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Task force set up to combat JKN fraud
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Healthcare card: Health insurance firm PT Askes’ director Sri Endang Tidarwati shows a health insurance card in Jakarta, in this file photo. The BPJS Kesehatan (Healthcare and Social Security Agency) scheme became effective on Jan. 1, 2014. (JP/-)
T
he Health Ministry announced on Wednesday that it would team up with the Corruption Eradication Commission (KPK) and Social Security Agency (BPJS) to handle fraudulent claims in the National Health Insurance (JKN) program.
“We’ve just formed a task force to draft fraud-prevention guidelines for the JKN,” Health Minister Nila F. Moeloek told reporters after visiting the KPK office earlier on Wednesday.
Pahala Nainggolan, the KPK deputy for prevention, said a fraud-prevention system was essential.
“In 2015, there were 175,000 claims believed to be fraudulent. Now there are 1 million [potentially fraudulent] claims detected. That is why we need to systematically build a fraud-prevention system,” he said, citing an internal report from the BPJS.
He added that the task force would be tasked with analyzing the current fraudulent claims based on BPJS data and to verify each case by collecting data directly from the field. (mrc/ary)
