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BPJS starts trial run toward equitable services for all JKN policyholders
BPJS Kesehatan has started a trial run to eliminate the three-tiered health service system in its National Health Insurance (JKN) program, but some are concerned that this could result in downgraded services across all three classes.
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A health worker takes the blood pressure during a health check-up at the Puskesmas (community health center) in Citeureup, Bogor regency, West Java, in this file photo from 2021. (JP/P.J. Leo)
T
he state-owned Health Care and Social Security Agency (BPJS Kesehatan) started on Friday a trial run of an equitable health service system for all policyholders toward eliminating the three-tiered National Health Insurance (JKN) program.
The new system is being trialed at five hospitals operated by the Health Ministry, with BPJS Kesehatan planning to gradually implement it at around 2,800 partner hospitals if it is successful.
This would effectively eliminate the current three-tiered system that categorizes policyholders into classes I-III according to the premiums they pay.
BPJS Kesehatan spokesperson Arif Budiman said the trial was aimed to evaluate the hospitals' readiness in nine to 12 indicators of the basic service standards set by the National Social Security Council (DJSN), which oversees the agency.
"The indicators [include] the standards of medical staff size, room temperature, lighting level and a maximum number of four beds per room [...]. Standardized healthcare services is crucial to improving service quality and safety for JKN policyholders," said Arif.
Arif added that no changes would be made to the JKN’s premium rates at present, despite the major shift in the delivery of health services.
Current premiums for formal workers are set at 5 percent of their monthly salary, with employees paying 1 percent and their employers contributing the difference. Workers with monthly salaries of less than Rp 4 million fall under BPJS Kesehatan class II, while workers with monthly salaries of more than Rp 4 million fall under BPJS Kesehatan class I.
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