Main Article Content
Abstract
This study aims to assess the impact of the reform of the calculation of premium contributions from state administrators collecting based on Presidential Regulation Number 64 of 2020 with Local Government Contribution Reconciliation Application (ARIP), which involves a collaboration with stakeholders, namely the regional government, which is related to increasing the receipt of contributions from regional civil servants in revenue and stakeholder involvement for the sustainability of the National Health Insurance Program. ARIP is an information system that aims to ensure accountability in calculating contributions from regional officials through reconciling contributions between local governments and BPJS Kesehatan. The research used a population of 547 regional governments that used ARIP during 2020-2023. Each sample was analyzed before and after using ARIP quantitatively and descriptively based on receiving contributions from regional civil servants. The hypothesis was tested using paired samples t-test, with significance 0.001< 0.05 and value of t-count = 6.973> t-table = 1.964, then Ha was accepted. Thus, the acceptance of contributions from regional civil servants differs before and after the implementation of ARIP. According to the Cohen classification table, ARIP had a medium impact on accepting the receipt of contributions from regional civil servants, with an effect size of 0.298. Based on the analysis, implementing ARIP increases the receipt of contributions from regional officials, which was 41.303 billion rupiah and increased by 3.234 billion rupiah to 44.537 billion rupiah
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References
- Agustina, R., Dartanto, T., Sitompul, R., Susiloretni, K. A., Suparmi, Achadi, E. L., Taher, A., Wirawan, F., Sungkar, S., Sudarmono, P., Shankar, A. H., Thabrany, H., Susiloretni, K. A., Soewondo, P., Ahmad, S. A., Kurniawan, M., Hidayat, B., Pardede, D., Mundiharno, … Khusun, H. (2019). Universal health coverage in Indonesia: concept, progress, and challenges. The Lancet, 393(10166), 75–102. https://doi.org/10.1016/S0140-6736(18)31647-7
- Anggriani, Y., Ramadaniati, H. U., Sarnianto, P., Pontoan, J., & Suryawati, S. (2020). The Impact of Pharmaceutical Policies on Medicine Procurement Pricing in Indonesia Under the Implementation of Indonesia’s Social Health Insurance System. Value in Health Regional Issues, 21, 1–8. https://doi.org/10.1016/j.vhri.2019.05.005
- Barber S.L., Lorenzoni, L. and Ong, P. (2019). Price Setting and Price Regulation in Health Care:
- Lessons for Advancing Universal Health Coverage. Geneva: World Health Organization,
- and Organization for Economic Cooperation and Development.
- Aidha, C. N, & Chrisnahutama, A. (2020). Defisit Jaminan Kesehatan Nasional (JKN) Usulan
- Alternatif Pendanaan yang Berkelanjutan, Prakarsa Policy Brief, Mei, 1-4.
- Dartanto, T., Pramono, W., Lumbanraja, A. U., Siregar, C. H., Bintara, H., Sholihah, N. K., & Usman. (2020). Enrolment of informal sector workers in Indonesia's National Health Insurance System: A qualitative study. Heliyon, 6(11), e05316. Herawati, H., Franzone, R., & Chrisnahutama, A. (2020). Universal Health Coverage: Tracking Indonesia’s Progress. In Perkumpulan PRAKARSA.
- Behrendt, C., Nguyen, A. Quynh., (2018). Innovative Approaches for Ensuring Universal Social
- Protection for the Future of Work. ILO Future of Work Research Paper Series ISBN
- -92-2-030772-4.
- Hooda, S. K. (2020). Penetration and coverage of government-funded health insurance schemes in India. Clinical Epidemiology and Global Health, 8(4), 1017–1033. https://doi.org/10.1016/j.cegh.2020.03.014
- International Social Security Association (ISSA). (2023). Annual Review 2022/23 - Entering
- New Triennium. ISSA.
- International Labour Organization (ILO)., International Social Security Association (ISSA).,
- Organization for Economic Co-operation and Development (OECD). (2023). Sustainable
- Financing of Social Protection. ILO, OECD, and ISSA.
- Huang, X., Yoshino, N. (2016). Impacts of Universal Health Coverage: Financing, Income
- Inequality, and Social Welfare. ADB Institute Working Paper Series.
- Innocenti, S., Clark, G. L., McGill, S., & Cuñado, J. (2019). The effect of past health events on intentions to purchase insurance: Evidence from 11 countries. Journal of Economic Psychology, 74 (May), 102204. https://doi.org/10.1016/j.joep.2019.102204
- Johar, M., Soewondo, P., Pujisubekti, R., Satrio, H. K., & Adji, A. (2018). Inequality in access to health care and health insurance and the role of supply factors. Social Science and Medicine, 213, 134–145. https://doi.org/10.1016/j.socscimed.2018.07.044
- Lauranti, M., Djamhari, E. A., Arfandi, H., & Raja, I. T. (2018). Mewujudkan Jaminan Kesehatan Nasional yang Non Diskriminitif. Perkumpulan Prakarsa
- Lee, P., Wang, J. T., Chen, T., Peng, C. (2022). Digital Health Care in Taiwan - Innovations of
- National Health Insurance. National Health Insurance Administration, Ministry of Health
- and Welfare Taiwan. ISBN 978-3-031-05159-3 https://doi.org/10.1007/978-3-031-05160-9
- Mediaty, Said, D., Syahrir, & Indrijawati, A. (2015). Analysis Social Security System Model in South Sulawesi Province: On Accounting Perspective. Procedia - Social and Behavioral Sciences, 211, 1148–1154. https://doi.org/10.1016/j.sbspro.2015.11.153
- Muttaqien, M., Setiyaningsih, H., Aristianti, V., Selby Coleman, H. L., Hidayat, M. S., Dhanalvin, E., Siregar, D. R., Mukti, A. G., & Kok, M. O. (2021). Why did informal sector workers stop paying for health insurance in Indonesia? Exploring enrollees’ ability and willingness to pay. PLoS ONE, 16(6 June), 1–19. https://doi.org/10.1371/journal.pone.0252708
- Ridwan, R., & Siregar, D. (2021). Analisis Take-Home Pay dan Perencanaan Anggaran terhadap Sustainabilitas Program Jaminan Kesehatan Nasional. Jurnal Jaminan Kesehatan Nasional, 1(2), 136–151. https://doi.org/10.53756/jjkn.v1i2.39
- Stoye, G. (2018). The NHS at 70: Does the NHS need more money, and how could we pay for it? Online. www.soapbox.co.uk
- Yusuf, S., Achmar, N., Haniarti, Hasdiana, Madjid, M., Aswad, M., & Esa, T. (2020). Revenue and financing of patients with national health insurance by the Social Security organizing agency to improve health services. Enfermeria Clinica, 30, 276–279. https://doi.org/10.1016/j.enfcli.2020.06.063
References
Agustina, R., Dartanto, T., Sitompul, R., Susiloretni, K. A., Suparmi, Achadi, E. L., Taher, A., Wirawan, F., Sungkar, S., Sudarmono, P., Shankar, A. H., Thabrany, H., Susiloretni, K. A., Soewondo, P., Ahmad, S. A., Kurniawan, M., Hidayat, B., Pardede, D., Mundiharno, … Khusun, H. (2019). Universal health coverage in Indonesia: concept, progress, and challenges. The Lancet, 393(10166), 75–102. https://doi.org/10.1016/S0140-6736(18)31647-7
Anggriani, Y., Ramadaniati, H. U., Sarnianto, P., Pontoan, J., & Suryawati, S. (2020). The Impact of Pharmaceutical Policies on Medicine Procurement Pricing in Indonesia Under the Implementation of Indonesia’s Social Health Insurance System. Value in Health Regional Issues, 21, 1–8. https://doi.org/10.1016/j.vhri.2019.05.005
Barber S.L., Lorenzoni, L. and Ong, P. (2019). Price Setting and Price Regulation in Health Care:
Lessons for Advancing Universal Health Coverage. Geneva: World Health Organization,
and Organization for Economic Cooperation and Development.
Aidha, C. N, & Chrisnahutama, A. (2020). Defisit Jaminan Kesehatan Nasional (JKN) Usulan
Alternatif Pendanaan yang Berkelanjutan, Prakarsa Policy Brief, Mei, 1-4.
Dartanto, T., Pramono, W., Lumbanraja, A. U., Siregar, C. H., Bintara, H., Sholihah, N. K., & Usman. (2020). Enrolment of informal sector workers in Indonesia's National Health Insurance System: A qualitative study. Heliyon, 6(11), e05316. Herawati, H., Franzone, R., & Chrisnahutama, A. (2020). Universal Health Coverage: Tracking Indonesia’s Progress. In Perkumpulan PRAKARSA.
Behrendt, C., Nguyen, A. Quynh., (2018). Innovative Approaches for Ensuring Universal Social
Protection for the Future of Work. ILO Future of Work Research Paper Series ISBN
-92-2-030772-4.
Hooda, S. K. (2020). Penetration and coverage of government-funded health insurance schemes in India. Clinical Epidemiology and Global Health, 8(4), 1017–1033. https://doi.org/10.1016/j.cegh.2020.03.014
International Social Security Association (ISSA). (2023). Annual Review 2022/23 - Entering
New Triennium. ISSA.
International Labour Organization (ILO)., International Social Security Association (ISSA).,
Organization for Economic Co-operation and Development (OECD). (2023). Sustainable
Financing of Social Protection. ILO, OECD, and ISSA.
Huang, X., Yoshino, N. (2016). Impacts of Universal Health Coverage: Financing, Income
Inequality, and Social Welfare. ADB Institute Working Paper Series.
Innocenti, S., Clark, G. L., McGill, S., & Cuñado, J. (2019). The effect of past health events on intentions to purchase insurance: Evidence from 11 countries. Journal of Economic Psychology, 74 (May), 102204. https://doi.org/10.1016/j.joep.2019.102204
Johar, M., Soewondo, P., Pujisubekti, R., Satrio, H. K., & Adji, A. (2018). Inequality in access to health care and health insurance and the role of supply factors. Social Science and Medicine, 213, 134–145. https://doi.org/10.1016/j.socscimed.2018.07.044
Lauranti, M., Djamhari, E. A., Arfandi, H., & Raja, I. T. (2018). Mewujudkan Jaminan Kesehatan Nasional yang Non Diskriminitif. Perkumpulan Prakarsa
Lee, P., Wang, J. T., Chen, T., Peng, C. (2022). Digital Health Care in Taiwan - Innovations of
National Health Insurance. National Health Insurance Administration, Ministry of Health
and Welfare Taiwan. ISBN 978-3-031-05159-3 https://doi.org/10.1007/978-3-031-05160-9
Mediaty, Said, D., Syahrir, & Indrijawati, A. (2015). Analysis Social Security System Model in South Sulawesi Province: On Accounting Perspective. Procedia - Social and Behavioral Sciences, 211, 1148–1154. https://doi.org/10.1016/j.sbspro.2015.11.153
Muttaqien, M., Setiyaningsih, H., Aristianti, V., Selby Coleman, H. L., Hidayat, M. S., Dhanalvin, E., Siregar, D. R., Mukti, A. G., & Kok, M. O. (2021). Why did informal sector workers stop paying for health insurance in Indonesia? Exploring enrollees’ ability and willingness to pay. PLoS ONE, 16(6 June), 1–19. https://doi.org/10.1371/journal.pone.0252708
Ridwan, R., & Siregar, D. (2021). Analisis Take-Home Pay dan Perencanaan Anggaran terhadap Sustainabilitas Program Jaminan Kesehatan Nasional. Jurnal Jaminan Kesehatan Nasional, 1(2), 136–151. https://doi.org/10.53756/jjkn.v1i2.39
Stoye, G. (2018). The NHS at 70: Does the NHS need more money, and how could we pay for it? Online. www.soapbox.co.uk
Yusuf, S., Achmar, N., Haniarti, Hasdiana, Madjid, M., Aswad, M., & Esa, T. (2020). Revenue and financing of patients with national health insurance by the Social Security organizing agency to improve health services. Enfermeria Clinica, 30, 276–279. https://doi.org/10.1016/j.enfcli.2020.06.063