<![CDATA[ AbstractThe principle of justice, certainty and usefulness in BPJS services has not been felt by all parties, especially the Health Service Provider (PPK) as BPJS provider and also the BPJS who has no clear position and authority due to Law No. 40 of 2004 concerning the Social Security System National and Law No. 24 of 2011 concerning the Social Security Organizing Agency which collided with the Presidential Regulation on Health Insurance. Although the benefits of BPJS services have been felt mainly by BPJS Beneficiaries (PBI) participants, there are injustices and legal uncertainties and the possibility of triggering fraud in various parties, especially the PPK with the INA-CBGs system at the JKJ health service program. Abstrak Prinsip keadilan, kepastian dan kegunaan dalam layanan BPJS belum dirasakan oleh semua pihak, terutama Penyedia Layanan Kesehatan (PPK) sebagai penyedia BPJS dan juga BPJS yang tidak memiliki posisi dan wewenang yang jelas karena UU No. 40 tahun 2004 tentang Sistem Jaminan Sosial Nasional dan Undang-Undang Nomor 24 Tahun 2011 tentang Badan Penyelenggara Jaminan Sosial yang bertabrakan dengan Peraturan Presiden tentang Asuransi Kesehatan. Meskipun manfaat layanan BPJS telah dirasakan terutama oleh peserta Penerima BPJS (PBI), ada ketidakadilan dan ketidakpastian hukum dan kemungkinan memicu penipuan di berbagai pihak, terutama PPK dengan sistem INA-CBGs di program layanan kesehatan JKJ.]]>
Copyrights © 2019
