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Pengantar minggu ini: 8 - 15  Juli  2014


Perkembangan Implementasi Sistem Pembayaran DRG di Perancis

PKMK – Sistem pembayaran DRG diperkenalkan di Perancis sejak tahun 2004-2005 untuk mendanai layanan akut di seluruh rumah sakit. Sistem ini bertujuan untuk meningkatkan upaya efisiensi, transparansi dan keadilan pembayaran antara rumah sakit umum dan rumah sakit swasta. Mengingat pentingnya reformasi, maka di tahun 2012 Pemerintah memodifikasi model pembayaran dan memperhatikan dampak yang ditimbulkan melalui kajian perkembangan implementasi sistem pembayaran DRG.

Kesediaan Memiliki Askes Berbasis Komunitas di Debub Bench - Ethiopia

PKMK – Tingginya beban penyakit yang ditanggung Ethiopia masih dihadapkan pada terbatasnya pemanfaatan pelayanan kesehatan modern. Salah satu sebab rendahnya utilisasi adalah adanya skema biaya retribusi. Peralihan sistem pembayaran out-of-pocket pada layanan kesehatan merupakan langkah utama dalam pembiayaan pelayanan kesehatan. Namun sistem pra bayar belum terbiasa di Ethiopia sehingga skema asuransi kesehatan sosial dan berbasis komunitas diperkenalkan sejak 2010. Baca selengkapnya

Pendanaan Publik dan Investasi Swasta dalam Industri Farmasi di China

PKMK - Cina mengalami pertumbuhan industri farmasi yang cukup signifikan dalam beberapa tahun terakhir ini. Pemerintah Cina dan investor swasta termotivasi untuk berinvestasi dalam penelitian dan pengembangan farmasi (R&D). Namun, penelitian mengenai perbedaan perilaku investasi publik dan swasta dalam bidang farmasi R&D masih sangat langka. Oleh karena itu, kajian pendanaan publik dan investasi swasta dilakukan terhadap industri farmasi R&D di Cina. Baca selengkapnya silakan 

 Budget Crisis, Health, and Social Welfare Programs

PKMK- Instruksi Presiden Nomor 4 Tahun 2014 tentang Langkah-Langkah Penghematan dan Pemotongan Belanja Kementrian/Lembaga dalam Rangka Pelaksanaan Anggaran Pendapatan Dan Belanja Negara Tahun Anggaran 2014 mengundang banyak respon masyarakat terutama bagi para pemerhati kesehatan. Hal ini berkaitan dengan penghematan anggaran Kementrian Kesehatan sebesar 5,4 Triliun rupiah. Hal yang dipertanyakan adalah apa saja yang bisa dihemat atau diefisiensikan dari anggaran Kementrian Kesehatan. Dimana anggaran kesehatan tahun ini merupakan anggaran pendukung utama pelaksanaan Jaminan Kesehatan Nasional. Dana ini tidak hanya diperlukan untuk mendukung dana premi jaminan kesehatan atau premi bagi Penerima Bantuan Iuran (PBI) namun juga dana untuk insvestasi SDM dan infrasutruktur demi pemerataan dan keadilan dalam pelayanan kesehatan di seluruh Indonesia.

Artikel berikut merupakan artikel yang berhubungan dengan krisis anggaran. Artikel ini menceritakan bahwa ada beberapa langkah yang diambil atau strategi yang disusun untuk menghadapi pemotongan atau keterbatasan anggaran. Menarik untuk dibaca sebagai referensi bagaimana memaksimalkan program dan kegiatan di tengah keterbatasan anggaran. Silakan simak lebih lanjut dengan


Minggu lalu


Diskusi Hasil Sementara Skenario Pelaksanaan JKN 2014-2019  Determinan Kepemilikan Program Asuransi Kesehatan (Studi di Kenya)

Pengantar

Website ini ditujukan untuk manajer sistem jaminan kesehatan yang tidak hanya harus mengelola dana besar untuk keperluan masyarakat sakit, namun juga harus memikirkan pemerataannya.

Pengguna website yang diharapkan adalah: pengelola Badan Pengelola Jaminan Sosial, pengelola jaminan kesehatan daerah, pengelola lembaga asuransi kesehatan komersial, para mahasiswa dan dosen kebijakan dan manajemen kesehatan, konsultan serta para pemerhati.

Sebagai pengelola lembaga jaminan dan asuransi kesehatan yang baik, diharapkan para pengguna website ini juga aktif dalam www.kebijakankesehatanindonesia.net dan web lain yang terkait.

Website Manajemen
 
mrsmrsmpk penkedokk   Sebagai pemimpin lembaga jaminan / asuransi kesehatan yang baik, diharapkan para pengguna website ini juga aktif dalam menggunakan website kebijakan dan mengikuti berbagai isu manajemen, dengan logika berfikir bahwa kebijakan yang baik dapat gagal dalam pelaksanaannya karena manajemen organisasi dan program tidak terkelola secara benar.
Website Isu Prioritas
 
bencanakiadeskespendok   Isu-isu prioritas yang saat ini menjadi tantangan sektor kesehatan

Website di bawah ini akan dapat , menjadi sumber belajar serta sumber referensi langsung dari lembaga-lembaga terkemuka di bidang kesehatan seperti kementrian kesehatan, BKKBN, WHO, World Bank Institute, dan lain sebagainya. Dengan mengakses website-website tersebut, pembaca dapat mengkonfirmasi berbagai data dan informasi terbaru.

idrccadepkesbkkbnwbiwho

Berita Nasional

mendagri-data-bpjs-kesehatan-harus-sesuai-data-e-ktpJAKARTA — Menteri Dalam Negeri (Mendagri) Gamawan Fauzi menegaskan, data yang digunakan oleh Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan harus...
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menko-kesra-berharap-pemerintah-baru-naikkan-iuran-bpjs Purbalingga: Menteri Koordinator Bidang Kesejahteraan Rakyat (Menko Kesra) Agung Laksono berharap pemerintah baru menaikkan iuran untuk Badan...
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wamenkes-hutang-jamkesmas-2013-sudah-lunas Jakarta, HanTer - Wakil Menteri Kesehatan (Wamenkes), Prof. Ali Ghufron Mukti, MSc, Phd, menyatakan, banyak pihak yang belum mengetahui bahwa hutang...
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banyak-pungli-bidan-ptt-di-dinkes-daerah Ilustrasi Jakarta - Pemerintah melalui Kementerian Kesehatan (Kemenkes) mengakui masih adanya praktek pungutan liar (pungli) yang dilakukan Dinas...
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experient-health-explains-health-care-reform-and-women-s-preventative-care-in-latest-blog-postThe health care reform law requires health plans to cover certain preventive care services for participants without any cost-sharing, such as deductibles,...
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hasil-audit-bpk-bpjs-kesehatan-bermasalahJAKARTA - Badan Pengawas Keuangan (BPK) telah mengaudit program Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan. Dalam temuan BPK, banyak program BPJS...
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dpr-siap-proses-keluhan-bpjs-ketenagakerjaanJAKARTA - Kehadiran Badan Penyelenggara Jaminan Sosial (BPJS) Ketenagakerjaan yang dulu bernama Jamsostek tak dapat dipungkiri masih belum sempurna. Tak...
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kompensasi-kunci-keberlangsungan-bpjs Kehadiran Badan Penyelenggara Jaminan Sosial (BPJS) sebenarnya dimaksudkan untuk mereformasi sistem layanan sosial di Indonesia. Reformasi itu dapat...
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bpjs-tidak-beri-toleransi-lagi-mulai-juli   SUMEDANG – Badan Penyelenggara Jaminan Sosial (BPJS) tidak akan memberikan lagi toleransi mulai Juli. Saat masa transisi sampai Juni ini, BPJS...
10620
dinkes-kabupaten-kota-di-aceh-endapkan-dana-rp-117-mBANDA ACEH - Kepala Dinas Kesehatan Aceh, dr Taqwallah mengungkapkan terjadinya pengendapan dana kapitasi JKN dan JKRA jatah puskesmas senilai Rp 117,2...
2560
kecewa-terhadap-petugas-medis-pasien-dibawa-pulang-paksa KARAWANG - Karsih (42), penderita kelainan kandungan, dibawa paksa oleh kerabatnya dari Instalasi Gawat Darurat (IGD) Rumah Sakit Umum Daerah (RSUD)...
3110
digenjot-kepesertaan-pekerja-sektor-informalPURWOKERTO - Badan Penyelenggara Jaminan Sosial (BPJS) Ketenagakerjaan Cabang Purwokerto makin getol menyosialisasikan program BPJS kepada masyarakat...
2190
peserta-askes-keluhkan-fasilitas-layanan-bpjs-menurun-drastisJAKARTA - Perubahan sistem jaminan kesehatan ke Badan Penyelenggara Jaminan Sosial (BPJS) dirasakan merugikan para peserta Askes. Pasalnya, banyak...
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kordinasi-bpjs-dengan-perusahaan-asuransi-akan-mengurangi-klaim JAKARTA - Asuransi Sinar Mas melakukan program Coordination of Benefit atau COB dengan Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan. COB ini...
2850

Berita Internasional

some-native-americans-wary-about-health-reformPINE RIDGE, S.D. — Denise Mesteth signed up for new health insurance through the federal Affordable Care Act, despite concerns that it may not be worth...
implementing-health-reform-the-supreme-court-rules-on-contraception-coverageStay tuned to Health Affairs Blog in the days ahead for more commentary about today’s Supreme Court decision. Note: This post was updated on...
shift-in-strategy-for-gop-on-mental-health-reform House Republican leaders are adopting a piecemeal approach to mental health reform in an attempt to salvage a legislative proposal that has been mired...
health-reform-outside-legislative-spotlight-in-2014MONTPELIER – Health care reform could easily have been the spotlighted topic of the 2014 legislative session given the nonstop headlines about Obamacare...
popular-u-s-health-reform-plan-may-not-cut-costs-boost-quality-study Reuters - Increased attention given to patients in primary care practices organized into so-called medical homes may not improve quality of care or...
most-uninsured-unaware-of-cost-breaks-for-health-care-survey-finds WASHINGTON (MCT) – Supporters of health care reform say nonstop news coverage of HealthCare.gov's early technical problems has hurt efforts to...
conservative-ideas-for-health-reformThe promise of Obamacare was too simple. It was supposed to provide more affordable access to quality health care to more people at a lower cost....
uncertainty-continues-as-health-care-deadline-nearsWASHINGTON — For most Americans, Monday is the deadline to sign up for health insurance that takes effect Jan. 1. It was supposed to be a turning point in...
faint-signs-of-recoveryMORE than two months after Barack Obama’s health exchanges opened, they seem to be working, up to a point. On December 11th health officials announced...
implementing-health-reform-a-closer-look-at-direct-enrollment-by-insurersThere has been a great deal of confusion in the media in recent days about “direct enrollment,” the process through which insurers can enroll applicants...
study-shows-thousands-of-mississippians-in-health-coverage-gapA new study shows 137,800 low-income Mississippians fall into a health insurance “coverage gap.” They’re currently uninsured. They earn too much to...
private-health-coverage-ban-challengedCALGARY — Alberta’s ban on private insurance for medically necessary services is being challenged in a Calgary court. The Justice Centre for...
obamacare-the-solution-to-the-healthcare-problemProviding healthcare coverage to all residents in the United States remains a problem for every responsible person. The rising costs of premiums, the...
mental-health-solutions-need-coverage-tooOn Sunday, Sept. 29, 60 Minutes aired a segment entitled "Untreated Mental Illness an Imminent Danger?" reported by Steve Kroft. The connection between...
china-achieves-99-rural-healthcare-coverageMore than 800 million people, or 99 percent of China's total rural population, have access to the new rural cooperative medical insurance, according to...
improving-health-system-quality-in-low-and-middle-income-countries-that-are-expanding-health-coverage-a-framework-for-insuranceWorldwide, momentum is growing for health-care reforms that seek to achieve universal health coverage in low- and middle-income countries (LMICs) [1–3]....