The Hike in BPJS Kesehatan’s Premiums based on The principle of Justice in Service Regulation of Healthcare Insurance

Alfin Reza Syahputra, A. I. Munandar
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Abstract

There have been a lot of complaints regarding the service received by the members of Healthcare and Social Security Administrative Body, or so called BPJS Kesehatan. This situation has been worsened with the hike in premiums of BPJS Kesehatan’s independent members stipulated in Presidential Regulations Number 75 / 2019 and The Amendment of Presidential regulation Number 82/2018 on Health insurance. After announcing the hike of BPJS Kesehatan premiums, the government must also improve the healthcare service to all the independent participants of BPJS Kesehatan. This study aimed to examine juridical review on the hike in BPJS’s Premiums based on the principle of justice on the policies of healthcare and social security. This study was conducted by applying normative juridical research method using statue approach and secondary data. According to the result of the research, Regulation Number 40 Year 2004 concerning National Social Insurance and Regulation Number 24 Year 2011 on the implementing agency of social insurance have applied the principle of justice in their policies. However, Presidential Regulation Number 75 Year 2019 “Presidential Regulation Number 82 Year 2018 on Health Insurance” has not implemented or reflected the principle of justice in its policies. In addition, the government reason to increase the payment of BPJS Kesehatan is that BPJS has been in financial deficit. In order to solve this problem, one of the solutions that the government can offer is to seek for other financial sources instead of putting the burden on the members of the social health insurance program. 
基于医疗保险服务监管公平原则的BPJS Kesehatan保费飙升
医疗保健和社会保障管理机构(BPJS Kesehatan)的成员收到了很多关于服务的投诉。随着第75/2019号总统条例和第82/2018号总统健康保险条例修正案中规定的BPJS Kesehatan独立成员的保费上涨,这种情况更加恶化。在宣布上调BPJS Kesehatan保费后,政府还必须改善对所有独立参与者的医疗服务。本研究旨在基于医疗保健和社会保障政策的公正原则,审查对BPJS保费上调的司法审查。本研究采用规范的司法研究方法,采用雕像法和二次数据进行。根据研究结果,关于国民社会保险的2004年第40号条例和关于社会保险执行机构的2011年第24号条例在其政策中应用了公正原则。然而,2019年第75号总统条例“2018年第82号总统健康保险条例”没有在其政策中实施或反映公正原则。此外,政府增加BPJS Kesehatan付款的原因是BPJS一直存在财政赤字。为了解决这个问题,政府可以提供的解决方案之一是寻求其他财政来源,而不是将负担强加给社会健康保险计划的成员。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.20
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0.00%
发文量
18
审稿时长
12 weeks
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