Kesmas: Jurnal Kesehatan Masyarakat Nasional
Volume 17, Special Issue No 1, 2022

Does It Still Show a Deficit? Arguing Post-COVID-19 Health Financing System in Bogor, Indonesia

Meita Veruswati (Public Health Science Study Program, Faculty of Health Sciences, Universitas Muhammadiyah Prof. Dr. HAMKA, Jakarta, Indonesia
PhD Program in Business and Management, Management and Science University (MSU), Shah Alam, Selangor Darul Ehsan, Malaysia)

Al Asyary (Department of Environmental Health, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia)
Rony Darmawansyah Alnur (Public Health Science Study Program, Faculty of Health Sciences, Universitas Muhammadiyah)
La Ode Hasnuddin S Sagala (Information System Study Program, Faculty of Technology Information, Universitas Sembilanbelas November, Kolaka, Indonesia)
Guspianto Guspianto (Department of Public Health Science, Faculty of Medicine and Health Sciences, Universitas Jambi, Muaro Jambi, Indonesia,)
Maria Holly Herawati (National Research and Innovation Agency (BRIN))



Article Info

Publish Date
19 Aug 2022

Abstract

Before the COVID-19 pandemic, the Bogor City Government regulated to cover the health financing claim during the Indonesian National Health Insurance (NHI) integration period due to the lower amount of health care claim per episode in regional hospitals compared to ones that NHI paid. This study aimed to address post-COVID-19 health financing at two hospitals in Bogor City, West Java Province, Indonesia. Descriptive analysis using the aggregate statistical summaries was taken to explore the medical care episodes of the data series at two hospitals for the last two years. Of the 890 checked medical records data, the deficit occurred in 197 (22.1%) medical care episodes, while five (0.6%) exceeded the hospitals' tariffs. The remaining 688 (77.3%) medical care episodes had suits with the Indonesian Case Based Groups. Almost a quarter of medical care episodes in aggregate experienced a deficit in the two years before the pandemic. This study is the first to provide new insight into the discussion on medical care financing in a developing country's post-pandemic era in a newly-implemented NHI system.

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Journal Info

Abbrev

kesmas

Publisher

Subject

Public Health

Description

Kesmas: National Public Health Journal is on public health as discipline and practices related to preventive and promotive measures to enhance health of the public through scientific approach applying variety of technique. This focus includes area and scope such as biostatistics, epidemiology, ...