Indonesia: world's largest health insurance system

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Ossy
Berichten: 66
Lid geworden op: di feb 25, 2014 5:09 am

Indonesia: world's largest health insurance system

Bericht door Ossy » ma mar 10, 2014 6:34 pm

The roll out of Indonesia's new health care program for its 247 million people, over a decade in the works, has been bumpy. Full implementation will take effect in 2019.
Indonesia is planning to phase- in the world’s largest single-payer health care insurance program between now and 2019. Under the new system, the government is committed to providing universal health care to its 247 million citizens, though employers and wealthier citizens are obliged to pay their own premiums.

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The program was mandated by a law passed in 2004. But opposition from industry had stood in the way until now, since the law will require employers to pay premiums. The government also dragged its feet on implementation and was successfully sued in 2010 by a worker's rights group for failing to follow the law.

Still, it's a measure of Indonesia's ambitions and rising expectations that the government is trying to roll out health services for all.

Indonesia extended free health insurance to 48 percent of its population on Jan. 1. By the time the system is fully implemented in 2019 it will cover the whole country at an estimated cost of $15 billion a year – about $60 per Indonesian citizen and 15 percent of the central government’s budget.

The insurance program, known as Jaminan Kesehatan Nasional (JKN), differs from the US approach in one important way: choice. JKN doesn’t have any. Organizers here are betting its stripped- down, no frills policies will satisfy popular demand.

“The single payer approach has its advantages,” says Hasbullah Thabrany, professor of health policy at the University of Indonesia in Jakarta and the architect of Indonesia's universal health insurance scheme. “We need coverage, not choice,” he says.

Read more:
http://www.csmonitor.com/World/Asia-Pac ... nce-system

Eddy M
Berichten: 25
Lid geworden op: za mar 01, 2014 2:09 pm

Re: Indonesia: world's largest health insurance system

Bericht door Eddy M » wo mar 12, 2014 2:09 am

Nikmah is well-versed in the government’s various kinds of health insurance because her son is a long-term patient at a mental hospital in East Jakarta.

She has used the Jakarta administration’s previous health insurance schemes — the welfare card (Gakin) and the Jakarta Health Card (KJS) — and she also recently received access to the newest scheme from the central government, the national health insurance (JKN) program.

Nikmah was among hundreds of people who patiently waited for hours last week at Graha Askes, a Social Security Management Agency (BPJS) office in Pasar Minggu, South Jakarta, to get their JKN cards. On that day, Graha Askes served 343 government benefit recipients, as well as more than 400 policy holders who pay their own premiums.

In Jakarta, three months after the launch of the JKN program, BPJS offices are still serving thousands of residents every day who want to get their JKN cards.

Lindawati, a resident of Menteng Dalam, Tebet, South Jakarta, said she had been going back and forth to Graha Askes for three days in order to secure the insurance for seven families, including hers.

On Monday, she went to the office at 4 a.m., though it does not open until 7 a.m. Around 12 hours later, at 4 p.m., she was finally holding the cards required for her immediate family and other relatives.

“Thank God, we have completed everything. We can use these cards for the rest of our lives,” she said, holding the cards close to her chest.


Read more:
http://www.thejakartapost.com/news/2014 ... s-jkn.html

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