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Abstract

Abstract: Dynamic regulation changes in JKN Program are made by the government to maintain the program’s financial health and sustainability by increasing the contributions, but the local government budget weakening during the Covid-19 pandemic is resulting in contribution receivable increasing. This study aims to compare the contributions from the collection of Civil Servant salaries and local government subsidies based on take-home pay compared to the previous calculation and the effect on the civil servants to analyze the compliance of local government budget planning and the obstacles on the budget insufficiency. This study uses a case study through the qualitative method with a descriptive analysis approach, this research uses secondary data in the form of documents and primary data in the form of interviews. The samples are conducted by purposive sampling as many as 127,341 civil servants in Aceh Province. The results showed the potential for an increase in income of 140.81 billion rupiahs, which was an increase of 47.52%. In total, the payment of contributions by deductions from the salaries of civil servants decreased by 281%. On the other hand, the contribution paid by the local government increased by 203%. In terms of budget, 5 of the 24 local governments have provided their budget availability for a 4% contribution. The regulation changes have positive impacts on the sustainability of the JKN program by increasing the program’s income and realizing mutual cooperation with equitable contribution and the involvement of local governments through a larger portion of the contribution budget. Coordination and guidance improvement between the central government and local government to monitor the implementation of Presidential Regulation Number 75 of 2019 as a national priority program and sanction enforcement for local governments which are in contribution arrears and insufficient budget.


Keywords: take-home pay; budgeting; sustainability; JKN Program

Keywords

take-home pay budgeting sustainability JKN Program

Article Details

How to Cite
Ridwan, R., & Siregar, D. (2021). Analisis Take-Home Pay dan Perencanaan Anggaran terhadap Sustainabilitas Program Jaminan Kesehatan Nasional. Jurnal Jaminan Kesehatan Nasional (JJKN), 1(2), 136–151. https://doi.org/10.53756/jjkn.v1i2.39

References

  1. 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
  2. Aidha,C. N, & Chrisnahutama, A. (2020). Defisit Jaminan Kesehatan Nasional (JKN) Usulan Alternatif Pendanaan yang Berkelanjutan. Prakarsa Policy Brief, Mei, 1–4.
  3. BPJS Kesehatan. Laporan Pengelolaan Program Tahun 2020 & Laporan Keuangan Tahun 2020 (Auditan);2020.
  4. Bredenkamp, C., Evans, T., Lagrada, L., Langenbrunner, J., Nachuk, S., & Palu, T. (2014). Emerging challenges in implementing universal health coverage in Asia. Social Science and Medicine, 145, 243–248. https://doi.org/10.1016/j.socscimed.2015.07.025
  5. Cooper, D. J., & Morgan, W. (2008). Case study research in accounting. Accounting Horizons, 22(2), 159–178. https://doi.org/10.2308/acch.2008.22.2.159
  6. Darmasurya, A., Anindita, R., & Ikhda, M. C. (2021). Did The Horizontal Referral Policy in Indonesia Create Cost Savings? Jurnal Jaminan Kesehatan Nasional, 1(1), 15–32. https://doi.org/10.53756/jjkn.v1i1.14
  7. Dartanto, T., Pramono, W., Lumbanraja, A. U., Siregar, C. H., Bintara, H., Sholihah, N. K., & Usman. (2020). Enrolment of informal sector workers in the National Health Insurance System in Indonesia: A qualitative study. Heliyon, 6(11), e05316. https://doi.org/10.1016/j.heliyon.2020.e05316
  8. Denawati, T., Dhanalvin, E., P Saut, B., & R Siregar, D. (2021). Uji Coba Penjaminan Kacamata di FKTP. Jurnal Jaminan Kesehatan Nasional, 1(1), 44–53. https://doi.org/10.53756/jjkn.v1i1.16
  9. Ekanem, E., Nwala, K., Ogbuji, C. N., Nji, G. C., I, O. J., & Morgan, A. (2015). Household Preferences for Healthcare Financing Mechanisms and Perceived Barriers to Effective Healthcare Financing in Southeastern Nigeria: Implications for Scaling Up Universal Health Coverage. International Journal of Science and Research (IJSR), 4(4), 3278–3286. https://www.ijsr.net/archive/v4i4/SUB153673.pdf
  10. Harun, H., Eggleton, I. R. C., & Locke, S. (2021). An integrated model of IPSAS institutionalisation in Indonesia: a critical study. International Journal of Public Sector Management, 34(2), 155–170. https://doi.org/10.1108/IJPSM-07-2020-0195
  11. Hendrawan, D., Nurcahyo, C., & Afdal, A. (2021). Pelayanan Primer yang Berkualitas: Sebuah Tinjauan Literatur. Jurnal Jaminan Kesehatan Nasional, 1(1), 1–14. https://doi.org/10.53756/jjkn.v1i1.13
  12. 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
  13. 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
  14. Khan, J. A., & Ahmed, S. (2013). Impact of educational intervention on willingness-to-pay for health insurance: A study of informal sector workers in urban Bangladesh. Health Economics Review, 3(1), 1–10. https://doi.org/10.1186/2191-1991-3-12
  15. Kurniawati, G., Jaya, C., Andikashwari, S., Hendrartini, Y., Dwi Ardyanto, T., Iskandar, K., Muttaqien, M., Hidayat, S., Tsalatshita, R., & Bismantara, H. (2021). Kesiapan Penerapan Pelayanan Kelas Standar Rawat Inap dan Persepsi Pemangku Kepentingan. Jurnal Jaminan Kesehatan Nasional, 1(1), 33–43. https://doi.org/10.53756/jjkn.v1i1.15
  16. Kwon, S. (2011). Health care financing in Asia: Key issues and challenges. Asia-Pacific Journal of Public Health, 23(5), 651–661. https://doi.org/10.1177/1010539511422940
  17. Lauranti, M., Djamhari, E. A., Arfandi, H., & Raja, I. T. (2018). Mewujudkan Jaminan Kesehatan Nasional yang Non Diskriminitif. Perkumpulan Prakarsa
  18. 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
  19. 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
  20. Nugroho, A., Amir, H., Maududy, I., & Marlina, I. (2021). Poverty eradication programs in Indonesia: Progress, challenges and reforms. Journal of Policy Modeling. https://doi.org/10.1016/j.jpolmod.2021.05.002
  21. Peraturan Presiden Nomor 75 Tahun 2019 tentang Jaminan Kesehatan (Indonesia). Diakses tanggal 12 Desember 2021 dari https://peraturan.bpk.go.id/Home/Details/122788/perpres-no-75-tahun-2019
  22. Rhamdani, I., N. (2021). Pelayanan Prima Sebagai Upaya Pencapaian Loyalitas Peserta Program Jaminan Kesehatan Nasional. Jurnal Jaminan Kesehatan Nasional, 1(1), 54–66. https://doi.org/10.53756/jjkn.v1i1.18
  23. Undang-undang Nomor 24 Tahun 2011 tentang Badan Penyelenggara Jaminan Sosial (Indonesia). Diakses tanggal 12 Desember 2021 dari https://bpjs-kesehatan.go.id/bpjs/arsip/categories/Ng/undang-undang
  24. Wahner-Roedler, D. L., Knuth, P., & Juchems, R. H. (2020). The german health-care system. In Mayo Clinic Proceedings (Vol. 72, Issue 11). https://doi.org/10.4065/72.11.1061
  25. Widanaputra, A. A., & Mimba, N. P. S. H. (2014). The Influence of Participative Budgeting on Budgetary Slack in Composing Local Governments’ Budget in Bali Province. Procedia - Social and Behavioral Sciences, 164(August), 391–396. https://doi.org/10.1016/j.sbspro.2014.11.093
  26. Wijaya, T., Wiramijaya, F., Rahmania, A., & Oktaviani, S. (2021). Penerapan Metode Lean Six Sigma Dalam Upaya Rekrutmen Peserta PPU Badan Usaha: Study Kasus Proses Telemarketing Kantor Cabang Jakarta Selatan. Jurnal Jaminan Kesehatan Nasional, 1(1), 67–80. https://doi.org/10.53756/jjkn.v1i1.19
  27. 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