The PRAKARSA: KRIS Standard Contributions Must Not Be Too High

The PRAKARSA suggests that BPJS Health contributions with the KRIS system should not be too high.

Residents take care of health services at the Social Security Administering Body (BPJS) Health Office, Central Jakarta Branch, Jakarta, Friday (6/10/2023). BETWEEN PHOTOS/Reno Esnir/tom. – Public policy research and advocacy institute The PRAKARSA welcomes the government's move to remove classes I, II and III in BPJS Health and replace them with a standard inpatient class system (KRIS).

The PRAKARSA said that his party had pushed for a standard class policy in the National Health Insurance (JKN) since the program was first ratified.

The Executive Director PRAKARSA, Ah Maftuchan, said that the KRIS system could at least overcome some of the main problems in the implementation of JKN so far.

"KRIS can eliminate the stigmatization of the poor and underprivileged class of JKN-PBI participants, eliminate discrimination in health services, eliminate disparities in the availability of health facilities (including the number of beds)," said Maftuchan in a press statement received Tirto, Wednesday (15/5/2024).

According to Maftuchan, equal distribution of the quality of health facilities and health services needs to be encouraged as an effort to achieve this Universal Health Coverage (UHC) 100 percent.

In 2017, The PRAKARSA conducted research entitled Health Equity for the Poor and Near-Poor in Indonesia. The results of this research show that the implementation of JKN in hospitals, health centers or clinics often faces various obstacles in providing health services. These obstacles include inadequate facilities, poor service quality, and incomplete types of services.

On the other hand, society is generally faced with the problem of access to health services.

Therefore, The PRAKARSA assesses the implementation of KRIS as regulated in Presidential Regulation (Perpres) Number 59 of 2024 as a step forward to realizing equitable access to health insurance for the Indonesian people.

The PRAKARSA also appreciated the National Social Security Council (DJSN) for opening a space for dialogue with non-government actors in the process of preparing policies and implementing KRIS.

"The involvement of civil society groups in the process of formulating KRIS policies is a concrete form of multi-sector collaboration that can encourage the realization of evidence-based policies in Indonesia," said Maftuchan.

Apart from that, Maftuchan reminded that the KRIS system must continue to be refined over time. BPJS Health must also mitigate risks that may arise in the future.

"The implementation of KRIS can have two real impacts, namely the risk of increasing contributions and the risk of losing BPJS Health participants, especially those who have previously joined class I," emphasized Maftuchan.

The risk of increasing contributions needs to be considered as a result of implementing standard classes. This risk will impact vulnerable and poor groups, most of whom were previously categorized as class III.

Therefore, the determination of BPJS Health contributions using the KRIS system should not be too high, such as class I. Maftuchan also suggested that KRIS services be equated with class II services.


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