IDEAS home Printed from https://ideas.repec.org/a/ibn/gjhsjl/v12y2020i13p58.html
   My bibliography  Save this article

National Health Insurance Deficit in Indonesia: Identification of Causes and Solutions for Resolution

Author

Listed:
  • Wahyu P. Nugraheni
  • Asri Hikmatuz Zahroh
  • Risky Kusuma Hartono
  • Ryan Rachmad Nugraha
  • Chang Bae Chun

Abstract

INTRODUCTION- Since it was implemented in 2014, National Health Insurance Program (JKN) in Indonesia experienced a financial deficit. JKN recorded a deficit of 9.7 trillion, 9.75 trillion and 10.98 trillion rupiah from 2016-2018, respectively. The deficit is estimated to still continue in the upcoming years. Systemic solutions are needed to bring JKN improvement in the future. METHODS- Data was collected from June to December 2019 by in-depth interviews with selected informants and literature review, which later was analyzed by content and with data triangulation. RESULT- The results of in-depth interviews and a review of some of the literature shows that there are four main factors that causes JKN deficit, which are capitation payment system to provider, the alleged fraud, lag of backed-referral system, and catastrophic disease. CONCLUSION- This study provides a solution to the handling of JKN deficits in the short and long term in accordance with problems in terms of funding and JKN expenditure. The solution can be an alternative policy that can be implemented by the Government of Indonesia to deal with the JKN deficit.

Suggested Citation

  • Wahyu P. Nugraheni & Asri Hikmatuz Zahroh & Risky Kusuma Hartono & Ryan Rachmad Nugraha & Chang Bae Chun, 2020. "National Health Insurance Deficit in Indonesia: Identification of Causes and Solutions for Resolution," Global Journal of Health Science, Canadian Center of Science and Education, vol. 12(13), pages 1-58, December.
    • Handle: RePEc:ibn:gjhsjl:v:12:y:2020:i:13:p:58
    as

    Download full text from publisher

    File URL: http://www.ccsenet.org/journal/index.php/gjhs/article/download/0/0/44094/46420
    Download Restriction: no
    File URL: http://www.ccsenet.org/journal/index.php/gjhs/article/view/0/44094
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Alex Jingwei He & Shaolong Wu, 2017. "Towards Universal Health Coverage via Social Health Insurance in China: Systemic Fragmentation, Reform Imperatives, and Policy Alternatives," Applied Health Economics and Health Policy, Springer, vol. 15(6), pages 707-716, December.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Manuela Fritz, 2022. "Temperature and non‐communicable diseases: Evidence from Indonesia's primary health care system," Health Economics, John Wiley & Sons, Ltd., vol. 31(11), pages 2445-2464, November.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Lin Gong & Juan Chen, 2023. "Disparities in Social Insurance Participation and Urban Identification Among In-situ Urbanized Residents in China," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 18(3), pages 1269-1289, June.
    2. Guangsheng Wan & Zixuan Peng & Yufeng Shi & Peter C. Coyte, 2020. "What Are the Determinants of the Decision to Purchase Private Health Insurance in China?," IJERPH, MDPI, vol. 17(15), pages 1-15, July.
    3. Chunjuan Qiu & Xianyi Wu, 2019. "The Effect of Medical Insurance on Outpatient Visits by the Elderly: An Empirical Study with China Health and Retirement Longitudinal Study Data," Applied Health Economics and Health Policy, Springer, vol. 17(2), pages 175-187, April.
    4. Qiang Yao & Chaojie Liu & Ju Sun, 2020. "Inequality in Health Services for Internal Migrants in China: A National Cross-Sectional Study on the Role of Fund Location of Social Health Insurance," IJERPH, MDPI, vol. 17(17), pages 1-22, August.
    5. Yuyan Gao & Li Li & David C Schwebel & Peishan Ning & Peixia Cheng & Guoqing Hu, 2018. "Reimbursement for injury-induced medical expenses in Chinese social medical insurance schemes: A systematic analysis of legislative documents," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-13, March.
    6. Linglong Ye & Jiecheng Luo & Ben-Chang Shia & Ya Fang, 2019. "Multidimensional Health Groups and Healthcare Utilization Among Elderly Chinese: Based on the 2014 CLHLS Dataset," IJERPH, MDPI, vol. 16(20), pages 1-13, October.
    7. Cui, Kun & Li, Bo & Wang, Hanyang, 2021. "Quantitative analysis of health insurance reform in China: Pure consolidation or universal health insurance?," Economic Modelling, Elsevier, vol. 101(C).
    8. Xuan Sun & Tao Sun & Yushan Jin & Ya Ping Wang, 2019. "Spatial Organization of Hierarchical Medical Services within the City Proper of Tianjin, China: Towards Efficient Medical Alliances," Sustainability, MDPI, vol. 11(1), pages 1-15, January.

    More about this item

    JEL classification:

    • R00 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General - - - General
    • Z0 - Other Special Topics - - General

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:ibn:gjhsjl:v:12:y:2020:i:13:p:58. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Canadian Center of Science and Education (email available below). General contact details of provider: https://edirc.repec.org/data/cepflch.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.