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Kultur Dokumente
PRELIMINARY
A. Background
right, the main thing is the payment issue. Health payments is strong, stable and
continuous vital role for the provision of health services in order to achieve
problems in the field of health. The cost of care is still a major priotitas in
hospitals and do not heed the condition of patients who come for treatment. The
In this case the victim is the poor who need health care but do not have a
cost. More and more patients who are not able to drop out can receive treatment
just because it does not have a down payment for the treatment.
this problem, such as by issuing multiple regulations. One of them has been
mentioned in Law No. 36 Year 2009 on Health has required health care facilities
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Although it has a lot of rules and suggestions that help put the health
economy is still going on. It has been explained well in the legislation that the
hospital has a social function that can not be removed with the function of other
hospitals.
B. Purpose
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CHAPTER II
DISCUSSION
of a person's life. Without health, could not take place as usual activities. In the
life of the nation, health development actually worth very investatif. The
investment value lies in the availability of resources senatiasa ready to use and
still avoid the attack of various diseases. However, there are still many people
take it.
The lack of state budget earmarked for the health sector, can be seen as a
neglected will pose a new set of problems that would absorb larger state finances.
authority to determine the direction and development model in the region without
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B. Payment Mechanism
The mechanism of payments made over the years is through the provider
payment system is budget, except for service delivery by a midwife in the claims
also an important input to complete the planning policy and payment of health
can not be applied, namely the "pooling of risk". In this principle of risk borne by
the participants of various levels, not just the poor. In addition, 4 Award
"premium" for Rp 10,000 / Gakin (and cut 8% by the Executive Agency JPKM)
actuarial professionals.
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C. Payment System Health
1. Claims
This is the payment model health insurance system. For example JKN, Askes,
should know the type of guarantee for its claim different patients. Explain to
patients and any rules that will be covered. Also make sure that the hospital
To claim, nurses provide services in accordance askep made. After that, give
insurance cards, etc. Claims made from the hospital to the government
2. Service Pack.
This system is similar to the claim, but for the payment using the package
system. The system is often used for jamkesmas package. Hospitals will be
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3. Capitation
(people) who come to the clinic multiplied by the price to be paid by the
health center per-person payment price is 15,000 rupiah. Today there are 13
people who get health center services. So, 13x15.000 price to be paid to
The system is paid first, then the patient get service. The system is suitably
system is applied.
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CHAPTER III
A. Conclusion
Hospital as a health care provider should accept all patients who come, giving the
required services, and then take care of the costs involved and not ask for
payment upfront without any medical procedures done first, especially if the
patient who comes to the critical state. Hospitals should put patient safety first,
B. Recommendations
Standardization should be done about the cost of the hospital. Although there are
laws that govern, but the reality on the ground is not as in written by the existing
laws. This can be detrimental to people who are unable to access health services