Analysing the entitlement of Indonesian Health Security Body (BPJS Kesehatan) to issue regulations.pdf (original) (raw)
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THE VIOLATION ON THE RIGHT OF SOCIAL HEALTH INSURANCE PARTICIPANTS IN SERVICES OF HOSPITALS.
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THE IMPLEMENTATION OF HEALTH INSURANCE BY SOCIAL SECURITY AGENCY (BPJS
The establishment of Social Security Agency (BPJS), that includes Healthcare BPJS and Workers BPJS, is aimed to provide insurance for the fulfillment of each person?s essential need to live a decent life, and for the provision of social welfare for Indonesian people.The provision of health insurance through Healthcare BPJS basically has not been optimal; the policy has not improved people?s health. This study focuses on the problems of implementation of Law No. 24 of 2011 on the Social Security Agency and Law No. 36 of 2009 on Health in the administration of health insurance at the District General Hospital of East Jakarta, BudhiAsih. This study uses descriptive qualitative approach, with the design of rapid assessment procedure, which is a way to improve and understand the problems encountered in implementing health programs by using a qualitative approach. The study concludes that the Laws on BPJS and Health are implemented by providing counseling and empowerment, through health education to the community with the aim of raising public awareness to be more concerned about health. Protection is implemented through activities of prevention against possible diseases that can cause health problems. Services are provided through the provision of health care facilities for the needing people, both members and non-members of Healthcare BPJS. Overall the services for members of BPJS have been enjoyed by the public at large, because BudhiAsih Hospital in East Jakarta has been earnest in providing social security for all people because it is mandated by the 1945 Constitution.
Black swan theory: legal policy of the Indonesian national healthcare
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The Indonesian National Health Service (NHS) is part of Indonesia’s national social security system. Its implementation is full of problems, such as the rejection of patients, the NHS payment which is lower than the real health cost, sanctions, fines, etc. The Indonesian National Social Security System, especially the NHS services, was established by the state to give social protection to its citizens. The Black Swan Theory is based on the presumption that all swans are white, thus in this case, the Indonesian NHS is truly a program aimed to give social security in the health sector, just as the general conditions of social securities applied in other countries. This research studies this theory to explore the paradoxes which happen in the Indonesian NHS to find the black swan. In this case, the black swan is a paradoxical symbol regarding the regulations and the problems of the Indonesian NHS. This research uses the juridical-doctrinal or the normative method and is descriptive res...
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https://www.ijrrjournal.com/IJRR\_Vol.5\_Issue.4\_April2018/Abstract\_IJRR008.html, 2018
Social Security Governing Body of Healthor BPJS is one of the agencies established by the government to provide health insurance to every Indonesian citizen. In implementation BPJS there are many problems such as patients BPJS get discrimination, there are some cases of rejection by some hospitals that harming the patients of BPJS. Financial Services Authority which is the body authorized to conduct supervision of BPJS needs to perform optimization of supervision. Based on this matter in this study discussed: How the authority of the Financial Services Authority in conducting supervision of the BPJS regarding juridical? What is the urgency of optimization the supervision of Financial Services Authority over BPJS? This research is normative juridical research by analyzing the sources of law, books, thesis and other sources related to this research. The results of this study are Financial Services Authority has the authority to exercise control over BPJS. This is by the substance contained in the OJK Regulation Number 5/POJK.05/2013. In this case, the OJK has a role to monitor either directly or indirectly. Also, OJK is also authorized to conduct a review of the protection of BPJS recipients to access health facilities. The second, urgency of optimization of Financial Services Authority supervision against BPJS is because there have been various cases of discrimination against the BPJS patients. This raises discontent and difficulty for the community to access health facilities. It is contrary to national and international law.
SHS Web of Conferences
Within the framework of sovereign country under the Constitution of 1945, the regulation concerning social security stated in Article 28H paragraph (3) and article 34 paragraph (2). Social security is also guaranteed under the Declaration of Human Rights Year1948 and confirmed in ILO Convention number 102 in 1952 that urge all countries to give maximum protection to labors. As continuation of those regulations, a national system of social security has been formed to result integrated and vast social protection. Transformation of labor security from JAMSOSTEK (Social Protection for Labors), ASKES (Health Insurance) to a mergence called BPJS (Social Security Administrative Body) has been a reforming step that gives legal implication to the rights and responsibility of its stakeholders. The policy of social security system, then demanded that the body is divided into two main different tasks: Health Security Administrative Body (BPJS Kesehatan), Labor Security Administrative Body (BPJS...