By Claudia Rokx, George Schieber, Pandu Harimurti, Ajay Tandon, Aparnaa Somanathan
In 2004 the Indonesian executive made a dedication to supply its complete inhabitants with medical health insurance insurance via a compulsory public medical insurance scheme. It has moved boldly already presents assurance to an expected 76.4 million negative and close to bad, funded throughout the public funds. however, over part the inhabitants nonetheless lacks medical health insurance assurance, and the entire financial affects of the govt s software for the terrible haven't been totally assessed or felt. moreover, major deficiencies within the potency and fairness of the present overall healthiness approach, except addressed will exacerbate expense pressures and will avoid the powerful implementation of common insurance (UC) and the specified results of advancements in inhabitants wellbeing and fitness results and monetary safety. For Indonesia to accomplish UC, platforms functionality has to be superior and key coverage offerings with admire to the configuration of the health and wellbeing financing process needs to be made. Indonesia s healthiness approach plays good with appreciate to a couple well-being results and monetary security, yet there's strength for major development. High-level political judgements are invaluable on key components of the future health financing reform package deal. the major transitional inquiries to get there comprise: the advantages that may be afforded and their affects on overall healthiness results and monetary safeguard; how the greater than 50 percentage of these at the moment with out assurance could be insured; the best way to pay treatment services to guarantee entry, potency, and caliber; constructing a streamlined and effective administrative constitution; easy methods to handle the present offer constraints to guarantee availability of promised companies; the best way to bring up sales to finance the procedure, together with this system for the negative in addition to at present uninsured teams which may require executive subsidization similar to the greater than 60 million casual zone employees, the eighty five percentage of staff in businesses of lower than 5 staff, and the 70 percentage of the inhabitants residing in rural parts.
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Extra info for Health Financing in Indonesia: A Roadmap for Reform
Indonesia introduced the first phase of UC through a mandatory public health insurance–based scheme in 2004. Asuransi Kesehatan Masyarakat Miskin (Health Insurance for Poor Population), or Askeskin, was targeted to the poor and has increased access to care and financial protection for the poorest. 4 million poor and near-poor Indonesians, and could potentially cover the entire population (Statistics Indonesia et al. 2008). Introduction 3 A number of design and targeting issues have led to a much larger expenditure level than foreseen; budgets have tripled since the start of the program and continue to increase.
The number of beds per 1,000 population is, in fact, one of the lowest in the East Asia and Pacific region, even when compared with much lowerincome countries such as Vietnam and the Lao People’s Democratic Republic and, on a global scale, Indonesia has significantly fewer beds than other countries of a similar income level. The number of hospitals and hospital beds has grown slowly and has barely kept up with population growth. In 1990, there were 404 hospitals and about 59,000 beds under the “main system,” consisting of the MoH, plus provinces and districts.
The study is organized as follows: • Chapter 1 provides a brief background to, and the rationale for, the study as well as the objectives and methodology. • Chapter 2 provides a brief overview of the socioeconomic and health systems context as it pertains to health financing. Introduction 7 • Chapter 3 describes Indonesia’s current health financing programs according to the classic health financing functions of revenue collection, risk pooling, and purchasing, and analyzes Indonesia’s health spending trends.