Professional Documents
Culture Documents
INDONESIA’S JAMINAN
KESEHATAN NASIONAL
Benefits Challenges
• Average contribution will rise as subsidy • Improving collectability and re-enrolment
segments decrease as a proportion, as is increasingly relevant as membership
their contribution rate is lower shifts to contributory segments
• Reduced burden on GOI as remaining • Managing claims costs becomes more
enrolment comes from contributory relevant as utilization to date has been
sectors (private and informal sectors) highest among the informal sector 5
5
JKN FINANCIAL SITUATION
HP+/TNP2K HP+/TNP2K
3/21/2018 7
JKN has run an increasing deficit each year, which
MOF has agreed to finance to date
2017 value
Total benefit
IDR 87.22 Tril. (US$610 mil.)
expenditure
Operational
IDR 4.7 Tril. (US 33 mil.)
expenditure
Surplus or deficit IDR -6.23 Tril.* (-US$44 mil.)
Also a carried over unfinanced burden of IDR 1.8 Tril. (US$12.6 mil.) from
2016
3/21/2018 * 9 Nov 2016 Ratas Kabinet approved amount. Deficit not based on IBNR 8
Deficits will continue to rise unless contributory
segments chip in more, and better cost control measures
• Opportunity to improve
claims ratio for informal
sector through targeted
efforts to increase
enrolment and
collections
• Many opportunities to
improve efficiency of
spending and control
growth in costs 9
3/21/2018 9
FISCAL SPACE FOR JKN
3/21/2018 11
Central government planned spending on health, by
institution
Extraordinary allocations to
cover JKN deficit have
risen and are forecast to
become more significant this
year
2016
BKKB Other
N 3%
5%
BPOM
2%
MoH
90%
Line Ministries
HP+/TNP2K
• Central government pays a majority of subsidies for the poor, and Source:
payroll
# BPJS-K
50
40
30
20
10
0
2016 2017 2018 2019
Base scenario deficit
Base scenario PBI contribution
GOI contribution for public employees
3/21/2018
14
TERIMA KASIH!
3/21/2018
15