Tinjauan yuridis pelaksanaan jaminan sosial nasional (JKN) oleh badan penyelenggara jaminan sosial kesehatan

Baan, Bram B (2016) Tinjauan yuridis pelaksanaan jaminan sosial nasional (JKN) oleh badan penyelenggara jaminan sosial kesehatan. Masters thesis, Universitas Pelita Harapan.

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Abstract

Berdasarkan amanat Undang-Undang nomor 40 tahun 2004 tentang Jaminan Sosial Nasional dan Undang-Undang nomor 24 tahun 2011 tentang Badan Penyelenggara Jaminan Sosial Nasional maka sejak tanggal 1 Januari 2014 progam Jaminan Kesehatan Nasional (JKN) telah efektif berjalan dan telah diikuti oleh 123,4 juta jiwa pendududk Indonesia yang terdiri dari 84.6 juta jiwa penduduk tidak mampu dan iurannnya dibayarkan oleh pemerintah sebesar Rp 19.250, kelompok ini disebut penerima bantuan iuran (PBI) dan 37 juta jiwa penduduk yang terdiri dari ex peserta ASABRI, Jamsostek dan ASKES yang iurannya bukan dibayarkan oleh pemerintah melainkan dibayarkan dari gaji sebesar 3% perbulan pendapatan tidak kena pajak. Sementara penduduk lainnya yang belum disebutkan diatas akan diberikan kesempatan sampai dengan tahun 2019 untuk menjadi peserta JKN dengan iuran ditanggung secara mandiri. Dengan demikian maka sumber pembiayaan Jaminan Kesehatan Nasional terdiri atas tanggungan pemerintah (PBI) yang diambil dari dana APBN/APBD serta dari iuran peserta mandiri. Dasar Hukum dari pengelolaan keuangan Negara pada program JKN oleh BPJS Kesehatan diawali oleh Peraturan Menteri Keuangan Nomor 206 Pasal 1 tahun 2013 tentang tatacara penyediaan dan pertanggungjawaban Iuran Jaminan Kesehatan penerima bantuan iuaran selanjutnya Peraturan Presiden nomor 28 tahun 2016 tentang JKN khususnya Pasal 16A tentang tarif Penerima Bantuan Iuran dan Pasal 16 F tentang tariff iuran peserta mandiri, kemudian pasal 37 Undang-Undang Nomor 34 Tahun 2011 Tentang Jaminan Sosial Nasional mengatur tentang cara pertanggungjawan BPJS Kesehatan kepada Presiden Rebublik Indonesia sedangkan dalam hal implementasi pelaksanaan program JKN pada tingkat Puskesmas/Fasilitas Kesehatan Tingkat Pertama dan Rumah Sakit/Fasilitas Kesehatan Rujuk tingkat lanjutan belum berjalan dengan baik hal ini disebabkan karena belum adanya peraturan ysng mengatur / Referring to instructions of the Act number 40 of 2004 on National Social Security and Act No. 24 of 2011 concerning the National Social Security Agency, than since January 1st 2014 the National Health Insurance program (JKN) that effective running and followed by 123.4 million of Indonesian population consisting of 84.6 million poor people and the contribution being paid by the government with amount of IDR. 19.250, this group is called the beneficiary contribution (PBI) and 37 million inhabitants consisting of ex participants ASABRI. The contribution for Jamsostek and Askes are not paid by government but deducted from salary of 3% per month income which is not taxable. While other residents were not mentioned above will be given the opportunity until 2019 to become participants JKN with contributions borne independently. Thus, the source of financing of the National Health Insurance consist of government dependents (PBI) taken from APBN/APBD funds as well as contributions from the participants themselves. Legal Basis of the financial management of State on program JKN by BPJS initiated by the Minister of Finance Regulation No. 206 Article 1 of 2013 on the procedure for the provision and accountability dues Health Insurance beneficiaries fee subsequent Presidential Decree number 28 in 2016 on JKN particularly Article 16A of tariff Beneficiaries dues and Article 16 F fare participants' contributions, independent, then article 37 of Law Number 34 Year 2011 concerning the National Social Security regulates the methods of accountability BPJS to President Republic of Indonesia, while in terms of implementation of the program JKN on the level of Primary care / Health facilities First level Hospitals / Healthcare facilities Refer advanced level has not gone well and this is because the lack of regulations governing

Item Type: Thesis (Masters)
Creators:
CreatorsNIMEmail
Baan, Bram BNIM00000006982UNSPECIFIED
Contributors:
ContributionContributorsNIDN/NIDKEmail
Thesis advisorAnggraini, Anna Maria TriUNSPECIFIEDUNSPECIFIED
Uncontrolled Keywords: National Social Security ; Social Security Health Agency
Subjects: K Law > K Law (General)
Divisions: University Subject > Current > Faculty/School - UPH Karawaci > Faculty of Law > Master of Law
Current > Faculty/School - UPH Karawaci > Faculty of Law > Master of Law
Depositing User: Ms Devy Christiany Zega
Date Deposited: 05 Apr 2019 03:21
Last Modified: 27 Nov 2020 04:07
URI: http://repository.uph.edu/id/eprint/2801

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