TOWARDS A NATIONAL SOCIAL SECURITY SYSTEM : MAPPING AND ASSESSING CRITICAL ASSOCIATION OF HEALTH CARE FACILITIES PRIOR

Tati Suryati, Dan Asih, Eka Putri, Pusat Humaniora, Kebijakan Kesehatan, Pemberdayaan Masyarakat
unpublished
Article 24 paragraph (1) of the National Social Security payments determine the amount of health care facilities, established by agreement between BPJS and associations of health facilities in the region. It is necessary to map out and investigate the association before the enactment of Law no. 40 of 2004 on National Social Security, as an input of policy making, implementing regulations, public policies and implementation strategies of public health insurance system in accordance Article 19
more » ... of National Social Security Commission. Data was collected through literature review and document depth and extensive with qualitative methods. Samples were: related units in ministries, provincial/district/city health office in Jakarta and Central Java, associations of health facilities at national level and regional located in Jakarta and Central Java, health service management and health insurance experts, Indonesia Army and Police of health directorate at head-quarter. Only a few associations of health facilities existing recognized by the Ministry of Justice and Human Rights. The established of association define by regulation at level decree which adopted with letters by all type leadership, organizational leaders and notaries. Their membership multiple, nearly all associations gathered in other associations, thus a hospital can be assembled in many different associations. The existing Association of health facilities does not play a role in determining content and the magnitude of the contract with BPJS, in contrary the facilities played directly. Necessary the rule of law for association which has members a local technical unit area can also bound by contract with BPJS. Key words: social health insurance payment association of health facilities Abstrak Pasal 24 ayat 1 UU Sistim Jaminan Sosial Nasional/SJSN menyatakan besarnya pem-bayaran ke fasilitas pelayanan kesehatan untuk setiap wilayah ditetapkan berdasarkan kesepakatan antara BPJS dan asosiasi fasilitas kesehatan di wilayah tersebut. Maka dirasakan perlu untuk memetakan dan menelaah secara kiritis asosiasi fasilitas pelayanan kesehatan sebelum diberlakukannya UU No. 40 Tahun 2004 tentang SJSN, sebagai bahan masukan penyusunan kebijakan, peraturan pelaksana, kebijakan umum Submit :
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