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BPJS PROGRAM CAUSES DEFICIT AT LOCAL HOSPITALS

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Jayapura, 2/4 (Jubi) – Since it was launched in early January, the National Health Insurance Scheme (JKN) managed by the Social Security Agency (BPJS) has caused losses to local hospitals.

The Deputy Director of Regional Hospital Dok II Jayapura, Dr. Anton Mote said BPJS’s funds could not cover hospital costs.  For example, a patient who was exposed to Malaria is supposed to be hospitalized for at least four days, but the scheme only covers for only 3 days.
“It means hospital management would cover the rest of the expenses. This condition would not only applied in the Regional Hospital Dok II, but also almost occurred in other hospitals in Indonesia,” Dr. Mote said on Wednesday (2/4).

He further said there is are differences between the Health Insurance (Askes), the Community Health Insurance (Jamkesmas) and the BPJS Health Insurance. The Technical Guidance of Askes and Jamkesmas were specifically determined the medicines and facilities covered by those insurances.  “If the medicines were not covered by Askes or Jamkesmas, the patients should cover it costs. BPJS put the medical services, medicines and other things into a package. However, the payments didn’t match with the hospital’ expenses,” he said.

Meanwhile, an administration staff of Dian Harapan Hospital of Jayapura City, Andre said the equivalent administration cost applied for the entire hospital in Indonesia should be reviewed because the cost of medicines and medical services is not the same in each region. Prices in Papua are certainly different with Java.
“It should be counted,” he said. (Jubi/Arjuna/rom)

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