Amanda Simmonds

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Table 2: Financing Indonesia’s UHCResource collection Pooling Purchasing/ProvisionGovernment budget to publicfacilities (ongoing)Government contribution forpoor and near poor:Rp. 22.000-27.000 per month($2.20-2.70)*Self funded contributionsLaborers – 5-6% of monthlywagesNon-wage laborers/informalsector – 5-6% of monthly wagesOR to be covered bygovernment?*Existing funds to bepooled : BPJS tomanage- Jamkesmas- PT Askes- Jamsostek- Jamkesda (some)2014: 121.6 million2019:Entire population,including remainderof Jamkesda schemesTOTAL: 257.5millionPayments to public andprivate health facilitiesPHC public & privateproviders: capitationHospitals : DRGs (INA-CBG) based payments tobe negotiated and varyaccording to regionBenefit package:- comprehensive- initially third classhospital for govt funded +second class for self funded- second class for all by2019*
Findings : 1. The system design• Costing of the design– Absence of fiscal study– Design recommended Rp. 22.000-27.000 permonth ($2.20-2.70) government contributions forthe poor•↓ to Rp. 15.500 per month ($1.50) as per MOF• Informal sector (~62% of all workers)– Design has government paying contributions, but•defined as contributors in Pres. Reg. on HealthInsurance•collection of contributions unresolved•social protection?
Page 1 and 2: Institutional analysis ofIndonesia
Page 4 and 5: Table 1: Health Insurance coveragei
Page 8 and 9: 1. The system design(con’t)• Ta
Page 10 and 11: 3. Impacts of the HF strategy on th
Page 12 and 13: Conclusion (con’t)• Large role

Amanda Simmonds

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