Problems Shadow Health Security Agency Inauguration

Ady Thea Dian Achmad, Andin Aditya Rahman

Stakeholders are preparing the Health Security Agency (BPJS Kesehatan) that is due to commence its operations within the next month.

To this end, Marzuki Ali, Speaker of the House of Representatives, called upon PT. Askes to anticipate potential problems in the near future following the inauguration of this institution.

According to the Speaker, such future problems can be prevented by providing sufficient and accessible information regarding health services provided by the government through BPJS Kesehatan.

The Speaker also asserted that there are a few aspects that must be addressed by the Government. One of them is the problem regarding valid database on the number of underprivileged residents as they are the target of BPJS Kesehatan programs.

Even with Law No. 13 of 2011 on Underprivileged, there has yet to be an integrated and valid database on the exact number of underprivileged residents.

“None of them are valid and trustable,” the Speaker said during the inauguration of BPJS’s Media Center at the PT. Akses office in Jakarta on Tuesday.

The Speaker added that another potential problem is the confidence crisis of Indonesian residents towards public health services.

This is apparent, the Speaker explained, following the enactment of Law No. 40 of 2004 on the National Social Security System, and Law No. 24 of 2011 on the Social Security Agency.

After the enactment of these two laws, state-owned health services and workers’ unions protested the health and social security system established under these laws for not being in favor of the public.

Considering this murky history, the Speaker said that it is essential for the Government to prove its serious effort in providing social and health security for Indonesian residents without discrimination.

In order to achieve this, the Speaker said that BPJS Kesehatanmust assure that policyholder identification cards are distributed swiftly so that rightful policyholders can access proper health services. Regional governments are also requested to provide adequate health infrastructures.

“So that BPJS runs smoothly,” the Speaker concluded.

Fachmi Idris, Executive Director of PT. Akses, disclosed that his office has managed approximately 16.4 million policyholders as of today.

After BPJS Kesehatan commences its operations, continued Fachmi, this number is estimated to reach 121.6 million clients.

Fachmi asserted that managing and providing services to that number of policyholders is not simple as it must be followed by adequate health equipment.

He also confirmed the problems related to Ministry of Health responsibility. For instance, there are currently IDR 1.8 trillion of unpaid health services given by hospitals for policyholders of the Public Health Insurance (Jamkesmas) that has reached IDR 1.8 trillion.

Fachmi expressed his hopes that the government will immediately see to this problem in order for BPJS to function smoothly.

“Otherwise hospitals may refuse policyholders,” he stated.

Akmal Taher, Director General of Health Effort Management at the Ministry of Health, explained that the duties of the Ministry of Health is not limited to preparing health facilities for BPJS customers but also to handle 250 million Indonesian residents.

He asserted that the government has taken steps to prepare BPJS in commencing operations, for instance, improving health facilities such as hospital beds.

“Our public hospitals are in shortage of 11 thousand hospital beds,” admitted Akmal.

(hot/kc)

Ady Thea Dian Achmad, Andin Aditya Rahman

Stakeholders are preparing the Health Security Agency (BPJS Kesehatan) that is due to commence its operations within the next month.

To this end, Marzuki Ali, Speaker of the House of Representatives, called upon PT. Askes to anticipate potential problems in the near future following the inauguration of this institution.

According to the Speaker, such future problems can be prevented by providing sufficient and accessible information regarding health services provided by the government through BPJS Kesehatan.

The Speaker also asserted that there are a few aspects that must be addressed by the Government. One of them is the problem regarding valid database on the number of underprivileged residents as they are the target of BPJS Kesehatan programs.

Even with Law No. 13 of 2011 on Underprivileged, there has yet to be an integrated and valid database on the exact number of underprivileged residents.

“None of them are valid and trustable,” the Speaker said during the inauguration of BPJS’s Media Center at the PT. Akses office in Jakarta on Tuesday.

The Speaker added that another potential problem is the confidence crisis of Indonesian residents towards public health services.

This is apparent, the Speaker explained, following the enactment of Law No. 40 of 2004 on the National Social Security System, and Law No. 24 of 2011 on the Social Security Agency.

After the enactment of these two laws, state-owned health services and workers’ unions protested the health and social security system established under these laws for not being in favor of the public.

Considering this murky history, the Speaker said that it is essential for the Government to prove its serious effort in providing social and health security for Indonesian residents without discrimination.

In order to achieve this, the Speaker said that BPJS Kesehatanmust assure that policyholder identification cards are distributed swiftly so that rightful policyholders can access proper health services. Regional governments are also requested to provide adequate health infrastructures.

“So that BPJS runs smoothly,” the Speaker concluded.

Fachmi Idris, Executive Director of PT. Akses, disclosed that his office has managed approximately 16.4 million policyholders as of today.

After BPJS Kesehatan commences its operations, continued Fachmi, this number is estimated to reach 121.6 million clients.

Fachmi asserted that managing and providing services to that number of policyholders is not simple as it must be followed by adequate health equipment.

He also confirmed the problems related to Ministry of Health responsibility. For instance, there are currently IDR 1.8 trillion of unpaid health services given by hospitals for policyholders of the Public Health Insurance (Jamkesmas) that has reached IDR 1.8 trillion.

Fachmi expressed his hopes that the government will immediately see to this problem in order for BPJS to function smoothly.

“Otherwise hospitals may refuse policyholders,” he stated.

Akmal Taher, Director General of Health Effort Management at the Ministry of Health, explained that the duties of the Ministry of Health is not limited to preparing health facilities for BPJS customers but also to handle 250 million Indonesian residents.

He asserted that the government has taken steps to prepare BPJS in commencing operations, for instance, improving health facilities such as hospital beds.

“Our public hospitals are in shortage of 11 thousand hospital beds,” admitted Akmal.

(hot/kc)

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