandemic, a large number of BPJS Health membership statuses were revoked because they were late, even though people needed health services and insurance with the existing conditions. This study is descriptive in nature, discussed in the context of BPJS health participation, and it is sufficient to use the insurance principle by only providing guarantees to participants, but the state follows the obligations of the 1945 Constitution, namely to provide health insurance and services to citizens. To support the existence of universal health insurance, Indonesia needs to implement an effective and efficient membership form and sanctions for mandatory provisions for social security participants.

The Welfare Implications of Health Capital Investment

2014 ◽  
Vol 04 (02) ◽  
pp. 1450007 ◽  
Author(s):  
Sara B. Holland
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Capital Investment ◽  
Investment Decision ◽  
Optimal Contract ◽  
Health Capital ◽  
Ex Post ◽  
Investment Level ◽  
Welfare Implications ◽  
Provide Health Insurance

I present a model of the health capital investment decision of a firm using a moral hazard framework. Health capital investment increases the probability that a worker is present and productive. The firm cannot verify a worker's health capital investment decision. When a firm invests in health capital, the investment is verifiable because the firm contracts with the insurer. I derive the optimal contract for when the worker and for when the firm invests in health capital. When the firm invests in health capital, the level of investment is higher and wages are less volatile. In my model, firms invest more than workers because of a production externality and because it is less costly to invest in health capital than to compensate the worker for bearing the risk of an uncertain labor realization. This result improves welfare, contrary to the benchmark that workers consume more health care than is efficient ex post when firms provide health insurance. Unlike the benchmark model of a worker and insurer, my model includes a profit maximizing firm, includes an endogenous probability of getting sick, and allows the insurer to set premiums by anticipating the health care investment level of the insured.

scholarly journals Hubungan Hukum Antara Dokter dan Pasien dalam Pemberian Jasa Kesehatan

2021 ◽  
Vol 8 (5) ◽  
pp. 1273-1288
Author(s):  
Iman Imanuddin ◽  
RR Dewi Anggraeni ◽  
Maulin Nasikah
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Insurance ◽  
Medical Practice ◽  
Qualitative Method ◽  
Community Services ◽  
Health Improvement ◽  
Legal Relationship ◽  
To Receive ◽  
Provide Health Insurance

The health care system in Indonesia includes medical services and community services. In general, public health is a service substance that aims to achieve preventive (prevention) and promotive (health improvement) services. In addition, the target is for the community to receive curative (treatment) and rehabilitative (recovery) services. The legal relationship between doctors and patients has been regulated in Hospital Law Number 29 of 2004 concerning Medical Practice and Law Number 44 of 2009 concerning Hospitals. This study uses a qualitative method with a literature approach. The results of the study stated that the need for supervision from the hospital to the doctors to provide health insurance according to the procedure should be as regulated in the Act.Keywords: Legal Relations; Doctor; Patient Abstrak:Sistem pelayanan kesehatan di Indonesia mencakup pelayanan kedokteran dan pelayanan masyarakat. Secara umum kesehatan masyarakat merupakan subtansi pelayanan yang bertujuan untuk mencapai pelayanan prefentif (pencegahan) dan promotive (peningkatan kesehatan). Selain sasarannya agar masyarakat mendapat pelayanan kuratif (pengobatan) dan rehabilitasif (pemulihan). Hubungan Hukum antara Dokter dan Pasien telah diatur dalam Undang-Undang Rumah Sakit Nomor 29 Tahun 2004 Tentang Praktek Kedokteran dan Undang-Undang Nomor 44 Tahun 2009 Tentang Rumah Sakit. Penelitian ini menggunakan metode kualitatif dengan pendekatan literature. Hasil penelitian menyatakan bahwa perlunya pengawasan dari pihak Rumah Sakit terhadap para dokter untum memberikan jaminan kesehatan sesuai prosedur seharunya sebagaimana yang diatur dalam Undang-Undang.Kata Kunci: Hubungan Hukum; Dokter; Pasien

scholarly journals DAMPAK KUALITAS PELAYANAN TERHADAP KEPUASAN PASIEN RAWAT INAP PESERTA BPJS KESEHATAN DI RS MELANIA BOGOR

2019 ◽  
Vol 7 (3) ◽  
pp. 295-302
Author(s):  
Bayu Prasetyo Soedargo
Keyword(s):  
Health Insurance ◽  
Health Program ◽  
The State ◽  
Quality Of Services ◽  
Average Value ◽  
Level Of Satisfaction ◽  
Standard Set ◽  
Provide Health Insurance ◽  
Total Average

Health is very important for every individual. This will make people more concerned with their health and will make various efforts to maintain their health. On the other hand, the state is obliged to guarantee the health of its citizens. Therefore, the state established a National Health Insurance (JKN) program to provide health insurance for all Indonesian people. This government program is organized by the Health Insurance Administration Agency (BPJS). This study aims to determine the extent of satisfaction of inpatients in Melania Hospital to the services provided by the BPJS Health program. This type of research uses descriptive qualitative methods in finding answers to the level of satisfaction of inpatients in Melania Hospital using the BPJS Health program. This explanation is supported by questionnaire data obtained from 317 inpatients using the BPJS Health program. The results of this study indicate that the quality of services provided by Melania Hospital to BPJS inpatients is good with a total average value of 4.10. For tangible dimensions the average value is 4.10, the reliability dimension the average value is 4.04, the responsiveness dimension the average value is 4.12, the assurance dimension the average value is 4.09 and the empathy dimension the average value is 4.13. The advice given is that Melania Hospital should fix a number of indicators that are still below the standard set by Melania Hospital.                                Keyword :  BPJS Health program, Inpatients, Inpatients satisfaction

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